Top Tech Jobs & Startup Jobs in Lexington, KY

Lead state-level product performance for multiple states, own P&L, develop pricing strategies, execute rate filings, manage underwriting and agency strategies, partner with actuarial/sales/marketing, mentor product staff, present to senior leadership, ensure regulatory compliance, and drive process improvements and automation to meet growth and profitability targets.

Leads complex cross-functional analytics projects from scoping through delivery, producing executive insights and recommendations. Builds reusable datasets, semantic models, and certified Power BI assets; automates reporting and data preparation; partners with business, engineering, and governance teams to improve data quality; and mentors analysts. The role requires advanced SQL, Power BI, DAX, Python, and cloud data platform expertise, plus insurance industry experience and strong stakeholder communication.

Leads industrial engineering strategy across a multi-site logistics network, managing engineers and major continuous improvement, automation, and systems integration initiatives. Develops business cases, ROI analyses, engineering roadmaps, governance frameworks, and performance metrics. Partners with customers, operations, IT, automation providers, and senior leaders to improve safety, productivity, service, capacity, and standardization across distribution and contract packaging sites.

Processes accounts payable, accounts receivable, and general ledger transactions for commercial and federal contracts. Responsibilities include invoice preparation and validation, payment processing, reconciliations, receivables tracking, contract funding and expenditure monitoring, financial reporting, audit documentation, and compliance with contract requirements and internal controls. The role also coordinates with accounting teams, program leadership, vendors, and subcontractors to resolve discrepancies and support accurate, timely financial operations.

Performs project-based accounting for commercial and federal contracts, including contract administration, customer invoicing, accounts receivable, subcontractor invoice review, payments, journal entries, reconciliations, month-end and year-end close support, audits, budgeting, forecasting, tax compliance, and process automation.

Leads a quality assurance team responsible for software testing, test planning, quality metrics, reporting, root-cause analysis, CAPA, risk mitigation, and continuous improvement. Partners with cross-functional teams and senior stakeholders to ensure reliable software delivery, develop employees, and implement effective quality management processes. Requires claims or claims audit experience, business intelligence skills, and strong execution, collaboration, problem-solving, and decision-making abilities.

Owns the lifecycle of AI-powered analytics products supporting clinicians, from requirements and discovery through production and maintenance. Partners with data scientists, engineers, clinicians, and executives to define roadmaps, prioritize trade-offs, establish data contracts and SLAs, validate model results, track performance, and demonstrate ROI. Leads Agile scrum teams and drives cross-functional delivery in complex healthcare environments.

Design, deliver, and operate business-critical distributed systems for Signify Health’s value-based care technology platform. The role requires full-stack development, polyglot programming, scalable distributed-systems expertise, cloud engineering, SQL and relational database knowledge, and strong communication. Preferred experience includes event-driven architectures, AI-assisted development tools, Kafka, APIs, containers, Kubernetes, infrastructure as code, monitoring, CI/CD, and agile methods. Quarterly or as-needed travel is required.

Leads finance support for cost-of-revenue functions, including manufacturing, cost accounting, clinical operations, quality, regulatory, and sales and operations planning. Owns budgeting, forecasting, long-range planning, gross-margin performance, cost controls, inventory accounting, integrations, and executive decision support. Builds scalable finance capabilities, improves processes and analytics, develops high-performing teams, and partners with operations and executive leadership on productivity, risk, and strategic growth.

Implements, optimizes, and supports healthcare IT solutions for clients. Analyzes healthcare data, translates business requirements into technical solutions, leads deployments and integrations, provides training and troubleshooting, manages client escalations, and monitors system performance. Requires strong knowledge of healthcare workflows, HL7, FHIR, HIPAA, data analysis, and client-facing technical support.

Manages healthcare client portfolios through onboarding, implementation, delivery, retention, and growth. Builds trusted client relationships, leads cross-functional and vendor teams, develops implementation and communication plans, tracks account metrics, manages risks, delivers training, prepares executive presentations, and drives client satisfaction. Requires healthcare experience, specifically Risk Adjustment and Quality of Care, along with complex project leadership, data analysis, strategic communication, and weekday travel.

Leads LillyDirect’s forward-looking Consumer and HCP marketing strategy, growth investments, content briefing, innovation pipeline, competitive intelligence, and partnership alignment. Sets goals, KPIs, budgets, and testing strategies; advises senior leadership on investment priorities and scales successful marketing initiatives. Manages and develops marketing talent while fostering an inclusive, high-performing culture.

Leads enterprise, multi-site deployments of the MIM clinical software platform across complex healthcare environments. Owns implementation planning, configuration, integration, validation, go-live, clinical adoption, executive reporting, risks, timelines, and customer expectations. Coordinates Digital, Imaging, Clinical Applications, Services, and IT stakeholders; partners with clinicians to align workflows; supports deployments and integrations; mentors project managers; and drives continuous improvement.

Leads revenue execution across strategic healthcare accounts by converting stalled or at-risk backlog into executable projects and recognized revenue. Engages customer executives, resolves funding, readiness, resource, scheduling, and installation barriers, and coordinates cross-functional teams without direct authority. Owns revenue recovery plans, forecast accuracy, risk escalation, project milestones, and operating reviews to deliver quarterly and annual commitments.

Leads enterprise, multi-site deployments of the MIM clinical software platform across healthcare environments. Responsibilities include planning, configuration, integration, validation, go-live, clinical adoption, executive reporting, stakeholder coordination, risk and timeline management, customer expectation management, and mentoring project managers. The role requires collaboration with clinicians, IT, imaging teams, and services while supporting software integrations and continuous improvement.

Provides Khmer-to-English and English-to-Khmer translation and editing for official documents, including vital records, legal documents, certificates, and academic transcripts. Reviews accuracy, grammar, formatting, and consistency; protects confidential information; follows client instructions; and meets deadlines, including one-to-two-day turnaround requirements. This remote freelance role is assigned on an as-needed basis and requires independent work, U.S. citizenship, and completion of a Tier 1 background investigation.

Lead end-to-end Submarine implementation projects for global financial institution clients, from scoping through go-live and post-implementation review. Manage project plans, timelines, resources, risks, dependencies, client relationships, technical workstreams, governance, reporting, and stakeholder communications. Coordinate Solutions Engineering, Development, Managed Services, Sales, Customer Success, and client teams while improving implementation methodology and onboarding processes.