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CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

Manager, Information Technology - Encounters IT, Transformation & Architecture Focus

Engineering LeadershipConfirmed live in the last 24 hours
Full-timeRemote in USA

About the Job

Requirements

  • A bachelor's degree in Computer Science, Engineering, or a related field is required; a master's degree is preferred.
  • At least 8 years of experience in software engineering, integration, or platform development.
  • At least 3–5 years of experience in IT leadership or management roles.
  • Hands-on experience with cloud platforms, preferably Azure, microservices, APIs, and distributed systems.
  • Strong experience in healthcare encounters, claims, or data exchange ecosystems.
  • Experience with modern DevOps practices, including continuous integration and continuous delivery, automation, and containerization.
  • Strong understanding of encounter workflows and compliance requirements.
  • Ability to drive enterprise modernization and transformation and align technology with business and regulatory objectives.
  • Experience partnering across EDI, integration, and business teams and communicating with executive stakeholders.

Responsibilities

  • Define and execute a multi-year technology roadmap for Encounters IT aligned with enterprise digital and modernization strategy.
  • Lead cloud adoption across encounter platforms, including Azure or AWS, microservices, API-first, and event-driven architecture initiatives.
  • Drive legacy modernization and platform transformation, including re-platforming and workflow automation.
  • Identify and implement 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, continuous integration and continuous delivery, 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 and integration strategies.
  • Own the end-to-end encounter processing lifecycle from intake through validation and readiness for submission.
  • Partner with EDI teams to ensure accurate, compliant transmission and submission of encounters.
  • Ensure adherence to state and federal regulatory requirements across all markets.
  • Improve data quality, processing timeliness, and audit readiness.
  • Ensure high availability, resiliency, and performance of encounter platforms.
  • Be accountable for production support, incident management, and operational service-level agreements.
  • Implement Site Reliability Engineering practices, including monitoring, observability, and automation.
  • Lead delivery across Agile teams comprising internal and vendor resources.
  • Drive predictable, high-quality execution across projects, enhancements, and releases.
  • Manage vendor relationships and optimize delivery through governance and cost management.
  • Act as a 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 continuous improvement, accountability, and technical excellence.

Desired Qualifications

  • Experience with or alongside EDI or encounter submission platforms.
  • Hands-on or working knowledge of Edifecs Encounter Management platform.
  • Experience with cloud-native data platforms such as Azure Data Factory, Databricks, and streaming tools.
  • Exposure to advanced analytics or artificial intelligence and machine learning for encounter quality and anomaly detection.
  • Experience in large-scale modernization or cloud transformation programs.
  • Understanding of payer and provider ecosystems and delegated encounter processing models.

About the Company

CareSource

Member-first health plan: Marketplace, Medicare, Medicaid

CareSource provides health coverage to more than 2 million members, offering Marketplace plans as well as Medicare and Medicaid products. Its core service is delivering health insurance and related care to individuals and communities through a member-first approach, aiming to improve health and well-being over time. The company operates with a focus on affordable, accessible coverage and care coordination across states, guided by its mission to place people over profits rather than simply selling plans. Key differentiators include a long history (30+ years), a national footprint with 4,500+ employees, and an emphasis on serving members’ needs and languages while promoting equal opportunity employment. The overarching goal is to help members live healthier lives by providing comprehensive coverage and support.

Company size
1,001-5,000
Company stage
Not listed
Total funding
Not listed
Headquarters
Dayton, OH
Founded
1989

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