🖥️RAIS USA
📩ContactUS@raisusa.com
🌐raisusa.com
📲+1 608 296 9349
📍6709 Raymond Rd STE 159, Madison, WI 53719.

Industry: IT Services and IT Consulting
Company Size: 11-50 employees

RAIS USA

Savvy Admin PROD

**Job Title - **AWS & Insurance Solution Architect

**Location - **US Remote

**Job Summary **

We are looking for an experienced AWS & Insurance Solution Architect with strong expertise in cloud architecture and insurance domain solutions. The ideal candidate will design scalable, secure, and high-performing cloud-based insurance platforms and lead digital transformation initiatives for life insurance applications.

**Key Responsibilities **

- Design and implement AWS-based insurance solutions and architectures

- Lead cloud migration and modernization initiatives

- Collaborate with business and technical teams to define solution architecture

- Develop scalable, secure, and cost-effective cloud solutions

- Design integration strategies for policy administration, claims, underwriting, and billing systems

- Ensure architecture compliance with security and regulatory standards

- Provide technical leadership and architecture governance

- Support DevOps, CI/CD, and cloud automation initiatives

**Required Skills & Qualifications **

- 8+ years of IT experience with strong Solution Architecture background

- Hands-on experience with AWS services (EC2, Lambda, S3, RDS, API Gateway, etc.)

- Strong experience in Insurance/Life Insurance domain

- Experience with cloud-native architecture and microservices

- Knowledge of integration patterns and API design

- Strong understanding of security, scalability, and performance optimization

- Excellent communication and stakeholder management skills

**Preferred Skills **

- AWS Certification

- Experience with Guidewire or insurance platforms

- DevOps and Terraform experience

- Experience in enterprise architecture frameworks

AWS & Insurance Solution Architect

**Product Manager – Life Insurance **

**Location - **US Remote

**Job Summary **

We are looking for an experienced Product Manager with strong Life Insurance domain expertise to drive product strategy, roadmap planning, and delivery of digital insurance solutions. The candidate will work closely with business, technology, and operations teams to build scalable insurance products and enhance customer experience.

**Key Responsibilities **

- Define product vision, roadmap, and business strategy

- Gather and prioritize business requirements from stakeholders

- Work with engineering and QA teams throughout the product lifecycle

- Manage insurance product enhancements and digital transformation initiatives

- Analyze market trends, customer needs, and competitor offerings

- Drive Agile ceremonies and product backlog management

- Collaborate with underwriting, claims, compliance, and operations teams

- Ensure successful product delivery aligned with business goals

**Required Skills & Qualifications **

- 6+ years of Product Management experience

- Strong experience in Life Insurance domain

- Experience working in Agile/Scrum environments

- Strong understanding of insurance products, policy lifecycle, and regulations

- Excellent communication and stakeholder management skills

- Experience with JIRA, Confluence, or similar tools

**Preferred Skills **

- Experience with digital insurance platforms

- Knowledge of data analytics and reporting

- MBA or equivalent qualification

Data Scientist

**Job Title - **Business Analyst – Life Insurance

**Location - **US Remote

**Job Summary **

We are seeking an experienced Business Analyst with strong Life Insurance domain expertise to support business analysis, requirement gathering, and process improvement initiatives. The ideal candidate will work closely with business stakeholders, product teams, and technology teams to deliver high-quality insurance solutions across policy administration, underwriting, claims, billing, and customer servicing functions.

**Key Responsibilities **

- Gather, analyze, and document business and functional requirements

- Work closely with business stakeholders, product owners, and technical teams

- Analyze Life Insurance business processes and identify improvement opportunities

- Create Business Requirement Documents (BRD), Functional Requirement Documents (FRD), user stories, and process flows

- Support policy administration, underwriting, claims, billing, and customer servicing initiatives

- Facilitate workshops, requirement discussions, and stakeholder meetings

- Collaborate with QA and development teams during testing and implementation phases

- Perform gap analysis, impact analysis, and root cause analysis

- Participate in Agile ceremonies including sprint planning, backlog grooming, and retrospectives

- Ensure requirements traceability and proper documentation management

**Required Skills & Qualifications **

- 5+ years of experience as a Business Analyst

- Strong experience in Life Insurance domain

- Strong understanding of policy lifecycle, underwriting, claims, billing, and insurance operations

- Experience in requirement gathering, documentation, and stakeholder management

- Experience working in Agile/Scrum environments

- Knowledge of business process modeling and workflow analysis

- Experience with JIRA, Confluence, Visio, or similar tools

- Strong analytical, communication, and problem-solving skills

**Preferred Skills **

- Experience with digital insurance platforms or policy administration systems

- Exposure to data analysis and reporting tools

- Experience working with cross-functional and distributed teams

- Knowledge of regulatory and compliance requirements in insurance

- Certification in Business Analysis (CBAP, CCBA, or equivalent) is a plus

Business Analyst – Life Insurance

Product Manager – Life Insurance

**Role - Technical Analyst **

**Position - Remote **

We are seeking a Technical Analyst with strong experience in Medical Management compliance reporting to support regulatory and operational reporting needs. The role will focus on development, validation, and submission of compliance reports such as ODAG (Organization Determination Appeals and Grievances), CDAG (Coverage Determination Appeals and Grievances), and other CMS-mandated reporting for Medical Management functions. This role requires close collaboration with business (UM/CM teams), data teams, and IT stakeholders to ensure accuracy, timeliness, and compliance with regulatory standards.

**Key Responsibilities **

- Develop, enhance, and maintain Medical Management compliance reports including ODAG, CDAG, and related CMS submissions

- Analyze regulatory requirements and translate them into technical specifications and reporting logic

- Perform data validation, reconciliation, and audit support to ensure report accuracy and compliance readiness

- Partner with Utilization Management (UM) and Care Management (CM) teams to refine reporting requirements

- Work with data sources across Core Admin, UM platforms (e.g., MHK), and downstream systems

- Support submission cycles, including pre-validation, error resolution, and final reporting deliverables

- Ensure compliance with CMS guidelines and internal audit controls

- Identify opportunities for automation and optimization in reporting processes

**Required Skills & Experience **

- 5+ years of experience in Healthcare Payer domain (Medicare Advantage preferred)

- Hands-on experience with Medical Management compliance reporting (ODAG, CDAG, CMS reporting)

- Strong understanding of Utilization Management (UM) and Care Management (CM) workflows

- Experience working with healthcare data models and regulatory datasets

- Proficiency in SQL, data analysis, and reporting tools

- Experience with systems such as MHK (MedHOK), Core Admin platforms (IKA/QNXT/Facets or similar)

- Familiarity with data validation, reconciliation, and audit processes

- Strong analytical and problem-solving skills

**Preferred Skills **

- Experience with CMS audit support and compliance submissions

- Exposure to Azure-based data environments or modern data platforms

- Knowledge of EDI transactions (837/835) and claims lifecycle

- Experience in automation or reporting optimisation initiatives

Technical Analyst – Healthcare Payer

**Job Title: Flowable Developer (Banking Domain) **

**Location: Remote (U.S. Preferred) **

**Employment Type: Contract (12+ Months, Extension Likely) **

**About the Role **

We are seeking an experienced Flowable Developer to support a large-scale banking transformation initiative. This role focuses on designing and implementing secure, scalable workflow solutions across core financial processes such as lending, onboarding, payments, and compliance.

**Key Responsibilities **

• Design and develop BPMN workflows using Flowable

• Implement case management (CMMN) and decision models (DMN)

• Integrate workflows with enterprise systems via REST APIs and microservices

• Build automation solutions across: • Loan origination & servicing

• Payments & transaction processing

• KYC / AML workflows

• Ensure compliance with security, audit, and regulatory standards

• Collaborate with cross-functional teams (business, product, and engineering)

• Troubleshoot issues and optimize workflow performance

• Maintain technical documentation and support deployments

**Required Skills & Experience **

• 4+ years of experience with Flowable / Camunda / Activiti

• Strong Java, Spring Boot development skills

• Deep understanding of BPMN, CMMN, DMN frameworks

• Experience with REST APIs and microservices architecture

• Strong experience with SQL databases

• Experience working in Agile/Scrum environments

**Banking Domain Experience (Mandatory) **

**Hands-on experience in one or more of the following: **

• Loan origination / underwriting / servicing

• Payments (ACH, wires, card processing)

• KYC / AML / fraud detection workflows

• Customer onboarding and account lifecycle

Flowable Developer (Banking Domain)

Explore job opportunities at RAIS USA with Savvy's AI recruiter platform. View open positions, learn about the company culture, and apply directly through our intelligent recruitment system.

RAIS USA

Jobs