Application Engineering Manager

🕒 May 13

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Medical Review Institute of America, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1983

⚕️ Healthcare Insurance

☁️ SaaS

Healthcare Insurance • SaaS • Data

Medical Review Institute of America, LLC is a company specializing in clinical and utilization review services. They offer a comprehensive suite of data-driven solutions, including prior authorization optimization, second opinions, and specialty drug reviews, aimed at ensuring the right care is delivered at the right time and in the right place. MRIoA provides services to health plans, pharmacy benefit managers, government entities, and self-insured employers, among others. They leverage technology and a network of professionals to streamline clinical decisions, enhance provider performance, and ensure compliance with regulatory requirements across all 50 states. Their tools and platforms are designed to optimize clinical reviews, reduce costs, and improve patient outcomes through evidence-based care pathways and telehealth solutions.

📋 Description

• Lead, coach, and mentor engineers; foster a culture of ownership, quality, accountability, and continuous improvement • Drive predictable delivery through effective planning, execution, risk management, and cross-team coordination • Remove blockers through active technical engagement, including debugging, design reviews, and rapid problem resolution • Provide architecture and design leadership to ensure solutions are scalable, reliable, secure, and maintainable • Conduct code and design reviews, reinforcing engineering best practices and sound system design • Deep dive into complex production issues across frontend, backend, and database layers to restore service and prevent recurrence • Lead development and ongoing support of NodeJS services/APIs and React web applications with clean, extensible architecture • Oversee SQL Server data design and performance, including schema design, complex queries, stored procedures, and tuning • Ensure strong API integration patterns (RESTful and internal services), resiliency, and secure-by-design practices • Lead engineering execution across Azure and GCP environments, including deployment readiness, operational reliability, and scalability • Promote engineering practices aligned with hosted and cloud-native architectures, high availability, and operational excellence • Provide technical leadership for ColdFusion applications (CFML, CFCs, custom tags, modular design), including integration with modern web stacks • Lead support and modernization of Windows C++ desktop and service-based applications, including debugging, performance optimization, and reliability improvements • Ensure structured engineering workflows using Git-based version control and disciplined release processes • Partner closely with QA, Product, Infrastructure, and business stakeholders to maintain high quality and release readiness across environments

🎯 Requirements

• 8+ years of professional software engineering experience • 2+ years of experience leading engineers • Proficiency in NodeJS • Proficiency in React • Proficiency in Python • Proficiency in SQL Server • Proficiency in Microsoft Azure and Google Cloud Platform (GCP) • Proficiency in ColdFusion • Proficiency in Windows C++ • Bachelor's degree in Computer Science, Engineering, or Information Technology, or an equivalent combination of education and relevant experience. • Master’s in Computer Science, Engineering, or Information Technology degree preferred

🏖️ Benefits

• healthcare, vision, and dental insurance • a generous 401(k) match • paid vacation • personal time • holidays • growth and training opportunities • remote work