Sr. Software Engineer (Healthcare/Claim Recovery)

The Phia Group•Canton, MA

11h

About The Position

The Phia Group is a service-oriented organization assisting employee health plans nationwide. We provide our clients with innovative cost-cutting solutions and constantly expanding service offerings. We continue to enjoy growth thanks to our most valuable resource – our talented and committed team. At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only unparalleled benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2026. Meanwhile, from a regional perspective, both The Boston Globe and Louisville Business First also recognized our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work in 2025. About the Role We are seeking a Senior Software Engineer to design, build, and scale internal applications that support complex subrogation and claim recovery workflows. This role goes beyond traditional software engineering. It focuses on AI-enabled development, workflow automation, and data-driven system design. You will play a key role in improving how applications are built and how business processes are translated into scalable, efficient systems. The ideal candidate is a hands-on builder who leverages AI to accelerate delivery, improve quality, and reduce manual effort – while working closely with business teams to ensure systems reflect real-world operations.

Requirements

Demonstrated ability to design and deliver production-grade applications in data-driven environments
Strong experience with backend development (Java, Python, or similar)
Strong experience with relational databases and advanced SQL
Experience building systems that handle complex workflows
Experience building systems that handle financial or transactional logic
Experience building systems that handle data reconciliation across systems
Proven use of AI tools within the development lifecycle to improve speed, quality, or automation
Experience building and consuming APIs in enterprise environments
Strong problem-solving skills with the ability to diagnose and resolve complex production issues
Ability to work effectively with both technical and non-technical stakeholders

Nice To Haves

Experience in healthcare, claims processing, or financial recovery systems
Familiarity with high-volume data processing and structured data formats
Experience optimizing system performance in data-intensive environments
Exposure to automation tools or scripting (e.g., Python, PowerShell)
Experience improving development workflows through automation or AI adoption
Experience working with Microsoft SQL Server databases and/or ColdFusion-based applications, or similar technologies, to support faster onboarding and reduced learning curve
Experience with subrogation and claim recovery workflows is a strong plus, including familiarity with concepts such as eligibility and coverage verification, identification of third-party liability, lien and recovery processes, payment posting, overpayment identification, and reconciliation of recoveries against claim-level financials.

Responsibilities

Design, build, and maintain applications supporting claim recovery and healthcare-related workflows
Translate complex business processes into scalable, maintainable, and efficient system functionality
Implement solutions involving financial logic, including balances, allocations, and reconciliation
Ensure code is production-ready, well-tested, and complete prior to QA
Leverage AI tools (e.g., GPT, Claude, Copilot, or similar) to accelerate code development and refactoring, assist with debugging and root cause analysis, generate tests, documentation, and validation logic, and identify and implement opportunities to automate repetitive development and operational workflows
Continuously evaluate and adopt new AI tools to improve engineering efficiency
Work extensively with relational databases and large datasets
Write and optimize complex SQL queries, stored procedures, and data transformations
Ensure data integrity, reconciliation accuracy, and system performance at scale
Troubleshoot and resolve data discrepancies across systems
Build and maintain integrations across internal and external systems via APIs and data pipelines
Design systems that support multi-step workflows and conditional business logic
Ensure reliable data flow, error handling, and system resiliency
Collaborate closely with Operations and business stakeholders to align systems with real-world workflows
Participate in code reviews, design discussions, and technical decision-making
Mentor developers and contribute to improving team standards and delivery practices
Drive a culture of ownership, accountability, and first-time-right delivery