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Manager, Information Technology – Encounters IT (Transformation & Architecture Focus)
CareSource
Remote, USA
Full-time
Manager · 8+ years experience
Remote
Discovered 3 weeks ago
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Role Overview
The Manager, Information Technology – Encounters IT is a technology leader and visionary responsible for driving modernization, scalability, and innovation across the Encounter Management ecosystem.
This role leads a cross-functional engineering team delivering encounter processing capabilities while advancing cloud adoption, modern architecture patterns, and enterprise transformation initiatives.
This position owns the end-to-end technology strategy for encounter processing platforms, ensuring reliability, compliance, and performance, while partnering closely with EDI, integration, and business teams for seamless data exchange and regulatory submission.
The role focuses on transforming legacy encounter processes into scalable, cloud-enabled, and automation-driven platforms.
Key Skills for This Role
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Full Job Posting
Key Responsibilities
- Technology Strategy & Transformation
- Define and execute a multi-year technology roadmap for Encounters IT aligned with enterprise digital and modernization strategy
- Lead cloud adoption (Azure/AWS), microservices, API-first, and event-driven architecture initiatives across encounter platforms
- Drive legacy modernization and platform transformation, including re-platforming and workflow automation
- Identify and implement innovative solutions to improve scalability, performance, and operational efficiency
- Architecture & Engineering Leadership
- Provide architectural oversight for encounter ingestion, validation, processing, and downstream consumption
- Establish and enforce modern engineering practices including DevSecOps, CI/CD, automated testing, and infrastructure-as-code
- Develop scalable, resilient, and secure design patterns for high-volume transaction processing
- Ensure alignment with enterprise architecture standards and data/integration strategies
- Encounter Domain Leadership
- Own end-to-end encounter processing lifecycle from intake through validation and readiness for submission
- Partner and collaborate closely with EDI teams to ensure accurate, compliant transmission and submission of encounters
- Ensure adherence to state and federal regulatory requirements across all markets
- Drive improvements in data quality, processing timeliness, and audit readiness
- Platform Reliability & Operations
- Ensure high availability, resiliency, and performance of encounter platforms
- Accountable for production support, incident management, and operational SLAs
- Implement Site Reliability Engineering (SRE) practices including monitoring, observability, and automation
- Delivery & Execution
- Lead delivery across Agile teams with a mix of internal and vendor resources
- Drive predictable, high-quality execution across projects, enhancements, and releases
- Manage vendor relationships and optimize delivery through effective governance and cost management
- Stakeholder Engagement & Collaboration
- Act as a trusted technology partner to business, compliance, EDI, and integration teams
- Translate business needs into scalable technology solutions and transformation initiatives
- Drive cross-functional collaboration across data, integration, infrastructure, and security teams
- Talent & Leadership
- Build and lead a high-performing engineering team focused on innovation and delivery excellence
- Mentor team members on modern technologies, cloud engineering, and encounter domain knowledge
- Foster a culture of continuous improvement, accountability, and technical excellence
- Education & Experience
- Bachelor’s degree in Computer Science, Engineering, or related field (Master’s preferred)
- 8+ years of experience in software engineering, integration, or platform development
- 3–5+ years of experience in IT leadership or management roles
- Hands-on experience with cloud platforms (Azure preferred), microservices, APIs, and distributed systems
- Strong experience in healthcare encounters, claims, or data exchange ecosystems
- Experience with modern DevOps practices (CI/CD, automation, containerization)
- Experience working with or alongside EDI/encounter submission platforms preferred
- Hands-on or working knowledge of Edifecs (Encounter Management platform) strongly preferred
- Core Competencies & Skills
- Visionary Technology Leadership – Ability to drive enterprise modernization and transformation
- Cloud & Modern Architecture Expertise – Microservices, APIs, event-driven systems
- Encounter Domain Expertise – Strong understanding of encounter workflows and compliance requirements
- Cross-Team Collaboration – Effective partnership with EDI, integration, and business teams
- Process Transformation – Re-engineering workflows for automation and scalability
- Engineering Excellence – SDLC, DevSecOps, and design patterns
- Data & Integration Expertise – High-volume data processing and interoperability
- Operational Excellence – Reliability, SLA ownership, incident response
- Strategic Thinking – Aligning technology with business and regulatory objectives
- Communication & Influence – Executive-level communication and stakeholder management
- Preferred Differentiators
- Experience with cloud-native data platforms (ADF, Databricks, streaming tools)
- Exposure to advanced analytics or AI/ML for encounter quality and anomaly detection
- Experience in large-scale modernization or cloud transformation programs
- Understanding of payer/provider ecosystems and delegated encounter processing models
- Working Conditions
- General office environment; hybrid model
- Up to 30% travel
- Compensation Range:
- CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
- Compensation Type (hourly/salary):
- Organization Level Competencies
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
Qualifications
- Bachelor’s degree in Computer Science, Engineering, or related field (Master’s preferred)
- 8+ years of experience in software engineering, integration, or platform development
- 3–5+ years of experience in IT leadership or management roles
- Hands-on experience with cloud platforms (Azure preferred), microservices, APIs, and distributed systems
- Strong experience in healthcare encounters, claims, or data exchange ecosystems
- Experience with modern DevOps practices (CI/CD, automation, containerization)
- Experience working with or alongside EDI/encounter submission platforms preferred
- Hands-on or working knowledge of Edifecs (Encounter Management platform) strongly preferred
- Core Competencies & Skills
- Visionary Technology Leadership – Ability to drive enterprise modernization and transformation
- Cloud & Modern Architecture Expertise – Microservices, APIs, event-driven systems
- Encounter Domain Expertise – Strong understanding of encounter workflows and compliance requirements
- Cross-Team Collaboration – Effective partnership with EDI, integration, and business teams
- Process Transformation – Re-engineering workflows for automation and scalability
- Engineering Excellence – SDLC, DevSecOps, and design patterns
- Data & Integration Expertise – High-volume data processing and interoperability
- Operational Excellence – Reliability, SLA ownership, incident response
- Strategic Thinking – Aligning technology with business and regulatory objectives
- Communication & Influence – Executive-level communication and stakeholder management
- Preferred Differentiators
- Experience with cloud-native data platforms (ADF, Databricks, streaming tools)
- Exposure to advanced analytics or AI/ML for encounter quality and anomaly detection
- Experience in large-scale modernization or cloud transformation programs
- Understanding of payer/provider ecosystems and delegated encounter processing models
- Working Conditions
- General office environment; hybrid model
- Up to 30% travel
- CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.
- Organization Level Competencies
- Fostering a Collaborative Workplace Culture
- Cultivate Partnerships
- Develop Self and Others
- Drive Execution
- Influence Others
- Pursue Personal Excellence
- Understand the Business
- This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
About CareSource
Health Insurance & Managed Care7000 employeesFounded 1989
A non-profit managed care organization serving government-sponsored healthcare programs.
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