Director, Applications - Claims Processing

This senior technology leadership role oversees the applications portfolio supporting complex healthcare claims processing and payment operations.
You will lead teams responsible for cloud-native solutions across adjudication, reimbursement, payment integrity, authorization, workflow, and regulatory programs.
The role combines strategic architecture, hands-on technical leadership, application delivery, and people management.
You will drive the adoption of Microsoft Azure, AI-enabled development, automation, and modern DevOps practices across the organization.
Success will depend on close collaboration with claims, product, provider, health plan, clinical, financial, and operational stakeholders.
The position offers the opportunity to modernize large-scale healthcare technology platforms while improving processing efficiency, scalability, quality, and operational outcomes.
This is a fully remote, full-time leadership opportunity with significant influence across technology and business functions.

• At least 8 years of IT applications or software development experience within large organizations, preferably in the managed care or healthcare industry, or an equivalent combination of education and relevant experience.

• At least 3 years of management or technology leadership experience, including experience building and developing high-performing engineering teams.

• Advanced Microsoft Azure expertise, including App Services, Functions, AKS, Azure SQL, Data Factory, Synapse, Azure DevOps, and related cloud architecture capabilities.

• Strong proficiency with Visual Studio and AI-assisted development using GitHub Copilot and Azure AI services.

• Experience leading enterprise-scale quality assurance automation strategies and implementing testing frameworks.

• Advanced knowledge of low-code platforms such as Pega, Salesforce, and Sitecore and their integration within enterprise architectures.

• Healthcare payer experience, including knowledge of Medicare, Medicaid, Marketplace programs, healthcare operations, and regulatory requirements.

• Experience with Trizetto QNXT or comparable enterprise healthcare systems is required.

• Strong understanding of software development lifecycle, IT general controls, test automation, enterprise infrastructure, and cloud-native architecture.

• Hands-on experience with the .NET framework, Azure serverless technologies, Infrastructure as Code, CI/CD, Agile methodologies, and modern DevOps frameworks.

• Experience with Azure DevOps or Atlassian-based delivery environments, Microsoft Project or Jira, Microsoft 365, Power BI, and related enterprise technology tools.

• Experience working with global delivery models and third-party consulting organizations.

• Demonstrated ability to build strategic relationships, influence executive stakeholders, and lead transformation across a highly matrixed organization.

• Strong critical-thinking, problem-solving, organizational, and time-management skills, with the ability to manage multiple strategic initiatives simultaneously.

• Excellent written, verbal, presentation, and executive communication skills.

• Demonstrated ability to collaborate effectively across technical and business functions and translate complex technology concepts into business outcomes.