Note: The job is a remote job and is open to candidates in USA. Milliman IntelliScript develops data-driven software-as-a-service products for insurance and life sciences clients. The Software Engineer III will design, develop, modernize, and maintain cloud-native solutions for clinical data products, while applying AI-assisted software delivery practices, AWS best practices, and rigorous quality controls.
Responsibilities
- Design, develop, maintain and improve software and other technical solutions that solve business challenges
- Play a key role in redesigning our monolithic legacy products in AWS
- Champion AWS best practices
- Mentoring team members on software engineering best practices
- Focus on overall product quality
- Develop and maintain unit and integration tests
- Responsibly self-manage workload given project priorities, deadlines and deliverables
- Help the team achieve sprint goals through independent work and collaboration
- Participate in code reviews to promote quality and best practices
- Support code deployments
- Use generative AI across refinement, planning, implementation, test generation, and code review, and improve how the team applies it
- Write the specifications, steering context, and prompts that make AI-generated work predictable, reviewable, and traceable to requirements
- Hold the quality gates: review AI-generated code with the same rigor as your own, and confirm testing, security, and observability standards are met before anything ships
- Design and build against clinical data sources, including EHR data, FHIR/HL7 interfaces, and medical claims data
Skills
- We are hiring for two roles and are seeking strong expertise in one of two areas: * Electronic health records (EHR) and clinical data, or * AI-assisted software delivery as an established professional practice
- Candidates with strength in both areas are ideal; however, those with deep expertise in one and working fluency in the other are also encouraged to apply
- 5+ years of relevant software engineering experience
- Strong experience with C# (.NET 8), React, and SQL
- Experience developing cloud-native applications in AWS
- Understanding of DevOps best practices using GitHub and Terraform
- Familiarity with Agile delivery practices, such as Scrum
- Experience across the full software development lifecycle
- Strong technical design, problem-solving, and debugging skills
- Experience with domain-driven design
- Experience with microservices architecture
- Experience with event-driven architecture
- Experience writing testable code, including unit, integration, and related automated tests
- Passion for building high-quality systems using AWS best practices
- Strong collaboration skills, with the ability to work effectively both independently and as part of a team
- Proven analytical skills, with the ability to interpret and implement business and functional requirements
- Understanding of the value of test automation and a commitment to incorporating it into everyday development practices
- Hands-on professional experience using AI-assisted development tools—such as GitHub Copilot, Copilot agents, Claude Code, or comparable tools—as part of daily software delivery in a corporate environment
- A repeatable approach to AI-assisted delivery, including specification- and context-driven prompting, defined human review checkpoints, automated test coverage for generated code, and traceability from requirements to code to tests
- Sound judgment about where AI adds value and where it does not, including when to reject, revise, or avoid generated output
- Strong working knowledge of electronic health record (EHR) data and clinical workflows, including FHIR/HL7 interoperability and clinical or claims data integration
- Curiosity, adaptability, and a strong commitment to continuous learning
- Ability to translate clinical workflows, patient eligibility processes, and digital health data into strong product and data design decisions
- Strong knowledge of the field and a proactive approach to staying current with industry trends, best practices, and emerging technologies
- Analytical rigor, attention to detail, and the ability to synthesize complex information to solve problems and support team goals
- A track record of delivering meaningful results, creating value, and building alignment around a path forward
- Sound judgment and the ability to assess and manage moderate to high levels of risk
- Strong problem-solving capabilities, including the ability to navigate and resolve complex challenges
- A collaborative working style that strengthens team performance, builds trust, and contributes to a positive team environment
- Individual(s) must be legally authorized to work in the United States without the need for immigration support or sponsorship from Milliman now or in the future
- Continued education and/or advanced degree(s)
- Experience working in environments subject to HIPAA and/or PCI regulations
- Experience in the software-as-a-service (SaaS), life sciences, and/or clinical trials industries
- Certified Scrum Developer (CSD) certification
- AWS certifications
- Experience with test-driven development (TDD)
- Experience designing systems using event-driven architecture
- Experience modernizing on-premises legacy applications in an AWS cloud environment
- Experience with clinical informatics, including data structures, storage, relationships, and data maintenance
- In-depth knowledge of medical claims and electronic health records (EHRs), including ICD-10 codes, data management, and research use cases
- Experience building or configuring development agents, agent orchestration, or multi-agent workflows
- Experience using AI to analyze legacy code, generate specifications, and produce documentation as part of modernization efforts
- Experience with Atlassian tools, including Jira and Confluence
- Experience mentoring teams on AI-assisted engineering practices
Benefits
- This position is open to remote work.
- Milliman invests in skills training and career development and gives all employees access to a variety of learning and mentoring opportunities.
- Medical, Dental and Vision - Coverage for employees, dependents, and domestic partners.
- Employee Assistance Program (EAP) - Confidential support for personal and work-related challenges.
- 401(k) Plan - Includes a company matching program and profit-sharing contributions.
- Discretionary Bonus Program - Recognizing employee contributions.
- Flexible Spending Accounts (FSA) - Pre-tax savings for dependent care, transportation, and eligible medical expenses.
- Paid Time Off (PTO) - Begins accruing on the first day of work. Full-time employees accrue 15 days per year, and employees working less than full-time accrue PTO on a prorated basis.
- Holidays - A minimum of 10 paid holidays per year.
- Family Building Benefits - Includes adoption and fertility assistance.
- Paid Parental Leave - Up to 11 weeks of paid leave for employees who meet eligibility criteria.
- Life Insurance & AD&D - 100% of premiums covered by Milliman.
- Short-Term and Long-Term Disability - Fully paid by Milliman.
Company Overview