XO Health Inc.

Role Description We are looking for a hands-on ServiceNow Engineer to partner with our ServiceNow Architect in building and rolling out a scalable, enterprise-grade platform tailored to healthcare insurance operations. You’ll take the Architect’s design blueprints and turn them into reality—configuring, developing, testing, and deploying ServiceNow Customer Service Management (CSM) and Healthcare & Life Sciences (HCLS) modules to support customer service, case management, utilization management, and core healthcare insurance workflows. Key Responsibilities - Implementation & Configuration - Configure and customize ServiceNow CSM modules: account & contact management, entitlements, case management, knowledge, and omni-channel support. - Implement and tailor HCLS modules (Member Services, Provider Relations, Utilization Management) per design specifications. - Workflow Development - Build out case management flows: claims intake, adjudication, grievances, and appeals using CSM case stages, SLAs, and assignment rules. - Develop utilization management processes: prior authorization requests, medical necessity reviews, care coordination tasks. - Portals & Self-Service - Create and enhance the Customer Service Portal and Member/Provider portals using Service Portal Designer and UI Builder. - Implement client scripts, UI policies, and UI actions to enforce business rules and streamline user experience. - Integrations & Automations - API & MID Server - Develop integrations via REST/SOAP APIs, Integration Hub spokes, and MID Server for secure data exchange with AWS Data Lake, Microsoft 365/SharePoint, and external claims systems. - Automate batch transfers (sFTP) and event-driven messaging (EventBridge, Kafka). - Orchestration & Flow Designer - Leverage Flow Designer and ServiceNow Orchestration to automate end-to-end processes (e.g., case routing, entitlement checks, document generation, notifications). - DevOps & CI/CD - Implement application lifecycle management using Git, Jenkins (or Azure DevOps), and ServiceNow Update Sets. - Assist in authoring Infrastructure as Code (Terraform/CloudFormation) for development/test environments. - Testing, Deployment & Support - Quality Assurance - Write Automated Test Framework (ATF) tests and coordinate UAT with business and QA teams. - Conduct performance and load testing; troubleshoot and optimize bottlenecks. - Release Management - Manage deployments across Dev → QA → Prod using change management best practices. - Package update sets, scoped apps, and manage application dependencies. - Production Support - Provide Tier-2/3 support: incident triage, root cause analysis, and system maintenance. - Monitor platform health, tune performance, and apply patches/upgrades. - Collaboration & Documentation - Work closely with the Architect to clarify requirements, suggest optimizations, and ensure alignment to the overall solution design. - Partner with business analysts, QA engineers, and stakeholders to translate needs into technical deliverables. - Produce clear technical documentation: design specs, runbooks, integration guides, and KB articles. - Train support teams and end-users on portal usage, new features, and troubleshooting. Qualifications - Technical Skills - 3+ years in ServiceNow development/implementation, with a focus on CSM and HCLS modules. - Strong experience with scoped apps, Update Sets, Flow Designer, Service Portal, and UI Builder. - Proficient in JavaScript (server & client), HTML, CSS, and AngularJS/Foundation (for legacy portals). - Skilled with ServiceNow APIs, Integration Hub, and MID Server. - Hands-on with REST/SOAP integrations, sFTP, and event-driven architectures. - Familiarity with AWS services (S3, Lambda, API Gateway) and Microsoft Graph API. - Knowledge of CI/CD pipelines (Git, Jenkins, Azure DevOps) and ATF. - Experience with test-driven development and performance testing. - Understanding of health insurance processes (claims, enrollment, utilization management). - Familiarity with HIPAA, HL7, ACA, and other regulatory frameworks. - AI / GenAI Skills (Bonus) - Hands-on experience with ServiceNow Now Assist (Generative AI). - Understanding of AI/ML concepts: NLP, predictive analytics, LLMs. - Experience in implementing chatbots for fulfiller roles in workspace, and AI capabilities in CSM applications. - Experience implementing AI-powered ticket summarization, knowledge generation, intelligent search & recommendations. - Exposure to AI Agents / autonomous workflows in ServiceNow. - Soft Skills - Strong problem-solving mindset and attention to detail. - Excellent verbal and written communication, able to explain technical concepts to non-technical stakeholders. - Collaborative team player comfortable in Agile/Scrum environments. Preferred Certifications - ServiceNow: Certified System Administrator (CSA) & Certified Implementation Specialist – CSM/HCLS. - Cloud: AWS Certified Developer / Solutions Architect. - Healthcare: CHPS, CHAM, or similar. - DevOps: Jenkins Engineer, Azure DevOps Engineer. Compensation Full compensation packages are based on candidate experience and relevant certifications. ₹3,000,000 — ₹3,500,000 INR Company Description XO Health is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth or related medical conditions), race, color, age, national origin, religion, disability, genetic information, marital status, sexual orientation, gender identity, gender reassignment, citizenship, immigration status, protected veteran status, or any other basis prohibited under applicable federal, state or local law. XO Health promotes a drug-free workplace.

• Partner with architect in building enterprise-grade platform tailored to healthcare operations. • Configure ServiceNow CSM and HCLS modules to support workflows. • Develop integrations via REST/SOAP APIs and automate batch transfers. • Implement application lifecycle management using Git and Jenkins. • Provide Tier-2/3 support and conduct performance testing. • Collaborate with cross-functional teams to ensure alignment in solution design.

• Design, Develop, and maintain scalable full-stack applications for a healthcare insurance platform • Engage with cross-functional teams to define and implement new features that meet the complex demands of the healthcare sector • Ensure application security and compliance with HIPAA and other regulations, focusing on performance and scalability • Implement serverless architectures on cloud platforms (Azure, AWS) to optimize backend functionality • Utilize modern front-end frameworks (React, Angular, Vue) to create responsive user interfaces • Integrate and customize rules engines for automated decision-making and efficiency • Employ microservices architecture to enhance application scalability, resilience, and deployment efficiency • Utilize GraphQL for efficient and flexible data retrieval, improving the application's data interaction layer • Mentor junior developers, fostering a culture of technical excellence, innovation, and ongoing learning • Stay updated on technology trends, regulatory changes, and best practices in healthcare to ensure our solutions are at the forefront

XO Health believes healthcare is fixable. Become part of the community changing the face of the industry. XO Health is the first health plan designed by and for self-insured employers that delivers a more unified health experience for everyone – from those who receive care, to those who deliver it, to those who pay for it. We are growing a multi-disciplinary team of diverse and digitally empowered employees ready to rebuild trust in healthcare through comprehensive and unified transformation. Risk Solutions Actuarial Associate About the Role XO Health is redefining how risk is structured, priced, and managed across self-funded employer health plans and provider partnerships. We’re looking for a quantitatively minded, self-starting early-career actuary to join our Risk Solutions team. This individual will help build and scale the risk backbone of our products, with direct visibility into executive strategy, product development, and risk operations. In this role, you’ll work across teams to develop pricing models, monitor financial performance, evaluate partner and provider risk, and support strategies that bring clarity, transparency, and predictability to health plan costs. This role will have a front-row seat for our innovative alternative payment model platform, and its impact across our stakeholders What You'll Do Support and develop the actuarial modeling behind XO’s risk-sharing and value-aligned models , including provider performance pricing and evaluation, employer pricing, and financial insight into risk-based contracts. Manage XO Health’s stop-loss and reinsurance strategy , including product design for small and mid-market employers, provider risk strategies, pricing input, partner management, and performance tracking, across both employers and Providers. Support RFPs and maintain relationships with MGUs, captives, and carriers to help external partners evaluate and price XO’s unique model. Advance XO’s differentiated high-cost claim strategy, leveraging our unique position across both employers and providers to manage risk more proactively and equitably. This includes developing analytics and interventions that span clinical, financial, and contractual levers. Support reporting and communications on financial performance, risk solutions, pricing strategy, and model assumptions for both internal and external stakeholders, including executive team and advisory and corporate boards Own end-to-end execution of cross-functional initiatives, working with teams across analytics, finance, commercial, clinical, and provider strategy to build scalable, tech-enabled pricing and risk capabilities. What You Bring

• Prospect and generate leads: Identify and engage potential clients in the large group market, using various lead generation techniques such as networking, cold calling, referrals, and market research. • Consult and advise brokers and clients: Work closely with insurance brokers, business decision-makers, HR departments, and executives to understand their employee benefit needs and recommend tailored health insurance solutions. • Develop and present proposals: Prepare comprehensive and customized health insurance proposals, outlining plan options, costs, and benefits. Deliver clear, concise presentations to key stakeholders. • Negotiate contracts and close sales: Effectively negotiate plan rates, terms, and benefits with clients, aiming to close deals that meet both client needs and company sales targets. • Build long-term relationships: Foster strong relationships with brokers and clients to ensure ongoing satisfaction, policy renewals, and potential upselling of additional benefits like dental, vision, or supplemental insurance. • Industry and regulatory compliance: Remain current on market trends, new products, and regulatory changes, including ACA requirements and other compliance regulations for large group plans. • Collaborate with internal teams: Work closely with underwriting and client service teams to ensure seamless onboarding and implementation of new clients. • Meet sales goals: Achieve monthly, quarterly, and annual sales quotas by developing new business.

• Prospect and generate leads: Identify and engage potential clients in the large group market, using a variety of lead generation techniques such as networking, cold calling, referrals, and market research. • Consult and advise brokers and clients: Work closely with insurance broker, business decision-makers, HR departments, and executives to understand their employee benefit needs and recommend tailored health insurance solutions. • Develop and present proposals: Prepare comprehensive and customized health insurance proposals, outlining plan options, costs, and benefits. Deliver clear, concise presentations to key stakeholders. • Negotiate contracts and close sales: Effectively negotiate plan rates, terms, and benefits with clients, aiming to close deals that meet both client needs and company sales targets. • Build long-term relationships: Foster strong relationships with brokers and clients to ensure ongoing satisfaction, policy renewals, and potential upselling of additional benefits like dental, vision, or supplemental insurance. • Industry and regulatory compliance: Remain current on market trends, new products, and regulatory changes, including Affordable Care Act (ACA) requirements and other compliance regulations for large group plans. • Collaborate with internal teams: Work closely with underwriting and client service teams to ensure seamless onboarding and implementation of new clients. • Meet sales goals: Achieve monthly, quarterly, and annual sales quotas by developing new business.

• Prospect and generate leads: Identify and engage potential clients in the large group market, using a variety of lead generation techniques such as networking, cold calling, referrals, and market research. • Consult and advise brokers and clients: Work closely with insurance broker, business decision-makers, HR departments, and executives to understand their employee benefit needs and recommend tailored health insurance solutions. • Develop and present proposals: Prepare comprehensive and customized health insurance proposals, outlining plan options, costs, and benefits. Deliver clear, concise presentations to key stakeholders. • Negotiate contracts and close sales: Effectively negotiate plan rates, terms, and benefits with clients, aiming to close deals that meet both client needs and company sales targets. • Build long-term relationships: Foster strong relationships with brokers and clients to ensure ongoing satisfaction, policy renewals, and potential upselling of additional benefits like dental, vision, or supplemental insurance. • Industry and regulatory compliance: Remain current on market trends, new products, and regulatory changes, including Affordable Care Act (ACA) requirements and other compliance regulations for large group plans. • Collaborate with internal teams: Work closely with underwriting and client service teams to ensure seamless onboarding and implementation of new clients. • Meet sales goals: Achieve monthly, quarterly, and annual sales quotas by developing new business.