Lead Full Stack Software Engineer, Claims

The Cost Containment team is developing efficient systems for prior authorizations and utilization management, ensuring members receive appropriate care cost-effectively. These systems will integrate with partner solutions to achieve provider payment integrity and accuracy for the healthcare service. We are leveraging proven technologies and business rules engines to create a highly configurable system. Collective Health is  building modern health management systems, which enhance the claims engine, using cutting-edge technologies. 

What you'll do:

• Design and develop scalable, secure, and configurable platform services for the Claims team.
• Lead full-stack development and support of services across backend (Java/Spring Cloud), integration platforms (Kafka, Mulesoft), and frontend (React/Angular/GraphQL etc.).
• Utilize working knowledge of AI-powered developer tools (e.g., Copilot, Cursor) and actively contribute to AI adoption in development and operational aspects.
• Build and enrich APIs and data services to integrate with partners and our claims engine.
• Collaborate with product managers, operations analysts, and data teams in building solutions that leverage Business Rules Management Systems (BRMS) like Drools, Camunda etc.
• Actively work with the operations team to create efficient processes through automations to improve SLAs.
• Understand architectural decisions and actively drive reusable patterns for cloud-native, AI-enabled backend systems.

To be successful in this role, you'll need:

• Experience: 8+ years as a Full-Stack engineer.
• Full Stack Engineering: Strong proficiency in Java & Spring Cloud, with a deep understanding of microservices architecture and Kafka streaming. Proven experience building UI features using React/Angular with GraphQL.
• AI and Development Tools: Utilize AI-enhanced development tools (e.g., GitHub Copilot, Cursor, WindSurf) regularly. Possess a foundational understanding of Large Language Models (LLMs) and Agentic development for creating AI-native solutions using LangChain, Google ADK, etc.
• Cloud: Extensive experience with Cloud Technologies (AWS/GCP preferred).
• Data: Hands-on experience in data architecture, SQL/PostgreSQL, and developing data-intensive services.
• Rules Engines: Nice to have experience in working with Business Rules Management Systems (BRMS) like Drools, Kogito etc.
• Systems Development: Prior experience in building, launching, and maintaining complex systems.
• Team Collaboration: Work closely with cross-functional teams, including developers, and product managers, to gather requirements and ensure solutions meet business needs.
• Communication: Excellent communication skills across all levels and teams.

Pay Transparency Statement 

This is a hybrid position based out of one of our offices: San Francisco, CA, Plano, TX, or Lehi, UT. Hybrid employees are expected to be in the office two days per week.#LI-hybrid 

The actual pay rate offered within the range will depend on factors including geographic location, qualifications, experience, and internal equity. In addition to the salary, you will be eligible for 205,000 stock options and benefits like health insurance, 401k, and paid time off. Learn more about our benefits at https://jobs.collectivehealth.com/benefits/.reactnodejavagoawsgcpaifrontendbackenddata