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.