[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 a global IT and reputed company solutions company that helps organizations reputed company through technology and talent. The reputed company AI Data Engineer will architect and reputed company configuration-driven, event-reputed company data and rule-processing systems for reputed company payer workflows, with a reputed company on claims, payment reputed company, fraud detection, and reputed company-reputed company AWS platforms. The role also provides technical leadership, mentors engineering teams, and ensures reputed company, auditable, and compliant solutions.

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

• **Remote (US)**
• **\*\*\*\*Must-Have: A minimum of 5 years of experince** **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
• * ETL Specialization: reputed company Data Engineer
• **Experience Level:** 8+ Years (3+ Years in Technical Leadership)
• 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
• * 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.**
• * Exposure to **reputed company platform** or similar AI-driven payment reputed company systems
• * 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)**

reputed company

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