Top Tech Jobs & Startup Jobs

Manages strategic pharmacy benefit administration clients, overseeing account planning, renewals, contractual obligations, financial performance, regulatory compliance, growth, retention, and satisfaction. Leads broader account teams, develops client relationships, supports sales and RFP activities, analyzes pharmacy and healthcare market trends, coordinates cross-functional solutions, and serves as the primary client advocate and subject matter expert for health plan and TPA accounts.

Manages healthcare data exchange operations, including EDI mapping, file transformation, validation, monitoring, troubleshooting, error resolution, partner onboarding, reporting, and process automation. The role supports medical, dental, and vision claims data while ensuring HIPAA compliance, data accuracy, and secure transfers. It collaborates with internal teams, clearinghouses, employers, providers, and third-party administrators to resolve issues and improve data integration processes.

Build and maintain secure, scalable AWS platform infrastructure, CI/CD pipelines, infrastructure-as-code tooling, container orchestration, databases, serverless services, and observability systems. Develop Python automation, support compliance requirements, improve platform performance and reliability, participate in 24/7 on-call operations, collaborate with development and security teams, and mentor junior engineers.

Design, build, and operate high-throughput WAL replication and event-streaming infrastructure supporting cache invalidation, data synchronization, and change-data-capture consumers. Lead migration from batch processing to unified event-driven pipelines, define delivery and correctness guarantees, establish architectural standards, mentor engineers, and support 24/7 incident response. The role requires deep expertise in replication, streaming semantics, systems programming, performance, reliability, and cross-team technical leadership.

Lead client-facing software development initiatives from design through production. Build scalable Python backends and enterprise APIs using AWS serverless technologies, support data migrations and integrations, and make architectural decisions. Collaborate with product managers, designers, clients, and internal teams to gather requirements and deliver secure, reliable solutions. Responsibilities include cloud deployment, security, observability, code reviews, testing, scalability improvements, and technical leadership.

Develop and productionize AI/ML solutions for healthcare, focusing on multimodal LLMs, conversational AI, document understanding, search, and Q&A. Responsibilities include evaluating and fine-tuning models, building training data pipelines, managing the full ML lifecycle, deploying scalable solutions, troubleshooting integrations, documenting architecture, and ensuring HIPAA compliance. The role requires strong Python and PyTorch skills, experience with LLM training platforms and cloud ML services, and close collaboration in a fast-paced startup environment.

Supports risk management and audit initiatives from intake through closure. Coordinates cross-functional workstreams, tracks corrective actions, maintains audit-ready documentation, analyzes audit and operational data, and builds dashboards and KPI reporting. The role also improves audit-response processes, supports workflow governance and automation, and partners with compliance, analytics, and client audit teams to reduce operational risk and strengthen regulatory and client audit readiness.

Lead and scale the quality assurance strategy for a remote health technology company. Manage and mentor QA engineers across Scrum teams, oversee automated and manual testing, integrate test frameworks with CI/CD pipelines, establish quality metrics, improve test coverage and environments, and ensure compliance with regulated-industry standards. Partner with engineering, product, and executive leadership to drive quality practices across the software development lifecycle.

Supports pricing and underwriting for new and renewal business, including financial modeling, claims data analysis, RFP responses, reporting, and risk review. Collaborates with underwriting and cross-functional teams, prepares leadership presentations, maintains reporting systems, and manages analytical tasks across multiple projects. Contributes to pricing strategy, process improvements, and accurate, timely underwriting deliverables.

Analyzes and manages healthcare eligibility data exchanges for new and existing clients. Coordinates file formats, data receipt, processing, issue triage, and resolution across internal teams and external partners. Serves as a subject matter expert on eligibility guidelines and EDI protocols, monitors data quality, performs audits and reconciliations, validates system transfers, and ensures timely, accurate benefits and enrollment data management.