• Design and lead implementation of system changes that deliver high performance, scalability and observability for displaying and tracking ads worldwide. Develop tools and optimizations to drive measurable improvements in critical user performance metrics. • Implement and maintain high-quality frontend and full-stack solutions for displaying Ads globally, focusing on extreme performance and scalability. • Develop monitoring systems (RUM and Synthetic) to track crucial metrics like reliability or viewability and use data to diagnose and resolve performance bottlenecks. • Collaborate closely with Ads Layouts specialists and backend engineers to ensure smooth data flow and optimal architectural alignment for performance-critical features. • Write, test, and deploy robust, efficient, and well-documented code in JavaScript/TypeScript/Python/Java, ensuring adherence to the highest coding and performance standards. • Provide hands-on technical leadership: solving complex system challenges, participating in planning and scoping of projects, and ensuring the implementation of the highest coding standards through participation in code reviews.

The EHRT Reporting and Analytic Systems team is looking for a Lead-IT Analyst/Programmer to lead the Hospital and Inpatient Reporting team. The Lead will be responsible for supporting team members, working through resolving incidents in a timely manner, managing project work, coordinating quarterly upgrades, triaging enhancement requests, and assisting with team management. The team supports many critical and complex areas across several Epic application areas related to the Hospital workflows and inpatient units. The lead plays a critical role in ensuring the needs of our customers are understood and met. They are the front end of requirements gathering, translating requirements and problem solving, or providing direction on behalf of the customer to report developers. Accountable for project results and goals set by senior Mayo leadership and provides updates to IT leaders on long-term goal attainment. Directly oversees the activities of the members of the team assigned to the development and maintenance of software-based systems in the supported areas. Provides leadership for the design or selection of solutions, creates and/or implements cross-functional project teams (intact or virtual), and brings together the hardware, software, and personnel responsibilities for implementing solutions to support a customer area. Develops proposals that consider alternatives and business case, and gains needed institutional approvals utilizing strong understanding of financial concepts, business processes, continuous improvement, and organizational development. Works effectively across departmental organizations gaining consensus of stakeholders. Partners with customers to understand their business needs and insure the activities of the team meet their needs. Assists the Unit Head in personnel management and supervises staff on projects and assumes supervisory responsibilities for Unit/Division staff as assigned. Manages projects requiring substantial inter-organizational and intra-organizational coordination. Understands project management methodology and works effectively with Project Managers and the project management offices where appropriate. Interfaces routinely with colleagues who may be located at any of the Mayo Group practices to perform job responsibilities requiring virtual collaboration and partnership. May serve on institutional committees as member, assistant secretary, or secretary. May be required to provide 24/7 on-call support. This is a full time position within the United States. Preference that incumbent lives within a reasonable driving distance of a Mayo Clinic campus. Mayo Clinic will not sponsor or transfer visas for this position including F1 OPT STEM. Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights - Medical: Multiple plan options. - Dental: Delta Dental or reimbursement account for flexible coverage. - Vision: Affordable plan with national network. - Pre-Tax Savings: HSA and FSAs for eligible expenses. - Retirement: Competitive retirement package to secure your future. Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

The EHRT Reporting and Analytic Systems team is looking for a Lead-IT Analyst/Programmer to lead the Hospital and Inpatient Reporting team. The Lead will be responsible for supporting team members, working through resolving incidents in a timely manner, managing project work, coordinating quarterly upgrades, triaging enhancement requests, and assisting with team management. The team supports many critical and complex areas across several Epic application areas related to the Hospital workflows and inpatient units. The lead plays a critical role in ensuring the needs of our customers are understood and met. They are the front end of requirements gathering, translating requirements and problem solving, or providing direction on behalf of the customer to report developers. Accountable for project results and goals set by senior Mayo leadership and provides updates to IT leaders on long-term goal attainment. Directly oversees the activities of the members of the team assigned to the development and maintenance of software-based systems in the supported areas. Provides leadership for the design or selection of solutions, creates and/or implements cross-functional project teams (intact or virtual), and brings together the hardware, software, and personnel responsibilities for implementing solutions to support a customer area. Develops proposals that consider alternatives and business case, and gains needed institutional approvals utilizing strong understanding of financial concepts, business processes, continuous improvement, and organizational development. Works effectively across departmental organizations gaining consensus of stakeholders. Partners with customers to understand their business needs and insure the activities of the team meet their needs. Assists the Unit Head in personnel management and supervises staff on projects and assumes supervisory responsibilities for Unit/Division staff as assigned. Manages projects requiring substantial inter-organizational and intra-organizational coordination. Understands project management methodology and works effectively with Project Managers and the project management offices where appropriate. Interfaces routinely with colleagues who may be located at any of the Mayo Group practices to perform job responsibilities requiring virtual collaboration and partnership. May serve on institutional committees as member, assistant secretary, or secretary. May be required to provide 24/7 on-call support. This is a full time position within the United States. Preference that incumbent lives within a reasonable driving distance of a Mayo Clinic campus. Mayo Clinic will not sponsor or transfer visas for this position including F1 OPT STEM. Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans – to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic. Benefits Highlights - Medical: Multiple plan options. - Dental: Delta Dental or reimbursement account for flexible coverage. - Vision: Affordable plan with national network. - Pre-Tax Savings: HSA and FSAs for eligible expenses. - Retirement: Competitive retirement package to secure your future. Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. Equal Opportunity All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law". Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Full Stack Engineer is responsible for the design, development, and maintenance of meaningful, easy to use enterprise-grade applications for the Centers for Medicare & Medicaid Services (CMS) Medicaid and CHIP (MAC) Suite legacy systems including BigMAC. - Translate requirements and user stories into API Endpoints interacting with cloud-based technologies such as Snowflake, and Databricks using the AWS platform - Develop automatic testing scripts to ensure product is of the highest quality - Build Continuous Integration/Continuous Deployment (CI/CD) pipelines utilizing AWS services with automated testing to deploy infrastructure to AWS using services such as CloudFormation and Jenkins - Diagnose and resolve defects as reported by users, testers, or deployment processes - Produce documentation or web portals to guide development teams on proper use of API - Understand usability testing and refactor front-end code to improve the user experience - Develop and maintain API specifications using tools such as Swagger Qualifications - Minimum education: Bachelor’s degree or equivalent additional experience at a rate of twelve months required experience equivalent to nine months required education. - Minimum experience: Three years in a similar role. - Able to design/architect and implement enterprise-scale application services in at least one of Java, Go, Python or similar - Hands-on experience with one of the API development platforms such as API Gateway, Apigee, Kong, or similar - Hands-on experience with AWS - Familiarity with API first methodology - Knowledge of Agile framework, Scrum methodologies and awareness of productivity tools used to support them Preferred Qualifications - Experience with CMS systems or other healthcare/Medicare & Medicaid platforms. - Strong analytical and troubleshooting skills - Ability to demonstrate excellent written and oral communication required - Diverse experience across the full software development lifecycle preferred - Background in systems migration, integration, and cloud infrastructure optimization Attention Candidates We're dedicated to ensuring a safe and transparent recruitment process for all candidates and have implemented robust measures to protect your personal information. Please be aware that all employment-related communications will originate from a secure portal (NAME@msg.paycomonline.com) or a corporate email address (NAME@index-analytics.com). If you have any concerns, please don't hesitate to reach out to us at recruiting@index-analytics.com. If you are selected for an interview, please be advised that Index Analytics LLC reserves the right to prohibit the use of artificial intelligence (AI) tools, including but not limited to AI-generated responses, real-time transcription, or automated assistance during the interview process. We value authentic interactions and the opportunity to engage directly with candidates. Any unauthorized use of AI may result in disqualification from consideration. The salary range provided represents the estimated compensation for new hires in this position, applicable across all locations. Actual offers may vary based on factors such as the candidate's skills, qualifications, experience, and market conditions. Index complements its base salary offering with a competitive package that includes health and retirement benefits, discretionary bonuses, and reimbursement for professional development opportunities. Index Analytics provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.