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Overview
Mid-Level

ServiceNow Engineer

Confirmed live in the last 24 hours

XO Health

XO Health

India (Remote)
Remote
Posted March 25, 2026

Job Description

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry.

XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it.

We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation.

ServiceNow Engineer - India (Remote)

About the Role:

We are looking for a hands-on ServiceNow Engineer to partner with our ServiceNow Architect in building and rolling out a scalable, enterprise-grade platform tailored to healthcare insurance operations. You’ll take the Architect’s design blueprints and turn them into reality—configuring, developing, testing, and deploying ServiceNow Customer Service Management (CSM) and Healthcare & Life Sciences (HCLS) modules to support customer service, case management, utilization management, and core healthcare insurance workflows. 

 Key Responsibilities

Implementation & Configuration 

  • Module Setup 
  • Configure and customize ServiceNow CSM modules: account & contact management, entitlements, case management, knowledge, and omni-channel support. 
  • Implement and tailor HCLS modules (Member Services, Provider Relations, Utilization Management) per design specifications. 
  • Workflow Development 
  • 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. 
  • Portals & Self-Service 
  • 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. 

Integrations & Automations 

  • API & MID Server 
  • 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). 
  • Orchestration & Flow Designer 
  • Leverage Flow Designer and ServiceNow Orchestration to automate end-to-end processes (e.g., case routing, entitlement checks, document generation, notifications). 
  • DevOps & CI/CD 
  • 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. 

Testing, Deployment & Support 

  • Quality Assurance 
  • Write Automated Test Framework (ATF) tests and coordinate UAT with business and QA teams. 
  • Conduct performance and load testing; troubleshoot and optimize bottlenecks. 
  • Release Management 
  • 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. 

Collaboration & Documentation 

  • Cross-Functional Teamwork 
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