Lead Engineer - Windsurf along with Healthcare payer systems

VTekis Consulting LLP•Coppell, TX

About The Position

This Lead Engineer role focuses on developing and leading engineering efforts for Payment Integrity platforms, specifically the PISCES HUB initiative. The position requires strong technical leadership, architectural direction, and hands-on experience in building scalable, configurable, and maintainable rule-driven systems. The successful candidate will be responsible for designing and implementing metadata-driven pipelines, dynamic business rule engines, and configurable API/data integration frameworks. A deep understanding of healthcare payer systems, claims adjudication, and fraud, waste & abuse detection is crucial. The role also involves extensive work with event-driven architectures using Kafka, microservices deployment in AWS environments (EKS, ECS, Lambda, S3, RDS, DynamoDB), and implementing robust CI/CD pipelines with Docker, Kubernetes, and GitOps workflows.

Requirements

10+ years of software engineering experience
3+ years leading engineering teams or owning platform architecture
Strong proficiency in Python or Java
Proven 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 cloud services (EKS, ECS, Lambda, S3, RDS, DynamoDB)
Strong grasp of CI/CD, Docker, Kubernetes, and GitOps
Strong knowledge of healthcare systems with focus on Payment Integrity
Strong understanding of healthcare payer systems
Strong understanding of claims adjudication workflows
Strong understanding of pre-pay and post-pay validation logic
Strong understanding of Payment Integrity rule frameworks
Strong understanding of Fraud, Waste & Abuse detection concepts
Experience integrating with core healthcare systems (e.g., Facets, QNXT, Amisys or similar)
Ability to translate payment integrity business requirements into scalable technical design

Nice To Haves

Proficiency in both Python and Java

Responsibilities

Lead end-to-end engineering for the PISCES HUB initiative
Provide 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 Integrity SMEs, and Enterprise Architecture teams
Design and build metadata-driven pipelines and workflow orchestration engines
Design and build dynamic business rule engines for payment integrity use cases
Design and build configurable API/data integration frameworks
Design and build template-based or parameterized services
Develop JSON/YAML/XML-based configuration interpreters
Enable runtime rule updates without redeployment
Design version-controlled rule lifecycle frameworks with auditability
Design data models for rule storage and versioning
Design data models for claims validation configurations
Design data models for payment integrity audit trails
Optimize SQL/NoSQL databases for high-volume rule evaluation
Ensure rule governance, auditability, and compliance tracking
Design and implement event-driven systems using Kafka
Build microservices deployed in AWS environments: EKS, ECS, Lambda, S3, RDS, DynamoDB
Ensure high scalability and resilience for healthcare transaction workloads
Implement CI/CD pipelines with automated testing
Containerize services using Docker and Kubernetes
Apply GitOps workflows for deployment automation
Ensure observability, monitoring, and production readiness