Top Tech Jobs & Startup Jobs

Design, develop, and deploy agentic AI workflows and LLM-based automations for clinical and business use. Build scalable RAG solutions, vector DB integrations, and production-grade Python services. Implement AI orchestration frameworks, ensure MLOps/LLMOps, monitor observability, and collaborate with product, clinical, security, and engineering teams to deliver secure, compliant healthcare AI capabilities.

Design, develop, and productionize machine learning and generative AI solutions; build conversational AI and cloud-based systems; troubleshoot and support production; lead deployments; mentor teams; drive end-to-end delivery and responsible AI practices.

Manage field account management teams for key accounts (100–5,000 employees). Oversee client education, training, service plans, personnel development, and relationship-building with clients and brokers. Ensure deep product and healthcare knowledge, navigate internal operations, and drive team strategy to meet goals. Recruit, train and mentor staff, handle complex service situations, and support account implementation.

Lead software engineering strategy and platform modernization for Utilization Management, migrate Behavioral Health and Home & Community UM to the OCM platform, integrate enterprise AI and automation, establish architecture and DevOps standards, drive AI workforce transformation and ethical governance, manage budgets and global engineering teams, and partner with executive stakeholders to improve clinical workflows and care delivery.

Lead identification, investigation, and prevention of healthcare fraud, waste, and abuse. Use claims data and guidelines to detect aberrant billing, conduct fieldwork and interviews, collect evidence, analyze trends, maintain case records, support settlements and legal proceedings, and coordinate with state/federal partners and regulators.

Serve as the operational and analytical right hand to the VP of FP&A. Own and maintain the quarterly forecast model, perform variance analysis, gather and validate data for executive reporting, prepare initial financial commentary, and partner cross-functionally to influence decisions. Ensure forecast accuracy, data hygiene, and timely communication for leadership reviews and board materials.

Lead and grow a high-performing home health sales team by hiring, coaching, and setting sales strategies to meet admit and census goals. Build partnerships with operations, implement company initiatives, develop field best practices, and drive market share growth. Travel extensively across the assigned territory.

Lead design and delivery of cloud-native Java/Spring adjudication services. Decompose legacy systems, build APIs, ensure observability, reliability, and security. Drive CI/CD, containerized deployments, AI-assisted engineering, cross-team coordination, documentation, and production support for high-volume transactional claim workflows.

Lead product vision and go-to-market for an early-stage fraud and abuse detection product in payment integrity. Own strategy, roadmap, and commercialization from pilot to scale; collaborate with engineering, data science, and GTM to deliver AI-driven detection capabilities; define KPIs, measure ROI, and iterate based on analytics and client feedback; monitor market and regulatory trends to maintain differentiation and drive adoption across payer clients.