Enlyte

Role Description Enlyte is seeking a Senior Business Process Analyst to play a critical role in driving strategic business initiatives and operational excellence across our claims organization. This position blends deep analytical expertise with process optimization and strategic insight to help improve outcomes across product, pricing, and end‑to‑end claims operations. You’ll work at the intersection of data, process, and strategy—partnering across business, IT, and leadership teams to translate insights into meaningful, measurable business impact. What You’ll Do - Drive data‑driven decision‑making, leveraging advanced analytical and visualization tools (Excel, Visio, PowerPoint, dashboards) to deliver actionable insights. - Lead process analysis and optimization efforts, mapping complex claims workflows and identifying opportunities to improve efficiency, quality, and cost outcomes. - Own end‑to‑end initiatives, from data collection and analysis through recommendation development and executive‑level presentation. - Gather and translate business needs into clear, actionable requirements, ensuring alignment between stakeholders and delivery teams. - Partner with cross‑functional teams to support product portfolio, pricing analysis, and strategic initiatives. - Plan and implement continuous improvement initiatives using Lean, Six Sigma, or re‑engineering techniques. - Develop and track performance metrics, conduct root‑cause analysis, and align improvements to identified performance gaps. - Perform cost‑benefit and ROI analyses to quantify the value of proposed solutions. - Communicate progress, insights, and recommendations clearly to technical and non‑technical audiences. - Document technical workflows and end to end operations processes. Qualifications - Bachelor’s degree in Economics, Business Administration, or 5+ years in related field. - Experience in data analysis, project management, consulting, or related field. - Ability to use analytical, logical, and organizational skills to make business decisions using complex information. - Advanced proficiency in Excel for data analysis. - Excellent critical and strategic thinking skills. - Excellent verbal and written communication skills with the ability to present and explain complex information clearly. - Strong, self-motivated team player. Requirements - Strong experience as a Senior Business or Process Analyst, ideally within Workers’ Compensation or insurance‑based claims environments. - Deep understanding of claims lifecycles, regulations, and industry terminology. - Proven ability to operate effectively in Agile environments, adapting to evolving priorities and fast‑paced delivery cycles. - Exceptional stakeholder management and executive communication skills. - A balance of strategic thinking and hands‑on execution, with a continuous improvement mindset and strong ROI focus. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living. - Compensation depends on the applicable US geographic market, with an expected base pay for this position ranging from $64,200 - $74,100 annually.

Role Description This is a full-time remote position that can be located anywhere in the U.S. Technical Leadership & Architecture - Serve as the technical authority for financial systems, billing platforms, and data solutions. - Define and maintain architectural standards, engineering principles, and technology strategies. - Design scalable, secure, highly available, and resilient distributed systems. - Lead architecture reviews and provide technical guidance across multiple engineering teams. - Identify and mitigate technical risks while balancing business objectives and long-term sustainability. Platform Engineering - Architect and evolve data ingestion pipelines supporting operational and analytical workloads. - Design and optimize high-volume transaction processing systems and pricing engines. - Guide development of cloud-native solutions leveraging AWS services and serverless architectures. - Ensure platform observability, performance, scalability, reliability, and operational excellence. - Drive modernization initiatives across applications, infrastructure, integrations, and data platforms. AI & Innovation - Champion adoption of Artificial Intelligence solutions, including: - Large Language Models (LLMs) - Retrieval-Augmented Generation (RAG) - Agentic AI Systems - AI-assisted software engineering practices - Identify and implement AI-driven capabilities that improve automation, operational efficiency, and business value. - Partner with Data Science teams to operationalize machine learning and advanced analytics solutions. Engineering Excellence - Establish and promote best practices for software architecture, design patterns, testing, security, and DevOps. - Conduct technical design reviews and mentor engineers at all levels. - Foster a culture of innovation, accountability, collaboration, and continuous improvement. - Drive engineering productivity through automation, low-code solutions, and platform tooling. - Lead incident response efforts for critical production issues and drive root-cause resolution. Strategic Partnership - Collaborate with executives, business stakeholders, and engineering leadership to align technology investments with strategic goals. - Translate complex technical concepts into business-focused recommendations. - Influence enterprise technology decisions and investment priorities. - Contribute to organizational technical strategy and long-term platform planning. Qualifications - Bachelor's degree in Computer Science, Information Systems, Engineering, or related field. - 10+ years of professional software engineering experience. - 5+ years of experience providing technical leadership across multiple teams or large-scale platforms. - Expert-level experience with Python. - Expert-level experience with C# and .NET Core. - Deep expertise in software architecture and distributed systems design. - Strong experience building cloud-native applications on AWS. - Advanced knowledge of PostgreSQL, Snowflake, and data platform architectures. - Extensive experience with SQL optimization, data modeling, and enterprise-scale data solutions. - Experience implementing event-driven architectures and microservices. - Experience leading large-scale modernization or transformation initiatives. - Hands-on experience with AI technologies, including LLMs, RAG, Agentic AI, or AI-powered enterprise solutions. Preferred - Experience with NetSuite and Salesforce integrations. - Experience with Low-Code platforms such as OutSystems. - Experience with financial systems, billing platforms, pricing engines, or revenue management solutions. - Experience building enterprise data lakes, analytics platforms, or data mesh architectures. - Experience establishing engineering standards and influencing technical direction across organizations. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living. - Compensation ranges from $118,600 - $165,000 annually, based on skills, experience, and education.

Role Description This is a full-time remote position that can be located anywhere in the U.S. Must be willing to work on Central Time from 8am to 5pm. - Solution Development: Design, develop, test, and deploy scalable applications using .NET technologies, C#, and SQL Server to meet complex business requirements. - Agile Collaboration: Actively participate in Scrum ceremonies including sprint planning, daily standups, sprint reviews, and retrospectives to deliver high-quality solutions. - Cloud-Native Development: Build and maintain applications deployed on AWS infrastructure using Kubernetes for container orchestration. - Code Quality: Implement test-driven development (TDD) practices, conduct comprehensive unit and integration testing, and maintain high code quality standards. - Technical Documentation: Create and maintain technical specifications, API documentation, and test plans. - Production Support: Provide Level 3 application support and troubleshooting for production systems. - Mentorship: Guide and mentor junior developers, conducting code reviews and sharing best practices. - Requirements Analysis: Collaborate with stakeholders to understand business requirements and provide accurate development estimates. - Architecture Compliance: Ensure solutions adhere to established architecture standards, security policies, and risk management guidelines. Qualifications - Education: Bachelor's or Master's degree in Computer Science, Software Engineering, or related field. - Experience: 5+ years of professional software development experience in .NET environments. - Core Technologies: - Strong proficiency in C# and .NET Framework/.NET Core. - Experience with Entity Framework Core and ASP.NET Core MVC. - Advanced SQL skills and experience with SQL Server. - Frontend development experience with React or similar modern frameworks. - Experience with AWS services and Kubernetes container orchestration. - Development Practices: - Solid understanding of object-oriented programming principles. - Experience with microservices architecture and design patterns. - Proficiency in unit testing frameworks and test automation. - Experience with RESTful APIs, JSON, HTML5, CSS, and responsive web design. - Agile Experience: - Proven experience working in Agile/Scrum environments. - Knowledge of automated testing tools (Selenium, etc.). - Familiarity with CI/CD pipelines and DevOps practices. - Experience with additional AWS services (RDS, Lambda, ECS, etc.). - Understanding of security best practices in cloud environments. - Experience with monitoring and logging tools. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living. - Compensation ranges from $87,800 - $123,500 annually, based on skills, experience, and education.

Role Description This is a fully remote position. Candidates located in NJ, NY, DE, and PA strongly preferred. The Senior Provider Network Contracting Specialist is responsible for developing, negotiating, implementing, and maintaining provider contracts that support the organization's network strategy, cost management goals, and member access requirements. - Manage complex contract negotiations. - Analyze financial and utilization data. - Support network expansion initiatives. - Provide guidance to junior team members. - Lead negotiations for complex provider agreements, amendments, and renewals with hospitals, physician groups, ancillary providers, and other healthcare entities. - Implement established reimbursement methodologies and contract terms aligned with organizational goals and market conditions. - Evaluate and negotiate rates and payment structures. - Ensure contracts comply with organizational standards, regulatory requirements, and operational capabilities. - Maintain positive provider relationships throughout the contracting process. - Support network expansion, adequacy, and optimization strategies. - Assist with provider terminations, transitions, and network restructuring efforts. Qualifications - Bachelor's degree preferred. - 5+ years of experience negotiating contracts with hospitals, physician organizations, ancillary providers, and other healthcare entities. - Demonstrated success managing complex negotiations and provider relationships. - Experience analyzing financial and healthcare utilization data. - Strong understanding of healthcare reimbursement methodologies and provider contracting practices. - Knowledge of managed care, WC, auto, and commercial health plan operations. - Excellent negotiation and relationship management skills. - Strong analytical and financial modeling capabilities. - Ability to interpret and apply contract language. - Excellent written and verbal communication skills. - Strong organizational and project management skills. - Proficiency with Microsoft Office Suite, including Excel skills. - Ability to manage multiple priorities in a fast-paced environment. Benefits - Medical, Dental, Vision. - Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $70,000 - $105,000 annually, and will be based on a number of additional factors including skills, experience, and education. The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability. Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.

Role Description This is a remote position and can be located anywhere in the US. We are seeking a highly skilled Senior Manager, Data Engineering to design, build, and optimize modern data platforms that power enterprise analytics, reporting, machine learning, and AI initiatives. - Design and maintain scalable data platforms and pipelines. - Develop and optimize cloud-based data architectures. - Automate infrastructure provisioning using Infrastructure-as-Code tools. - Collaborate with data scientists, analysts, architects, and business leaders to gather requirements. - Troubleshoot complex technical issues. - Implement data quality controls and improve platform governance and security. - Mentor engineers and conduct code reviews. - Evaluate emerging technologies such as GenAI and machine learning. - Continuously improve data platform performance, reliability, and cost efficiency across cloud environments including AWS, Snowflake, Azure, and Databricks. Qualifications - Bachelor's degree in Computer Science, Information Systems, Engineering, Mathematics, or a related technical field. - Equivalent combination of education and relevant work experience may be considered. - Master's degree in Computer Science, Information Systems, Data Science, or related field preferred. - 10+ years of progressive experience in data engineering, analytics engineering, business intelligence, or related technical roles. - Proven track record designing and delivering enterprise-scale data platforms and analytics solutions. - Demonstrated ability to lead technical initiatives and influence architectural decisions. - Strong communication skills with the ability to work effectively with both technical and non-technical stakeholders. - Experience operating in fast-paced, highly collaborative Agile environments. - Ability to independently drive projects from concept through implementation and support. - Strong problem-solving mindset with a focus on business outcomes, automation, and continuous improvement. Requirements - Data Engineering & Architecture - Advanced proficiency in SQL and Python. - Experience building and maintaining scalable ETL/ELT pipelines. - Strong expertise in PySpark and distributed data processing. - Experience designing enterprise data models and lakehouse architectures. - Deep understanding of data warehousing, data lakes, and modern data platforms. - Experience implementing data quality, monitoring, and governance frameworks. - Cloud & Platform Engineering - Hands-on experience with AWS services such as S3, IAM, Glue, and Lake Formation. - Experience working with Snowflake, Databricks, Azure, or GCP. - Experience designing secure, scalable cloud-native data architectures. - Understanding of cloud security, identity management, and access controls. - Infrastructure & DevOps - Experience with Terraform or similar Infrastructure-as-Code tools. - Strong Git-based development practices. - Experience implementing CI/CD pipelines and deployment automation. - Knowledge of platform monitoring, optimization, and operational support. - Collaboration & Delivery - Experience partnering with business stakeholders to translate requirements into technical solutions. - Ability to advise teams on best practices, architecture, and platform capabilities. - Experience working within Agile, Scrum, Kanban, or SAFe delivery frameworks. - Strong documentation, communication, and stakeholder management skills. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - Resources that encourage a lifetime of healthier living. - Compensation ranges from $133,200.00 - $195,000.00 annually, based on skills, experience, and education.

Role Description This is a remote position and can be located anywhere in the United States. A highly skilled and experienced NICE CX specialist is needed to design and deliver advanced contact center solutions. This position focuses on deep technical expertise in NICE CXone, NICE scripting, and AI-driven customer experience capabilities. The role emphasizes building scalable, high-performance solutions that enhance agent workflows, automate customer interactions, and improve overall service delivery. This individual will design, develop, implement, and maintain NICE-based solutions, ensuring system stability, seamless integrations, and exceptional user experience. Strong focus will be placed on scripting, automation, and AI to optimize business processes and customer outcomes. Key Responsibilities - Design, develop, test and implement custom solutions within the NICE CXone ecosystem with a strong emphasis on scripting and automation. - Develop and maintain NICE Studio scripts, including advanced IVR flows, call routing logic, and event-driven workflows. - Build and enhance integrations between NICE CXone and enterprise systems using APIs and event-driven architecture - web services, webhooks, REST and SOAP APIs. - Create reusable scripting frameworks and components to accelerate development and standardize solutions. - Troubleshoot complex issues across contact center platforms, integration layers, and scripting logic. - Collaborate with stakeholders to gather business requirements and translate them into scalable NICE-based solutions. - Develop and implement AI-driven automation, including conversational IVR, NLP, and intelligent routing. - Optimize agent experience through workflow automation, screen pops, and contextual data delivery. - Create and maintain documentation for scripts, integrations, workflows, and technical designs. - Conduct code reviews and provide technical mentorship to team members. - Monitor system and script performance, identifying opportunities for optimization and resiliency improvements. - Implement best practices for security, performance, scalability, and maintainability. - Stay current with NICE CXone innovations, scripting capabilities, and emerging AI technologies. Qualifications - Bachelor’s degree in Computer Science, Information Technology, or related field. - 5+ years of experience in solution engineering or development focused on NICE CXone. - Strong hands-on experience with NICE Studio scripting and workflow development. - Proven experience designing IVR systems, call flows, and intelligent routing strategies. - Experience in Digital multichannel: Chat, SMS, email, and voice design and integration. - Strong understanding of contact center technologies, telephony, and operational workflows. - Experience integrating contact center platforms with enterprise systems using APIs. - Proficiency in REST, SOAP, JSON, and XML integrations. - Proficiency in at least one programming language (JavaScript, Python, Java). - Familiarity with AI technologies such as NLP, conversational AI like Cognigy, and automation platforms. - Understanding of authentication protocols (OAuth, SAML, JWT). - Experience with NICE modules such as Quality Management, Workforce Management, analytics, predictive dialer, Auto Summary, Auto Scoring and automation tools. - Strong analytical, problem-solving, and troubleshooting skills. - Excellent communication and collaboration skills. - Strong working experience in Integrations with Salesforce, ServiceNow, and Snowflake. - Strong understanding of contact center KPIs, reporting, and analytics. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living. - Compensation depends on the applicable US geographic market, with an expected base pay ranging from $89,000 - $125,000 annually.

Role Description As the Vice President of Auto Casualty Claims Consulting, you will lead claims performance consulting engagements as part of the Enlyte CMO for Tier-1 insurance carriers, serving as the connective tissue between complex data silos and executive action. You will orchestrate a multidisciplinary, decentralized team to transform first-party claims data, internal benchmarking, and macro-industry trends into comprehensive strategic roadmaps. Your primary mandate is to move beyond reporting and define the narrative of program success and architect the next generation of program offerings (internal and external). Key Responsibilities - Data Synthesis & Strategic Benchmarking: - Synthesize internal proprietary benchmarks with broader automotive industry trends and program specific data to provide clients with competitive "market-positioning" lens. - Translate abstract data into executive-ready narratives that articulate program ROI (and other forms of success) and pinpoint specific "opportunities for excellence" within the carrier’s first-party ecosystem. - Cross-Functional Team Orchestration: - Lead and synchronize a decentralized, multidisciplinary team of analysts, ensuring seamless collaboration between: - Analysts: Evaluating program performance through benchmarking (internal and external), book of business trends, and client specific data. - Regulatory Compliance: - Navigating state-by-state regulatory changes that affect the business of insurance and claims. - Program Management: - Driving the tactical execution of consulting recommendations. - Marketing: - Aligning consumer-facing value propositions with back-end actuarial realities. - Performance Storytelling & Visualization: - Design and present high-level "Success Scorecards" to client C-Suites, utilizing benchmarking internal and external data to prove the efficacy of implemented strategies against industry standards. - Lead the "Insight-to-Action" process, turning analytical findings into strategies and operational shifts. - Strategic Client Advisory: - Act as a high-level advisor on the integration of people, process, and technology that will enhance program design and improve outcomes. Qualifications - Education: Bachelor’s in Operations Research, Business Analytics, related field or equivalent experience. MBA or industry certification that reinforces candidate’s abilities in process re-engineering, industry expertise, or analytics preferred. - Experience: 15+ years of experience, including insurance consulting, process re-engineering, or carrier leadership, with a track record of managing in a remote and matrixed environment. - Strategic Vision: Proven ability to interpret internal benchmarks against external market volatility to predict future claims and underwriting challenges. - Operational Mastery: Claims operations expertise and deep understanding of the interplay between regulatory constraints, marketing messaging, and technical data analysis using BI. - Leadership: Exceptional ability to foster collaboration across siloed departments (Compliance, Marketing, and Analytics) to deliver a unified client solution. - Travel: This is a remote position and can be located anywhere in the US. The role requires ~30% travel, thus the ideal candidate will have convenient access to a major US airport. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts - Life and AD&D Insurance - 401(k) - Tuition Reimbursement - An array of resources that encourage a lifetime of healthier living - Compensation ranges from $190,000 - $225,000 annually plus bonus and equity opportunities, based on skills, experience, and education.

Role Description This is a fully remote position. New hires are required to complete a 90-day training program with a set schedule of Monday through Friday, 8:00 AM – 5:00 PM Eastern Time. Attendance is mandatory throughout the training period, and employees must be present and actively participate each scheduled day. Time off, schedule modifications, or alternative training hours are not permitted during the 90-day training period! Drive Excellence in Every Client Interaction. Are you a problem-solving expert who thrives on turning challenges into solutions? Join our team as a Network Customer Service Support Specialist where you'll make a meaningful difference for our Auto, Workers' Compensation and Group Health clients every day. Your Impact: As a Network Customer Service Support Specialist, you'll be the critical connection between our clients and the solutions they need. You'll navigate complex systems, uncover root causes, and deliver clear, effective resolutions that strengthen client relationships and showcase our commitment to exceptional service. - Champion Client Success - Serve as a trusted advisor for clients, providers, and partners seeking assistance - Transform inquiries into opportunities to demonstrate our expertise and dedication - Craft personalized, effective responses that address the heart of each request - Build lasting relationships through your attentive and solution-focused approach - Master Complex Problem Resolution - Investigate multifaceted issues across various systems with detective-like precision - Uncover root causes that others might miss through your analytical expertise - Develop innovative solutions by connecting information across different platforms - Coordinate with internal teams and external partners to implement comprehensive resolutions - Lead Through Excellence - Tackle escalated issues with confidence and creativity - Anticipate potential challenges before they impact our clients - Maintain service excellence through proactive monitoring and reporting Qualifications - High School diploma or equivalent. - 2-5 years of relevant experience in customer or client support. Preferred experience in the medical coding or insurance industry. - Experience in a fast-paced, production environment. - Customer Service experience in a transaction-based environment such as a call center or medical office preferred, demonstrating ability to be empathetic and compassionate via phone and email. - Demonstrated ability to handle multiple assignments competently, accurately and efficiently. - Ability to write clearly and effectively when communicating with all parties. - Experience with Salesforce preferred. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts - Life and AD&D Insurance - 401(k) - Tuition Reimbursement - An array of resources that encourage a lifetime of healthier living - Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $16.53 - $23.07 hourly, based on skills, experience, and education.

Role Description This is a remote position and can be located anywhere in the US. This role is responsible for supporting enterprise legal hold processes and managing data retention requirements across company systems and third-party applications. The analyst acts as a liaison between Legal, IT, and business units to ensure compliance with litigation holds, regulatory requirements, and corporate data retention policies. Key Responsibilities: - Legal Hold Operations: - Execute legal hold requests - Coordinate implementation across endpoints, email systems, and storage platforms - Perform data collection, preservation, and retrieval - Track legal hold lifecycle (placement, monitoring, release) - Maintain documentation and ensure audit readiness - Data Retention & Policy Enforcement: - Support implementation of retention policies - Manage retention configurations across systems - Partner with system owners on retention schedules - Assist with audits and compliance validation - Third-Party Application Governance: - Assess third-party systems for retention and legal hold capabilities - Work with vendors and internal teams to ensure compliance - Validate preservation and discovery capabilities - Compliance & Audit Support: - Maintain documentation for legal hold and retention activities - Provide reporting and audit evidence - Identify compliance gaps and recommend improvements - Process Improvement & Automation: - Improve workflows and automate processes - Enhance coordination between Legal and IT - Support scalable and standardized processes Qualifications - Bachelor's degree in Computer Science, Information Technology, or related field - 3–5+ years in IT operations, compliance, or information governance - Experience with legal hold and data retention - Familiarity with Microsoft 365, backup systems, and ITSM tools - Preferred: - Experience working with Legal or compliance teams - Knowledge of regulatory requirements - Experience with third-party application governance Benefits - Medical, Dental, Vision - Health Savings Accounts / Flexible Spending Accounts - Life and AD&D Insurance - 401(k) - Tuition Reimbursement - An array of resources that encourage a lifetime of healthier living - Compensation ranges from $81,000 - $120,000 annually, based on skills, experience, and education

Role Description Responsible for providing strategic leadership in medical bill review operations while serving as a key liaison between clients and internal teams. This role combines technical bill review expertise with relationship management to ensure optimal service delivery and client satisfaction. - Responsible for high-level relationship management and acts as client liaison during delivery of an outsourced solution, whether it is an IT or business process outsourced solution. - Strategically focused and responsible for client satisfaction, maintaining client communication, and the overall management of the client relationship. - Works to grow the client relationship by identifying new business opportunities. - Works with the delivery team to execute contract terms and conditions and to ensure on-time delivery of projects that support the client's business. Qualifications - Minimum Education: College degree or High school diploma + 2-4 years of industry experience. - Worker's compensation or Auto Casualty bill review experience preferred. - Ability to present and interpret data to customers. - Intermediate skills in Microsoft Office (Word, Excel and PowerPoint). - Strong grammar and business writing skills for documentation and customer communication. Benefits - Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts. - Life and AD&D Insurance. - 401(k). - Tuition Reimbursement. - An array of resources that encourage a lifetime of healthier living.