Description

You design enterprise-scale healthcare payer solutions and advise C-level leadership on technology strategy.

This role is remote.

Responsibilities

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

Required Skills

• 10+ years in technology roles, with at least 5 years focused on healthcare payer systems.
• Deep knowledge of payer processes: 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 in professional services or systems integration.
• Exceptional communication skills for translating technical concepts into business-focused narratives.

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.

Key Skills

Education

Any Graduate