Design, implement, and optimize enterprise network infrastructure across on-premises and multi-cloud environments. Manage network security, automation workflows, and provide 24/7 incident response support for a healthcare SaaS platform.
HealthEdge
24 Remote Job Openings at HealthEdge
Monitor and triage security alerts using SIEM tools to identify and mitigate potential threats. Support the day-to-day operations of security tools and maintain security processes and playbooks.
Perform audits of health plan administration transactions and manage the rebuttal process. Collate QA performance reports and provide feedback to associates and training teams to improve processing accuracy.
Coordinate and manage the escalated incident process, focusing on Sev1 and Sev2 incidents to restore failed services efficiently. Own the Root Cause Analysis process and manage technical action plans while communicating status to internal and customer stakeholders.
Lead and develop a team of Project Managers to deliver enterprise healthcare technology implementations. Oversee portfolio health, ensure adherence to PMO standards, and partner cross-functionally to drive customer outcomes.
Lead operations strategy and service design for Core Administration BPaaS programs, shaping future-state operating models for health plans. Support sales pursuits by translating BPaaS capabilities into business outcomes and guiding clients through operational modernization.
Lead the People & Internal Systems team with a focus on managing Workday and its various integrations across payroll, benefits, and finance. Drive the company's AI adoption strategy via Claude and oversee systems consolidation following recent mergers.
Develop and enhance software products using the Microsoft platform, focusing on WebAPI, JSON, and database development. Collaborate with cross-functional teams to design complex features and ensure code quality through unit testing and debugging.
Responsible for the adjudication of healthcare claims based on client-specified guidelines and productivity targets. The role also involves mentoring junior team members and collaborating on special projects such as quality audits and process documentation.
Lead the sales strategy to acquire new logo prospects and grow relationships within the assigned healthcare payer territory. Manage the full enterprise sales lifecycle, including lead identification, proposal development, and contract negotiations for BPaaS and EPaaS solutions.
Oversee a global team of configuration analysts to ensure the successful delivery of a fully configured HealthRules system. Act as a Subject Matter Expert to advise clients on business problems and ensure project milestones are met on time.
The analyst will serve as a functional lead to analyze business requirements and configure the HealthRules Payor software. They are responsible for unit testing, managing offshore configuration tasks, and ensuring successful project delivery.
Design and maintain CI/CD pipelines and AWS cloud infrastructure to support Java-based healthcare microservices. Automate infrastructure provisioning and ensure system reliability, security, and HIPAA compliance across environments.
Design and implement enterprise-scale information security architectures encompassing network, application, and data protection. Lead strategic security visions and integrate advanced security controls and automation across the organization's technology stack.
Lead and develop a team of Business Consultants to deliver software implementation and expansion engagements on time and on budget. Serve as a strategic partner to clients and internal leadership to ensure high-quality delivery and operational excellence.
Lead the configuration and optimization of Workday Benefits and Advanced Compensation modules to support global HR operations. Manage annual cycles such as Open Enrollment and provide Tier 2/3 technical support to global HR teams.
Lead operations strategy and service design for Core Administration BPaaS programs, focusing on future-state operating models and modernization. Support sales pursuits by translating BPaaS capabilities into business outcomes for health plan executives.
Leads the planning, coordination, and execution of complex application releases while driving process maturity and release strategy. Serves as a strategic partner to cross-functional teams and communicates risk and posture to senior leadership.
Own the Salesforce platform and GTM tech stack to build scalable solutions and automate workflows. Partner with GTM leaders to define and implement an AI-first strategy to reimagine business operations.
Acts as a subject matter expert in healthcare privacy to ensure compliance with federal and state regulations and contractual obligations. Responsibilities include managing privacy incidents, conducting audits, and providing guidance to internal stakeholders and customer health plans.
Lead enterprise-level financial planning, revenue analysis, and strategic ownership for SaaS and BPaaS business lines. Act as a strategic advisor to executive leadership to influence capital allocation, drive growth, and manage financial transformation.
Lead the strategy, roadmap, and execution of retrospective risk adjustment product portfolios while mentoring a high-performance team of product managers. Collaborate with technical and clinical stakeholders to build AI-driven predictive models and ensure compliance with CMS regulatory standards.
Lead complex, cross-functional technical programs from inception to delivery while driving alignment with strategic engineering and business goals. Develop and refine program management frameworks to optimize collaboration, governance, and operational efficiency across the organization.
Design, develop, and deploy scalable enterprise-grade Java applications while leading solution architecture and technical planning. Mentor junior engineers, conduct code reviews, and implement automated testing and deployment pipelines.
