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Manager, Information Technology – Encounters IT (Transformation & Architecture Focus)

Role overview

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

Responsibilities

  • 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
  • Own end-to-end encounter processing lifecycle from intake through validation and readiness for submission
  • Ensure high availability, resiliency, and performance of encounter platforms

About the company

CareSource logo

CareSource

Health Insurance (Payers)

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life" section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码。

Company details

Company typeLarge
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

Manager, Information Technology – Encounters IT (Transformation & Architecture Focus)

Job Summary

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 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:

$94,100.00 - $164,800.00

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):

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


 

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.

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Brand=CareSource

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