Full-Time

ServiceNow Architect

Healthcare and Life Sciences

Posted on 6/10/2025

XO Health

XO Health

51-200 employees

Tech-enabled health plan platform with analytics

Compensation Overview

₹4M - ₹4.5M/yr

India

Remote

This is a remote job for candidates based in India.

Category
Software Engineering (2)
,
Required Skills
JavaScript
ServiceNow
CloudFormation
Microservices
AWS
Terraform
DevOps
Data Analysis
HTML/CSS
Requirements
  • 7+ years of ServiceNow platform experience with deep expertise in architecture and implementation of enterprise-scale solutions
  • Proven experience with ServiceNow CRM and Healthcare and Life Sciences (HCLS) modules in high-volume, mission-critical environments
  • Strong background in ServiceNow development including workflows, business rules, UI policies, client scripts, and large-scale integrations
  • Extensive experience with ServiceNow integration technologies (REST/SOAP APIs, MID Server, Integration Hub) and external integration patterns
  • Expert-level proficiency in cloud integration technologies, particularly AWS services (Data Lake, S3, Lambda, API Gateway, EventBridge)
  • Deep experience with Microsoft Office 365/SharePoint integration, including Graph API, Power Platform, and document management workflows
  • Strong background in API design, sFTP protocols, enterprise service bus (ESB) architectures, and microservices patterns
  • Proficiency in JavaScript, HTML, CSS, web services technologies, and infrastructure-as-code tools (Terraform, CloudFormation)
Responsibilities
  • Design end-to-end ServiceNow architecture integrating CRM and HCLS modules to support healthcare insurance operations with enterprise-grade scalability and resilience
  • Architect comprehensive integration framework connecting ServiceNow with AWS Data Lake, Microsoft Office 365/SharePoint, and diverse data sources via API and sFTP protocols
  • Develop scalable, cloud-native architecture designed to accommodate rapid organizational growth and increasing data volumes
  • Create resilient, fault-tolerant system design with disaster recovery capabilities and multi-environment deployment strategies
  • Define enterprise data models, automated workflow processes, and robust integration patterns supporting complex healthcare insurance business processes
  • Establish performance benchmarks and scalability metrics to ensure platform can handle projected growth in users, transactions, and data volume
  • Lead ground-up implementation of ServiceNow CRM and HCLS modules tailored for health insurance operations
  • Configure and customize ServiceNow applications for customer relationship management, member services, and provider relations
  • Implement case management workflows for claims processing, member inquiries, grievances, and appeals
  • Build utilization management capabilities including prior authorization workflows, medical necessity reviews, and care coordination processes
  • Provide technical leadership and mentorship to development teams throughout implementation lifecycle
  • Establish ServiceNow development standards, best practices, and governance frameworks with emphasis on scalable code architecture
  • Lead system integration efforts with existing healthcare systems while planning for future growth and technology evolution
  • Design and implement comprehensive performance optimization strategies including caching, load balancing, and database optimization
  • Architect multi-tenant, horizontally scalable solutions that can accommodate rapid growth in users and transaction volume
  • Oversee security hardening, compliance monitoring, and disaster recovery planning across all platform components
  • Establish DevOps pipelines and infrastructure-as-code practices to support rapid, reliable deployments at scale
  • Design solutions supporting core insurance functions including member enrollment, benefits administration, claims adjudication, and provider network management with built-in scalability for membership growth
  • Implement regulatory compliance workflows for healthcare insurance requirements (ERISA, CMS, etc.) that can adapt to changing regulatory landscapes
  • Create member portal capabilities and self-service functionality designed to handle increasing user loads and feature expansion
  • Build provider portal integration for claims submission, prior authorization requests, and administrative functions with capacity planning for network growth
  • Architect data analytics and reporting capabilities leveraging AWS Data Lake integration for business intelligence and regulatory reporting at scale
  • Partner with business stakeholders to translate complex requirements into technical solutions
  • Collaborate with compliance, legal, and security teams to ensure regulatory adherence
  • Work closely with IT leadership to align platform architecture with enterprise technology strategy
  • Engage with third-party vendors and integration partners as needed
Desired Qualifications
  • ServiceNow Certified System Administrator (CSA) and Certified Implementation Specialist (CIS) certifications
  • AWS certifications (Solutions Architect, Data Engineer) demonstrating cloud integration expertise
  • Microsoft certifications related to Office 365, SharePoint, or Azure integration
  • Healthcare industry certifications (CHPS, CHAM, or similar)
  • Experience with ServiceNow Customer Service Management (CSM) and IT Service Management (ITSM) at enterprise scale
  • Background with healthcare core administration systems, claims engines, or pharmacy benefit management platforms
  • Experience with Agile/Scrum methodologies, DevOps practices, and continuous integration/deployment pipelines
  • Demonstrated experience with performance testing, load testing, and capacity planning for enterprise applications

XO Health provides a technology-led health plan platform that unifies employee health benefits for employers, brokers, and third-party administrators using real-time data and analytics. Its core product is a single platform that combines benefits administration, claims data, and member needs, with data-driven insights to personalize recommendations and improve efficiency; it also operates a licensed in-home health agency in Texas. This combination of a digital platform and hands-on home care differentiates XO Health from competitors by offering end-to-end benefits management and care delivery in one ecosystem. The goal is to simplify healthcare access and management for members while helping organizations administer benefits more efficiently.

Company Size

51-200

Company Stage

Series C

Total Funding

$52.2M

Headquarters

Alpharetta, Georgia

Founded

2021

Simplify Jobs

Simplify's Take

What believers are saying

  • Raised $52.2M from Thurston Group and Sea Court Capital in recent funding round.
  • Launched value-based platform in Atlanta, Dallas, Houston, Minneapolis on January 8, 2025.
  • PayMedix partnership on February 4, 2025, provides interest-free payment plans to members.

What critics are saying

  • Bind Health and Bright Health erode market share with superior scale in 6-12 months.
  • Texas DOI audit revokes home health agency license, halting Texas revenue in 12-18 months.
  • Risk engine fails to cut costs, causing client churn in Atlanta and Dallas within 3-6 months.

What makes XO Health unique

  • XO Health offers first-of-its-kind risk contracting engine for episode-driven care packages.
  • Independently contracted provider network streamlines prior authorizations and billing.
  • Real-time data platform deploys generative AI for cost and quality optimization.

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Benefits

Health Insurance

Paid Vacation

Company News

Endpoints News
Sep 11th, 2025
XO Health raises $52.2M funding

XO Health, an alternative health plan startup, has raised $52.2 million, as reported by Endpoints News. CEO Swati Mathai confirmed the funding.

Endpoints News
Sep 11th, 2025
Exclusive: XO Health raises $52.2M as alternative health plan interest heats up

Exclusive: XO Health raises $52.2M as alternative health plan interest heats up.

PYMNTS
Feb 11th, 2025
Healthcare Delivery Models Have Changed, Why Haven’T Payment Processes?

Change happens slowly at first, and then all at once. Just look at the healthcare system of today, versus that of, say, 2009. There’s been a sea of change. But as providers move away from traditional fee-for-service models toward value-based care, representing a fundamental shift in how care is delivered and reimbursed, this transformation is not about clinical outcomes alone. The back-end systems that power healthcare organizations, from payments to procurement, are quietly undergoing their own revolution as operational and financial workflows evolve in tandem with care models. It’s about time

PYMNTS
Feb 4th, 2025
Paymedix Launches Partnership With Benefits Platform Xo Health

Healthcare financing firm PayMedix has teamed with care/benefits platform XO Health.The partnership gives XO Health’s network of self-insured employers, third-party administrators and value-based providers access to PayMedix’s healthcare financing solution, according to a Tuesday (Feb. 4) news release.“Our mission has always been to improve people’s ability to access and afford healthcare when they need it, while simultaneously removing the complexity and administrative burden of bill collection and processing from providers, and simplifying billing for patients,” PayMedix CEO Tom Policelli said in the release.“Our partnership with XO Health aligns with this mission. We’re disrupting the way people access and pay for healthcare together.”According to the release, the partnership gives XO Health members access to PayMedix’s interest-free payment plans, which cover all in-network medical bills, up to their out-of-pocket maximum. The two firms say their work will help reduce costs and administrative inefficiencies.PYMNTS CEO Karen Webster spoke with Policelli in 2023 following the company’s $25 million funding round. He argued that what his company offered was superior to other forms of healthcare buy now, pay later (BNPL) financing.“We offer credit to all consumers at a given employer regardless of their credit history,” he said. “We’ll go all the way up to the out-of-pocket amount

XO Health
Jan 8th, 2025
XO Health Launches Next Generation Value-Based Care and Benefits Platform for Self-Insured Market

XO Health launches next generation value-based care and benefits platform for self-insured market.

INACTIVE