Integration Lead

HealthEdge; United States; Remote; USD 130,000 - 150,000; Full time

Job summary

HealthEdge is seeking a senior architect/lead for remote US delivery programs. You will define solution architecture, integrate claims, enrollment, provider, and payment systems, and ensure governance. You will collaborate with customers, partners, and internal product teams to drive automation and performance improvements.

The role requires 12+ years in technology integrations and 7+ years in technical leadership, with healthcare domain experience and comfort in a remote, async work environment.

Qualifications

• Bachelor’s degree or higher in business or technical field.
• 12+ years of relevant tech integrations experience.
• 7+ years in technical leadership; healthcare domain knowledge.
• Experience with AWS cloud services and EDI transactions.
• Onshore/offshore delivery model experience.

Responsibilities

• Define solution architecture for customer delivery programs.
• Integrate Claims, Enrollment, Provider, Authorization, and Payment systems.
• Ensure architecture governance and compliance.
• Collaborate with customers, partners, and product teams.
• Identify automation, performance improvements, and new tech opportunities.

Skills

Agile tools

SQL

Core Java

Spring Boot

Web Services

XML

JSON

CI/CD

Middleware

CI/CD pipeline

Education

Bachelor’s degree or higher in business or technical field

Tools

AWS

HealthEdge apps (HealthRules Payor/GuidingCare)

Job description

Overview

HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.

The Opportunity

• Solution technical architecture for customer delivery programs
• Integrate Claims, Enrollment, Provider, Authorization, Payment systems
• Ensure architecture governance compliance
• Collaborate with customer, partners, and internal product teams
• Identify opportunities for automation, performance improvements and emerging technologies

What You Need

• Bachelor’s degree or higher in business or technical field
• Minimum 12 years of relevant work experience in technology integrations
• Minimum 7 years of work experience in technical leadership roles Knowledgeable in Healthcare insurance domain (Medicare Advantage / Medicaid or Commercial)
• Experience with people management, mentorship, and creating inclusive and diverse teams
• Integrated EDI healthcare transactions (837, 834, 835,270/271, 276/277, 278) with healthcare core administration platforms (Claims adjudication/enrollment)
• Working in AWS cloud environment and experience with AWS cloud services
• Experience working in an onshore/offshore model is a must
• Experience working HealthEdge applications like HealthRules Payor or GuidingCare is a plus

Skills & Competencies:

• Awareness to Agile tools and methodologies
• Understanding of SQL, Core Java, Spring Boot, Web Services, XML, JSON, SQL, Middleware, and CI/CD pipeline philosophy
• Commitment to Customer and quality
• Communication skills with peers, customers, and partners including the ability to convey technical information effectively
• Thrives in a dynamic, sometimes ambiguous environment and has a knack for quickly prioritizing needs and creating scalable processes and structure
• Affinity for leading and navigating change management
• Comfortable in a fully remote environment that relies heavily on asynchronous written collaboration and communication

Geographic Responsibility: Remote, US

Type of Employment: Full-time, permanent

FLSA Classification (USA Only): Exempt

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.

• Work across multiple time zones in a hybrid or remote work environment.

• Long periods of time sitting and/or standing in front of a computer using video technology.

• May require travel dependent on company needs.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

#LI-Remote

** The annual US base salary range for this position is $130,000 to $150,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education.