Note: The job is a remote job and is open to candidates in USA. CareSource is seeking a technology leader to manage its Encounters IT function and drive modernization, scalability, and innovation across encounter processing platforms. The role owns the technology strategy, leads architecture and engineering initiatives, ensures platform reliability and regulatory compliance, and partners with EDI, integration, business, and cross-functional technology teams.
Responsibilities
- Define and execute a multi-year technology roadmap for Encounters IT aligned with enterprise digital and modernization strategy
- Lead cloud adoption (Azure/AWS), microservices, API-first, and event-driven architecture initiatives across encounter platforms
- Drive legacy modernization and platform transformation, including re-platforming and workflow automation
- Identify and implement innovative solutions to improve scalability, performance, and operational efficiency
- Provide architectural oversight for encounter ingestion, validation, processing, and downstream consumption
- Establish and enforce modern engineering practices including DevSecOps, CI/CD, automated testing, and infrastructure-as-code
- Develop scalable, resilient, and secure design patterns for high-volume transaction processing
- Ensure alignment with enterprise architecture standards and data/integration strategies
- Own end-to-end encounter processing lifecycle from intake through validation and readiness for submission
- Partner and collaborate closely with EDI teams to ensure accurate, compliant transmission and submission of encounters
- Ensure adherence to state and federal regulatory requirements across all markets
- Drive improvements in data quality, processing timeliness, and audit readiness
- Ensure high availability, resiliency, and performance of encounter platforms
- Accountable for production support, incident management, and operational SLAs
- Implement Site Reliability Engineering (SRE) practices including monitoring, observability, and automation
- Lead delivery across Agile teams with a mix of internal and vendor resources
- Drive predictable, high-quality execution across projects, enhancements, and releases
- Manage vendor relationships and optimize delivery through effective governance and cost management
- Act as a trusted technology partner to business, compliance, EDI, and integration teams
- Translate business needs into scalable technology solutions and transformation initiatives
- Drive cross-functional collaboration across data, integration, infrastructure, and security teams
- Build and lead a high-performing engineering team focused on innovation and delivery excellence
- Mentor team members on modern technologies, cloud engineering, and encounter domain knowledge
- Foster a culture of continuous improvement, accountability, and technical excellence
Skills
- Bachelor's degree in Computer Science, Engineering, or related field
- 8+ years of experience in software engineering, integration, or platform development
- 3–5+ years of experience in IT leadership or management roles
- Hands-on experience with cloud platforms (Azure preferred), microservices, APIs, and distributed systems
- Strong experience in healthcare encounters, claims, or data exchange ecosystems
- Experience with modern DevOps practices (CI/CD, automation, containerization)
- Experience working with or alongside EDI/encounter submission platforms preferred
- Visionary Technology Leadership – Ability to drive enterprise modernization and transformation
- Cloud & Modern Architecture Expertise – Microservices, APIs, event-driven systems
- Encounter Domain Expertise – Strong understanding of encounter workflows and compliance requirements
- Cross-Team Collaboration – Effective partnership with EDI, integration, and business teams
- Process Transformation – Re-engineering workflows for automation and scalability
- Engineering Excellence – SDLC, DevSecOps, and design patterns
- Data & Integration Expertise – High-volume data processing and interoperability
- Operational Excellence – Reliability, SLA ownership, incident response
- Strategic Thinking – Aligning technology with business and regulatory objectives
- Communication & Influence – Executive-level communication and stakeholder management
- Up to 30% travel
- Master's preferred
- Hands-on or working knowledge of Edifecs (Encounter Management platform) strongly preferred
- Experience with cloud-native data platforms (ADF, Databricks, streaming tools)
- Exposure to advanced analytics or AI/ML for encounter quality and anomaly detection
- Experience in large-scale modernization or cloud transformation programs
- Understanding of payer/provider ecosystems and delegated encounter processing models
Benefits
- You may qualify for a bonus tied to company and individual performance.
- Hybrid model
- A substantial and comprehensive total rewards package
Company Overview
Company H1B Sponsorship