Full-Time
Senior Engineering Manager
Sift Healthcare
11-50 employees
SaaS analytics for healthcare payment optimization
No salary listed
Remote in USA
Remote
Bachelor's, Master's, MBA, PharmD, PhD, JD, MD
 Engineering Management (1) |
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- Bachelor's degree or higher in Computer Science, Engineering, or related field.
- Proven experience in a senior frontend or full-stack engineering role, with deep hands-on expertise in React, Next.js, and TypeScript — ideally on data-dense or B2B/internal tooling where performance, state management, and accessibility matter.
- Hands-on experience building SMART on FHIR applications — including the SMART/OAuth2 launch and authorization flow, working with FHIR R4 resources, and embedding apps within EMR workflows (CDS Hooks experience a plus).
- Hands-on fluency with AI coding agents and AI-powered product development — using agents as a core part of the delivery workflow and ideally building UIs on top of LLM/ML outputs.
- Experience managing and leading a team of engineers, including hiring, coaching, and performance management.
- Full-stack range is a plus — familiarity with Python, SQL, and data pipeline tools like dbt is valuable for partnering with our data team, but deep backend/Python expertise is not required.
- Familiarity with HL7 v2 messaging (e.g., ADT, ORU) and healthcare interoperability standards more broadly is preferred, but not required.
- Excellent communication and interpersonal skills, with the ability to collaborate effectively with cross-functional teams.
- Strong problem-solving skills and attention to detail, with a focus on delivering high-quality solutions.
- Ability to thrive in a fast-paced, dynamic environment and manage multiple priorities effectively.
- Lead and manage a team of engineers, providing guidance, mentorship, and support to ensure the team's success.
- Own the design and delivery of Sift's SMART on FHIR applications — embedded, standards-based, EMR-agnostic experiences (and CDS Hooks where applicable) that surface Sift's scores and recommendations directly within the EMR workflows.
- Champion AI-driven development across the team. Set standards for agent-assisted engineering (Claude Code, Cursor, Copilot), review of AI-generated changes, and keep the codebase legible and well-documented for both humans and agents.
- Partner with data engineering on the Python, dbt, and SQL pipelines that feed the product, ensuring the frontend and data layers evolve together with quality and reliability.
- Collaborate with cross-functional teams to gather requirements and prioritize engineering initiatives.
- Drive the implementation of best practices across the engineering team, including version control, code reviews, testing, and documentation.
- Identify opportunities for process improvement and automation to enhance the efficiency of engineering workflows at Sift Healthcare.
- Manage stakeholder expectations and communicate effectively with both technical and non-technical audiences within Sift Healthcare.
Sift Healthcare provides a SaaS platform for healthcare payments that uses machine learning and predictive analytics to optimize revenue cycle management. The platform helps providers and revenue cycle teams visualize payment trends, prioritize workflows, and manage insurance claims, with AI forecasting to reduce denials, improve patient collections, and speed cash flow. It differentiates itself by specializing in healthcare payments and RCM, offering targeted analytics and workflow prioritization rather than generic financial tools. The company's goal is to improve payment outcomes and the financial health of healthcare organizations across sizes.
Company Size
11-50
Company Stage
Series B
Total Funding
$43.8M
Headquarters
Milwaukee, Wisconsin
Founded
2017
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Simplify's Take
What believers are saying
- Hartford HealthCare's February 11, 2026 partnership validates enterprise demand for upstream reimbursement analytics.
- Sift's February 26, 2026 report highlights nine payer trends, strengthening its market authority.
- Ralph Perfetto's April 14, 2025 COO hire supports scaling sales, product, and operations.
What critics are saying
- Epic, Oracle, and payer portals can absorb workflow layers, crushing Sift's standalone value.
- Revenue cycle budgets tighten fast; delayed ROI from the Hartford rollout kills renewals by 2027.
- If denial-prevention analytics commoditize, Sift becomes a feature, not a company.
What makes Sift Healthcare unique
- Sift unifies clinical, coding, authorization, and payment data into one reimbursement engine.
- Hartford HealthCare chose Sift in February 2026 for upstream denial prevention, not after-the-fact cleanup.
- Its fourth annual 2026 Denials Insights Report gives proprietary claim-level visibility across millions of claims.
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Growth & Insights and Company News
6 month growth
↓ -6%1 year growth
↓ -6%2 year growth
↑ 2%Intellivo has appointed Dhiraj Sankala as chief AI and technology officer. Sankala brings over 20 years of experience in digital transformation and AI strategy across healthcare and financial services. In this newly created role, Sankala will lead the advancement of Intellivo's technology platform, which identifies third-party liability opportunities for health plan subrogation using a "reverse identification model". He will focus on scaling advanced detection capabilities through machine learning and cloud-native infrastructure. Previously, Sankala served as chief technology officer at Sift Healthcare and vice president of data intelligence at Zelis. He also held software engineering and data analytics leadership positions at Nuance Communications. Intellivo provides subrogation services to health plans and insurers, helping them identify reimbursement opportunities from alternative third-party liability payers.
Hartford HealthCare partners with medtech firm to deploy AI against claim denials. February 11, 2026 Hartford HealthCare, one of the state's largest healthcare systems, has formed a partnership with Milwaukee-based Sift Healthcare intended to reduce insurance claim denials and improve reimbursement accuracy by applying artificial intelligence earlier in the care process. Terms of the deal, which was announced Wednesday, were not disclosed. Sift Healthcare develops analytics tools to help health systems deal with complicated insurance payment rules and improve how they manage billing and payments. Sift's collaboration with Hartford HealthCare will combine clinical, coding, authorization and payment data to find issues that can lead to denied or underpaid claims. The effort shifts the focus from fixing denied claims after the fact to preventing problems earlier, such as getting approvals before care, deciding the right level of care and clearly writing down patient information - steps that affect payment before a claim is sent. Cynthia Pugliese, Hartford HealthCare's senior vice president of revenue cycle services, said reimbursement challenges increasingly begin well before claims submission, making earlier intervention critical. Dr. Barry Stein, Hartford HealthCare's chief innovation officer and leader of its Center for AI Innovation in Healthcare, said the collaboration will allow the health system to apply advanced AI tools to strengthen documentation, authorization and reimbursement processes. Sift Founder and CEO Justin Nicols said insurers are using increasingly sophisticated analytics to make reimbursement decisions, requiring health systems to respond with comparable tools. Hartford HealthCare employs about 48,000 people and operates more than 500 locations across Connecticut, including seven hospitals, as well as physician groups, behavioral health services and outpatient facilities. The system reports serving nearly 28,000 people daily.
Seasoned healthcare executive brings decades of product, analytics, and operational leadership to support Sift Healthcare's next stage of growth.MILWAUKEE, April 14, 2025 /PRNewswire/ -- Sift Healthcare, a healthcare payments intelligence company leveraging data science and AI to optimize revenue cycle performance, has appointed Ralph Perfetto as its new Chief Operating Officer (COO). As COO, Mr. Perfetto will oversee operations, technology, data science, product strategy, and cross-functional execution across the organization. His leadership will be instrumental as Sift scales its AI-powered Payments Intelligence Platform and continues to deepen partnerships with health systems and technology organizations. Mr. Perfetto brings over 25 years of experience in healthcare data, analytics, and technology, with a proven track record of driving revenue growth, building innovative platforms, and scaling operations across both startup and enterprise environments
MILWAUKEE, April 14, 2025 /PRNewswire/ - Sift Healthcare, a healthcare payments intelligence company leveraging data science and AI to optimize revenue cycle performance, has appointed Ralph Perfetto as its new Chief Operating Officer (COO).
Inventurus Knowledge Solutions underlining its commitment to innovation, IKS Health invested in Sift Healthcare in March 2023.