Description

You will serve as a strategic technical advisor to C-level leadership, designing enterprise-scale solutions for the healthcare payer market.

Responsibilities

  • Advise CTOs and CIOs on technology strategy, digital transformation, and the integration of emerging technologies like AI and machine learning.
  • Design scalable technology solutions and AI-driven platforms tailored to payer-specific needs and regulatory requirements.
  • Develop whitepapers, workshops, and executive briefings to communicate technical and business value to stakeholders.
  • Mentor junior team members to foster technical excellence and innovation.
  • Manage full lifecycle solution development engagements for enterprise initiatives with annual gross fees exceeding $5M.

Required Skills

  • 10+ years in technology roles, with at least 5 years focused on healthcare payer systems.
  • Deep knowledge of payer-specific processes including claims adjudication, enrollment, billing, and provider networks.
  • Strong foundation in software development and cloud architecture (AWS, Azure, or Google Cloud).
  • Experience with integration technologies, including APIs and ETL processes.
  • Expertise in regulatory frameworks such as HIPAA and CMS guidelines.
  • Proven ability to deliver complex enterprise-level solutions within a professional services or systems integration environment.
  • Exceptional communication skills for translating technical concepts into business-focused narratives for executive audiences.
  • Experience managing multiple client priorities in a high-stakes consulting environment.

Preferred Skills

  • Familiarity with enterprise architecture frameworks like TOGAF or Zachman.
  • Advanced degree (MBA, MS in Computer Science, or related field).
  • AWS Certified Solutions Architect or TOGAF certification.

Education

Any Graduate