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HealthEdge
HealthEdge
14 open remote positions
HealthEdge provides AI-powered operational infrastructure for health insurance companies, helping them gain a competitive edge. The company is experiencing strong market momentum and is investing in its people to shape the future of healthcare technology.
Salary Distribution
13 of 14 jobs
Open Positions
Lead technical architecture for customer delivery programs, integrating claims, enrollment, provider, and payment systems. Ensure architecture governance compliance and collaborate with customers, partners, and internal product teams. Identify opportunities for automation, performance improvements, and emerging technologies.
SQL
Spring Boot
AWS
CI/CD
Design, develop, and test new features in an existing codebase. Develop full stack expertise in React, Java, Ruby on Rails, and Postgres. Collaborate with product managers, designers, and engineers to improve member experience.
React
Java
Postgres
Ruby On Rails
TypeScript
Provide strategic leadership and operational oversight for CMS-mandated RADV audits across Medicare Advantage and Commercial lines of business. Lead development of audit strategies, workflows, and performance objectives to support regulatory compliance and organizational goals. Direct departmental operations including staff development, performance management, and cross-functional coordination to ensure successful execution of priorities.
Risk Adjustment
Medical Coding
CMS Regulations
Leadership
Project Management
Own the integration layer, administer Claude Enterprise, and drive AI platform adoption across teams. Partner with stakeholders to automate workflows, configure systems, and measure impact through data. Bring an AI-first lens to work, build institutional knowledge, and grow with the team as HealthEdge scales.
Integration
API
IPaaS
Automation
Own the design, resilience, and health of infrastructure across AWS and hybrid on-prem/Azure/GCP environments. Execute disaster recovery, patching, and security/compliance controls across a large, multi-account, multi-platform estate. Build CI/CD pipelines, automate to reduce toil, and serve as L2 escalation for infrastructure incidents.
AWS
Terraform
Kubernetes
Linux
Python
Establish and operate a comprehensive Cloud and SaaS Financial Management (FinOps) practice across a multi-cloud and SaaS ecosystem. Build spend visibility dashboards broken down by product, feature, tenant/client, and team, and own cloud cost reports. Continuously identify and quantify cost optimization opportunities, manage reserved instances and savings plans, and define spend alarms.
FinOps
SQL
AWS
Excel
Serve as the technical counterpart to the Financial Systems Lead and administer NetSuite with advanced troubleshooting. Design and maintain custom NetSuite configurations, workflows, saved searches, and SuiteScript solutions. Support month-end close, data integrity checks, system integrations, and user access management.
SuiteScript
Excel
Manage operational excellence for technology delivery and timely generation of SLA reports. Drive issue resolution, root cause analysis, and day-to-day production support for a mid-size HealthPlan. Coordinate with offshore teams, vendors, and manage customer escalation resolution.
SQL
ITIL
JIRA
Analyze, design and develop cutting-edge software for provider data management on a new product. Work with a global cross-functional team to build cloud-native, large-scale, scalable data pipelines. Take full ownership of the software development lifecycle, including planning, design, development, test and deployment.
Python
PostgreSQL
Oracle
AWS
Airflow
Provide practical, business-oriented legal advice to sales professionals and stakeholders. Draft, review, and negotiate complex commercial contracts, including BPaaS MSAs, SOWs, and SaaS agreements. Serve as lead counsel on BPaaS and BPO engagements, advising on SLAs, risk allocation, and regulatory compliance.
Commercial Law
Contract Negotiation
Regulatory Compliance
Data Privacy
Perform quality assurance audits on utilization management reviews to ensure accuracy and compliance. Analyze data from multiple sources to identify trends, discrepancies, and process improvement opportunities. Collaborate with leadership and operations teams to develop training materials and support quality initiatives.
Data Analysis
Microsoft Office
Quality Assurance
Utilization Management
Manage governance forums, agendas, decision logs, and action tracking. Support execution of strategic compliance priorities and monitor cross-functional dependencies. Coordinate departmental KPIs and executive dashboarding.
Compliance
Governance
Risk Management
Stakeholder Management
Project Management
Enhance and maintain in-house synthetic data generation tools. Investigate performance issues and develop performance test scripts. Integrate performance testing into CI/CD pipelines and collaborate with cross-functional teams.
Python
JavaScript
SQL
JMeter
Datadog
Own the Customer Success Plan for every assigned account, tied to business objectives, and quarterback execution across Delivery, Operations, Technology, and Product. Surface account risk before the customer does and own the Path to Green plan for every at-risk account with named owners and measurable outcomes. Identify multi-product and cross-sell opportunities, partner with Sales for clean handoffs, and maintain current commercial architecture for each account.
Customer Success Management
Account Management
Cross-functional Collaboration
Risk Management