Sr. Software Engineer (HealthcareClaim Recovery)

The Phia Group is a service- oriented organization assisting employee health plans nationwide. We provide our clients with innovative cost-cutting solutions and constantly expanding service offerings. We continue to enjoy growth thanks to our most valuable resource our talented and committed team.

At The Phia Group whose mission is to provide high quality yet affordable healthcare to American employees and their families you can look forward to not only unparalleled benefits for yourself but also being immersed in a company that was named one of USA Todays Top Workplaces for 2026. Meanwhile from a regional perspective both The Boston Globe and Louisville Business First also recognized our unwavering commitment to upholding an internal culture of inclusivity enjoyment and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work in 2025.

About the Role

We are seeking a Senior Software Engineer to design build and scale internal applications that support complex subrogation and claim recovery workflows.

This role goes beyond traditional software engineering. It focuses on AI-enabled development workflow automation and data-driven system design. You will play a key role in improving how applications are built and how business processes are translated into scalable efficient systems.

The ideal candidate is a hands-on builder who leverages AI to accelerate delivery improve quality and reduce manual effort while working closely with business teams to ensure systems reflect real-world operations.

Key Responsibilities

Application Development & System Design

• Design build and maintain applications supporting claim recovery and healthcare-related workflows
• Translate complex business processes into scalable maintainable and efficient system functionality
• Implement solutions involving financial logic including balances allocations and reconciliation
• Ensure code is production-ready well-tested and complete prior to QA

AI-Enabled Development & Automation

• Leverage AI tools (e.g. GPT Claude Copilot or similar) to:
  • Accelerate code development and refactoring
  • Assist with debugging and root cause analysis
  • Generate tests documentation and validation logic
• Identify and implement opportunities to automate repetitive development and operational workflows
• Continuously evaluate and adopt new AI tools to improve engineering efficiency

Data Engineering & Performance Optimization

• Work extensively with relational databases and large datasets
• Write and optimize complex SQL queries stored procedures and data transformations
• Ensure data integrity reconciliation accuracy and system performance at scale
• Troubleshoot and resolve data discrepancies across systems

Integration & Workflow Systems

• Build and maintain integrations across internal and external systems via APIs and data pipelines
• Design systems that support multi-step workflows and conditional business logic
• Ensure reliable data flow error handling and system resiliency

Collaboration & Technical Leadership

• Collaborate closely with Operations and business stakeholders to align systems with real-world workflows
• Participate in code reviews design discussions and technical decision-making
• Mentor developers and contribute to improving team standards and delivery practices
• Drive a culture of ownership accountability and first-time-right delivery

Required Qualifications

• Demonstrated ability to design and deliver production-grade applications in data-driven environments
• Strong experience with:
  • Backend development (Java Python or similar)
  • Relational databases and advanced SQL
• Experience building systems that handle:
  • Complex workflows
  • Financial or transactional logic
  • Data reconciliation across systems
• Proven use of AI tools within the development lifecycle to improve speed quality or automation
• Experience building and consuming APIs in enterprise environments
• Strong problem-solving skills with the ability to diagnose and resolve complex production issues
• Ability to work effectively with both technical and non-technical stakeholders

We value demonstrated capability and real-world impact over years of experience or formal degrees.

Preferred Qualifications

• Experience in healthcare claims processing or financial recovery systems
• Familiarity with high-volume data processing and structured data formats
• Experience optimizing system performance in data-intensive environments
• Exposure to automation tools or scripting (e.g. Python PowerShell)
• Experience improving development workflows through automation or AI adoption
• Experience working with Microsoft SQL Server databases and/or ColdFusion-based applications or similar technologies to support faster onboarding and reduced learning curve
• Experience with subrogation and claim recovery workflows is a strong plus including familiarity with concepts such as eligibility and coverage verification identification of third-party liability lien and recovery processes payment posting overpayment identification and reconciliation of recoveries against claim-level financials.