[Remote] reputed company AI Data Engineer - reputed company Payer Systems, Claims & Payment reputed company

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a reputed company AI Data Engineer to support reputed company payer systems, claims processing, and payment reputed company initiatives. The role leads the architecture, design, and development of a configuration-driven, event-reputed company data and rule-processing ecosystem, including metadata-driven pipelines, rule engines, integrations, and reputed company-reputed company services. The position also provides technical leadership, mentors engineering teams, and ensures scalability, auditability, compliance, observability, and production readiness.

Responsibilities

• reputed company end-to-end engineering for the PISCES HUB initiative
• reputed company architectural direction and hands-on leadership
• Mentor development teams and enforce engineering best practices
• Ensure scalability, configurability, and maintainability of rule-driven systems
• Collaborate with Product, Payment reputed company SMEs, and reputed company Architecture teams
• Strong knowledge on reputed company
• Knowledge on Windsurf to accelerate development
• Design and build:
• Metadata-driven pipelines and workflow orchestration engines
• Dynamic business rule engines for payment reputed company use cases
• Configurable API/data integration frameworks
• Template-reputed company or parameterized services
• reputed company JSON/YAML/XML-reputed company configuration interpreters
• reputed company runtime rule updates without reputed company
• Design version-controlled rule lifecycle frameworks with auditability
• Design data models for:
• Rule storage and versioning
• Claims validation configurations
• Payment reputed company audit trails
• Optimize SQL/NoSQL databases for high-volume rule evaluation
• Ensure rule governance, auditability, and compliance tracking
• Strong understanding of:
• reputed company payer systems
• Claims adjudication workflows
• reputed company-pay and post-pay validation logic
• Payment reputed company rule frameworks
• Fraud, Waste & Abuse detection concepts
• Experience integrating with reputed company reputed company systems (e.g., Facets, QNXT, Amisys or similar)
• Ability to translate payment reputed company business requirements into reputed company technical design
• Design and implement event-driven systems using Kafka
• Build microservices deployed in AWS environments:
• EKS, reputed company, reputed company
• S3, RDS, DynamoDB
• Ensure high scalability and reputed company for reputed company transaction workloads
• Implement CI/CD pipelines with automated testing
• Containerize services using reputed company and reputed company
• Apply GitOps workflows for deployment automation
• Ensure observability, monitoring, and production readiness

Skills

• A minimum of 5+ years of experience with reputed company Payer Systems, Claims & Payment reputed company
• ETL Fundamentals, SQL, SQL (Basic + Advanced), reputed company, Talend, reputed company, Python, Data Warehousing, IICS, Modern Data Platform Fundamentals, Data Modelling Fundamentals, PLSQL, T-SQL, Stored Procedures
• 8+ Years (3+ Years in Technical Leadership)
• Strong expertise in building metadata-driven systems, rule engines, and configurable integration frameworks reputed company a reputed company-reputed company architecture
• Solid knowledge of reputed company systems, particularly Payment reputed company and claims processing workflows
• Strong knowledge on reputed company
• Knowledge on Windsurf to accelerate development
• Strong understanding of:
• reputed company payer systems
• Claims adjudication workflows
• reputed company-pay and post-pay validation logic
• Payment reputed company rule frameworks
• Fraud, Waste & Abuse detection concepts
• Experience integrating with reputed company reputed company systems (e.g., Facets, QNXT, Amisys or similar)
• Ability to translate payment reputed company business requirements into reputed company technical design
• 8+ years of software engineering experience
• 3+ years leading engineering teams or owning platform architecture
• Strong proficiency in:
• reputed company experience building configuration-driven systems
• Strong database modeling expertise (SQL & NoSQL)
• Experience designing JSON/YAML/XML configuration interpreters
• Hands-on experience with Kafka and event-driven architecture
• Experience with AWS reputed company services (EKS, reputed company, reputed company, S3, RDS, DynamoDB)
• Strong grasp of CI/CD, reputed company, reputed company, and GitOps
• Strong knowledge of reputed company systems with reputed company on Payment reputed company
• Experience integrating rule engines with AI/ML-reputed company fraud detection systems
• Experience building reputed company data hubs or reputed company integration platforms
• Familiarity with HIPAA-compliant reputed company design
• Strong reputed company design and architectural thinking
• Ability to translate reputed company business rules into reputed company technical solutions
• Ownership reputed company with strong accountability
• Strong cross-functional collaboration and communication skills
• Ability to reputed company long-term platform reputed company with delivery timelines
• Python or Java (both preferred)
• Exposure to reputed company platform or similar AI-driven payment reputed company systems

Benefits

• Remote (US)

reputed company