Lead Engineer

Role: Lead Engineer
Location: Dallas TX / NYC NY / San Ramon CA (Hybrid)

Client: Centene Corporation/Brillio

Role Overview

We are seeking a highly skilled Lead Engineer to lead the architecture design and development of the PISCES HUB platform a configuration-driven event-based data and rule-processing ecosystem supporting healthcare payer workflows.

This role requires strong expertise in building metadata-driven systems rule engines and configurable integration frameworks within a cloud-native architecture. The ideal candidate will also possess solid knowledge of healthcare systems particularly Payment Integrity and claims processing workflows and be capable of designing systems that support fraud detection pre-pay/post-pay validation and rule-based adjudication enhancements.

Key Responsibilities:

Technical Leadership

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.

Configuration-Driven System Design

Design and build:

o Metadata-driven pipelines and workflow orchestration engines.

o Dynamic business rule engines for payment integrity use cases.

o Configurable API/data integration frameworks.

o 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.

Data & Rule Configuration Modeling

Design data models for:

o Rule storage and versioning

o Claims validation configurations

o Payment integrity audit trails

Optimize SQL/NoSQL databases for high-volume rule evaluation.

Ensure rule governance auditability and compliance tracking.

Healthcare & Payment Integrity Domain Expertise

Strong understanding of:

o Healthcare payer systems

o Claims adjudication workflows

o Pre-pay and post-pay validation logic

o Payment Integrity rule frameworks

o 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.

Cloud & Event-Driven Architecture

Design and implement event-driven systems using Kafka.

Build microservices deployed in AWS environments:

o EKS ECS Lambda

o S3 RDS DynamoDB

Ensure high scalability and resilience for healthcare transaction workloads.

DevOps & Platform Engineering

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.

Required Skills & Experience

8 years of software engineering experience.

3 years leading engineering teams or owning platform architecture.

Strong proficiency in:

o Python or Java (both preferred)

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.

Good to Have

Exposure to Machinify platform or similar AI-driven payment integrity systems.

Experience integrating rule engines with AI/ML-based fraud detection systems.

Note: Momento USA is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex pregnancy sexual orientation gender identity national origin age protected veteran status or disability status.