Full-Time

ServiceNow Engineer 2

Posted on 11/7/2025

XO Health

XO Health

51-200 employees

Tech-enabled health plan platform with analytics

No salary listed

Remote in India

Remote

Category
Software Engineering (1)
Required Skills
Sharepoint
Data Lake
Microsoft Azure
JavaScript
Software Testing
Git
Apache Kafka
CloudFormation
AWS
Jenkins
Terraform
SCRUM
REST APIs
AngularJS
HTML/CSS
Requirements
  • 5+ years in ServiceNow development/implementation, with a focus on CSM and Healthcare and Life Sciences modules.
  • Strong experience with scoped applications, Update Sets, Flow Designer, Service Portal, and UI Builder.
  • Proficient in JavaScript (server and client), HTML, CSS, and AngularJS/Foundation for legacy portals.
  • Skilled with ServiceNow APIs, Integration Hub, and MID Server.
  • Hands-on with REST/SOAP integrations, sFTP, and event-driven architectures.
  • Familiarity with AWS services (S3, Lambda, API Gateway) and Microsoft Graph API.
  • Knowledge of CI/CD pipelines (Git, Jenkins, Azure DevOps) and ATF (Automated Test Framework).
  • Experience with test-driven development and performance testing.
  • Understanding of health insurance processes (claims, enrollment, utilization management).
  • Familiarity with HIPAA, HL7, ACA, and other regulatory frameworks.
  • ServiceNow: Certified System Administrator (CSA) & Certified Implementation Specialist – CSM/HCLS.
Responsibilities
  • Configure and customize ServiceNow CSM modules: account and contact management, entitlements, case management, knowledge, and omni-channel support.
  • Implement and tailor Healthcare and Life Sciences modules (Member Services, Provider Relations, Utilization Management) per design specifications.
  • Build out case management flows: claims intake, adjudication, grievances, and appeals using CSM case stages, SLAs, and assignment rules.
  • Develop utilization management processes: prior authorization requests, medical necessity reviews, care coordination tasks.
  • Create and enhance the Customer Service Portal and Member/Provider portals using Service Portal Designer and UI Builder.
  • Implement client scripts, UI policies, and UI actions to enforce business rules and streamline user experience.
  • Develop integrations via REST/SOAP APIs, Integration Hub spokes, and MID Server for secure data exchange with AWS Data Lake, Microsoft 365/SharePoint, and external claims systems.
  • Automate batch transfers (sFTP) and event-driven messaging (EventBridge, Kafka).
  • Leverage Flow Designer and ServiceNow Orchestration to automate end-to-end processes (e.g., case routing, entitlement checks, document generation, notifications).
  • Implement application lifecycle management using Git, Jenkins (or Azure DevOps), and ServiceNow Update Sets.
  • Assist in authoring Infrastructure as Code (Terraform/CloudFormation) for development/test environments.
  • Write Automated Test Framework (ATF) tests and coordinate UAT with business and QA teams.
  • Conduct performance and load testing; troubleshoot and optimize bottlenecks.
  • Manage deployments across Dev → QA → Prod using change management best practices.
  • Package update sets, scoped apps, and manage application dependencies.
  • Production support: Provide Tier-2/3 support: incident triage, root cause analysis, and system maintenance.
  • Monitor platform health, tune performance, and apply patches/upgrades.
  • Work closely with the Architect to clarify requirements, suggest optimizations, and ensure alignment to the overall solution design.
  • Partner with business analysts, QA engineers, and stakeholders to translate needs into technical deliverables.
  • Produce clear technical documentation: design specs, runbooks, integration guides, and KB articles.
  • Train support teams and end-users on portal usage, new features, and troubleshooting.
Desired Qualifications
  • AWS Certified Developer or Solutions Architect (Cloud)
  • CHPS, CHAM, or similar healthcare certifications
  • Jenkins Engineer or Azure DevOps Engineer certification

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.

Help us improve and share your feedback! Did you find this helpful?

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