Jobs at HealthEdge

Supports Project Managers and cross-functional teams by maintaining schedules, milestones, RAID logs, project documentation, status reports, meeting materials, action items, budgets, and project systems. Coordinates stakeholder communications, tracks risks, issues, tickets, defects, and team allocations, and helps ensure adherence to delivery methodologies and governance standards. The role also supports audits, operational checkpoints, and continuous improvement across software initiatives.

Coordinates and manages major Sev1 and Sev2 incidents for hosted customers, driving service restoration, stakeholder communications, incident documentation, technical action plans, and root-cause reviews. Supports Incident, Problem, and Change Management processes, reporting, SLAs, and escalations. Requires troubleshooting across cloud, virtualized, Unix, Windows, networking, and infrastructure environments, plus participation in an on-call rotation.

Lead healthcare payer business requirements and solution design for claims, enrollment, provider, authorization, and payment systems. Collaborate with customers, vendors, architects, product, development, QA, and offshore teams to translate business needs into functional and technical requirements. Create workflows, process documentation, user stories, and requirements plans; manage risks and dependencies; support Agile ceremonies, customer demos, testing, and go-live decisions. Apply EDI transaction knowledge and identify automation, performance, and reuse opportunities.

Leads technical architecture and customer delivery integrations across claims, enrollment, provider, authorization, and payment systems. Governs solution architecture, collaborates with customers and partners, and drives automation, performance improvements, and emerging technology adoption. Requires extensive healthcare insurance integration experience, technical leadership, people management, AWS expertise, EDI transactions, and knowledge of enterprise integration technologies. The role is fully remote in the United States and may involve travel.

Leads and develops a team of Principal Consultants supporting complex GuidingCare healthcare payer implementations. Oversees delivery quality, capacity, assignments, client engagement, escalations, practice standards, hiring, and career development. Partners with delivery and project leadership on high-risk workstreams, pre-sales, scoping, requirements workshops, and continuous improvement. Requires extensive GuidingCare implementation expertise across care management, utilization management, appeals and grievances, and data integration.

Leads the Service Management Office and establishes governance for incident, problem, change, release, knowledge, and service-management practices across 24x7 client IT operations. The role drives major-incident response, RCA quality, executive and customer communications, operational reporting, continuous improvement, ITSM tooling, standardization, and accountability across global technical teams, vendors, and delivery organizations.

Leads HealthEdge’s Problem Management team and owns post-incident processes for critical platform events. Responsibilities include root cause analysis, post-mortem facilitation, known error management, corrective action governance, operational intelligence oversight, KPI development, executive reporting, and continuous service improvement. The role establishes and scales the Problem Management framework, partners with Engineering, Operations, Product, and SRE stakeholders, develops team members, and drives accountability for platform stability and customer experience.

Installs, upgrades, supports, and troubleshoots HealthEdge applications across private cloud, AWS, and customer-hosted environments. Uses deployment, automation, alerting, cloud, container, database, middleware, and scripting technologies to manage SaaS environments. Collaborates with teams, documents solutions, improves processes, supports production upgrades, and communicates with project teams and senior management. Occasional off-hours work may be required.

Provides L2 production support for enterprise healthcare applications, including incident management, troubleshooting, root cause analysis, SQL-based data corrections, configuration management, and customer communication. Collaborates with development, infrastructure, DBA, and product teams to resolve complex issues, coordinate fixes, maintain SLAs, and improve support processes through automation, monitoring, and alerting.

Leads end-to-end healthcare payer data conversions between platforms, including profiling, transformation mapping, ETL design, mock and parallel runs, bulk loading, validation, testing, defect resolution, documentation, and client reporting. Develops Python and SQL conversion routines, manages risks and timelines, collaborates with onshore and offshore teams, and mentors junior staff. Requires expertise in claims, enrollment, or provider data and extensive technology integration leadership.

Design, build, evaluate, and deploy AI agents and machine learning automation for engineering, product, delivery, and customer-facing workflows. Integrate AI into existing software, collaborate with technical and healthcare stakeholders, optimize systems for accuracy, latency, cost, and safety, and document development processes. The role emphasizes LLMs, agentic frameworks, production ML systems, human-in-the-loop safeguards, and healthcare-aware solutions.

Owns customer outcomes, retention, referenceability, and expansion across enterprise healthcare accounts. The Senior Customer Success Executive develops success plans, manages account health and recovery programs, coordinates cross-functional delivery, identifies expansion opportunities, maintains accurate CRM and reporting data, and communicates with customer executives. The role requires deep health-plan operations knowledge, enterprise payer-platform experience, commercial fluency, and the ability to drive results through teams without direct authority.

Designs, builds, and operates secure, scalable AWS and Azure cloud infrastructure across multi-account environments. Develops Infrastructure as Code, CI/CD pipelines, automation, observability, and IAM governance. Supports production reliability, incident response, FinOps, FedRAMP and HIPAA compliance, and AI-assisted engineering practices. Partners with product, security, and engineering teams to establish cloud standards, guardrails, and reference architectures.

Owns the design, operation, resilience, security, and migration of HealthEdge’s hybrid cloud infrastructure across AWS, Azure, GCP, and on-premises environments. Responsibilities include Infrastructure as Code, disaster recovery, Kubernetes/EKS, IAM, server administration, CI/CD automation, monitoring, incident response, vulnerability management, compliance controls, cost governance, and technical documentation. The role participates in on-call support, leads infrastructure incident resolution, and guides teams on migration and recovery design.

Manages compliance and privacy governance, strategic initiatives, risk tracking, reporting, documentation, and accountability across cross-functional teams. Coordinates governance forums, KPIs, dashboards, issue remediation, controls, workflows, communications, and audit-readiness activities. Partners with business, legal, compliance, audit, and operations stakeholders to standardize processes, embed requirements, improve efficiency, and support change management.

Develop and maintain large-scale, cloud-native data services and distributed pipelines for multi-tenant healthcare systems. Responsibilities include data modeling, database component development, SQL programming, performance tuning, testing, deployment, code reviews, proof-of-concepts, and full software development lifecycle ownership. Collaborate with global engineering teams, evaluate technologies, apply security and operational requirements, and use AI tools to accelerate development.

Develop and maintain automated testing tools and frameworks for complex healthcare software. Create test plans, execute white-box, black-box, UI, API, and performance testing, identify defects and testing gaps, improve CI/CD processes, and collaborate with product managers and developers to support high-quality releases. The role also involves debugging code, participating in demos, and working with distributed teams in a remote environment.