Top Remote Jobs in Lexington, KY

Design, build, and maintain data models, pipelines, and access layers to support care delivery, operations, and analytics. Ensure data quality, governance, and reliability while optimizing infrastructure and performance. Serve as a technical leader, review code, set engineering best practices, and collaborate cross-functionally to translate business needs into scalable data solutions.

Design, build, and productionize scalable AI systems for autonomous detection, RAG-backed investigations, and auto-remediation. Develop LLMs, graph-based reasoning engines, streaming pipelines, evaluation/red-team processes, and collaborate with cross-functional teams to translate attacker behavior into robust detections.

Lead organizational change initiatives for technology implementations using structured methodologies (including Prosci). Develop and execute communications, training, sponsor and manager plans, assess impacts, manage resistance and stakeholders, coach leaders and teams, create training materials, integrate change into project plans, define success metrics, and track change progress across higher education, healthcare, and nonprofit clients.

Lead end-to-end healthcare technology implementations from contract to go-live. Manage EHR integrations, HL7/FHIR data exchange, configure workflows, maintain project plans and KPIs, coordinate cross-functional teams, run onsite workshops, and support adoption across large health systems while managing multiple concurrent deployments.

Lead product definition and delivery for cloud-based public health SaaS: perform user discovery, own roadmap and quarterly planning, translate requirements into epics/stories, maintain execution-ready backlog, partner with engineering/security/operations, ensure scalability/security/accessibility, incorporate AI-assisted practices, measure outcomes, and drive cross-functional readiness and demos.

Lead and evolve the enterprise data ecosystem and governance program. Own technical roadmaps, architect data flows, perform hands-on SQL and pipeline work, run data stewarding and catalog efforts, ensure security and compliance, and drive cross-functional adoption and executive reporting.

Lead end-to-end payroll and benefits operations, ensuring accurate multi-state payroll execution, compliance with ERISA/COBRA/ACA/FMLA, HRIS data integrity (Rippling), vendor management, year-end filings, benefits billing reconciliation, open enrollment execution, and cross-functional process improvements to scale operations and reporting.

Build and scale a Value Engineering practice for GTM: create ROI, TCO, and financial models; enable sales and customer success with value-selling methodologies; co-lead executive-level conversations; standardize execution; train field teams; measure impact on deal metrics and support retention and expansion.

Own strategic relationships with a portfolio of high-value enterprise SaaS accounts to drive expansion ARR, maximize net revenue retention, ensure product adoption and customer outcomes, negotiate commercial terms, lead executive engagement, and coordinate cross-functional teams to deliver long-term account value.

Lead and optimize Managed Detection and Response (MDR) operations, manage SOC shift schedules and on-call rotations, coordinate incident response and escalations, coach and develop team members, report operational metrics, improve processes and tooling, ensure compliance with security and privacy policies, and maintain customer-facing service quality and documentation.