Lead Engineer - Windsurf along with Healthcare payer systems

Company Description

We provide Recruitment and Staffing services to many industries and domain through our innovative and customized solutions and passionate commitment to research. Ability to understand the hiring strategies, availability of talent and compensation benchmarking makes us proud hiring partner for various industries. We work as trusted business partners and always strive to deliver the most value and highest return on investment for our clients. We are highly trained business professionals with strong understanding of clients need. We work closely with the leading staffing trade associations, training, and research organizations to ensure we are knowledgeable of the latest industry trends and technologies.

Job Description

Key search: Python, Oracle, Kafka, and Windsurf along with Payment Integrity platforms – MUST HAVE SKILLS.

Required Skills & Experience:

• 10 years of software engineering experience.
• 3 years leading engineering teams or owning platform architecture.
• Strong proficiency in:
  • Python or Java (both preferred)
• Proven experience building configuration-driven systems.
• Strong database modeling expertise (SQL & NoSQL).
• Experience designing JSON/YAML/XML configuration interpreters.
• Hands-on experience with Kafka and event-driven architecture.
• Experience with AWS cloud services (EKS, ECS, Lambda, S3, RDS, DynamoDB).
• Strong grasp of CI/CD, Docker, Kubernetes, and GitOps.
• Strong knowledge of healthcare systems with focus on Payment Integrity.

Key Responsibilities

 Technical Leadership:

• Lead end-to-end engineering for the PISCES HUB initiative.
• Provide architectural direction and hands-on leadership.
• Mentor development teams and enforce engineering best practices.
• Ensure scalability, configurability, and maintainability of rule-driven systems.
• Collaborate with Product, Payment Integrity SMEs, and Enterprise Architecture teams.

Configuration-Driven System Design:

• Design and build:
  • Metadata-driven pipelines and workflow orchestration engines.
  • Dynamic business rule engines for payment integrity use cases.
  • Configurable API/data integration frameworks.
  • Template-based or parameterized services.
• Develop JSON/YAML/XML-based configuration interpreters.
• Enable runtime rule updates without redeployment.
• Design version-controlled rule lifecycle frameworks with auditability.

Data & Rule Configuration Modeling:

• Design data models for:
  • Rule storage and versioning
  • Claims validation configurations
  • Payment integrity audit trails
• Optimize SQL/NoSQL databases for high-volume rule evaluation.
• Ensure rule governance, auditability, and compliance tracking.

Healthcare & Payment Integrity Domain Expertise:

• Strong understanding of:
  • Healthcare payer systems
  • Claims adjudication workflows
  • Pre-pay and post-pay validation logic
  • Payment Integrity rule frameworks
  • Fraud, Waste & Abuse detection concepts
• Experience integrating with core healthcare systems (e.g., Facets, QNXT, Amisys or similar).
• Ability to translate payment integrity business requirements into scalable technical design.

 Cloud & Event-Driven Architecture:

• Design and implement event-driven systems using Kafka.
• Build microservices deployed in AWS environments:
  • EKS, ECS, Lambda
  • S3, RDS, DynamoDB
• Ensure high scalability and resilience for healthcare transaction workloads.

DevOps & Platform Engineering:

• Implement CI/CD pipelines with automated testing.
• Containerize services using Docker and Kubernetes.
• Apply GitOps workflows for deployment automation.
• Ensure observability, monitoring, and production readiness.

Regards,

Mohammed ilyas,

PH - 229-264-4024 or Text - 229-469-1455 or you can share the updated resume at Mohammed@vtekis. com

Additional Information

All your information will be kept confidential according to EEO guidelines.