Lead technical implementation of a fraud detection system for healthcare. Oversee system integration, data flow, and compliance. Design detection engine utilizing ML.
Who is Element?
We serve as a partner at the intersection of innovation and our clients' needs, efficiently crafting meaningful user experiences for government and commercial customers. By breaking down complex problems to their fundamental elements, we create modern digital solutions that drive efficiencies, maximize taxpayer dollars, and deliver essential outcomes that serve the people.
Why Work at Element?
Make an impact that resonates-join our vibrant team and discover how you can improve lives through digital transformation. Our talented professionals bring unparalleled energy engagement, setting a higher standard for impactful work. Come be a part of our team and shape a better future.
Position Overview
Element is looking for an experienced, permanent/full-time Solutions Architect/Technical Lead who will design and lead the technical implementation of an oversight and monitoring solution designed to detect misleading or abusive marketing. Serving as the primary architect for a comprehensive fraud detection system that analyzes marketplace enrollment records and ad-library signals to identify potentially fraudulent agent brokers. As a member of this project, you will help ensure the delivery of healthcare to millions of Americans by monitoring and preventing fraud, waste, and abuse.
Key Responsibilities
- Lead technical team planning and track system integration tasks across all solution components.
- Design and implement the Hybrid Detection Engine combining rule-based and ML-based anomaly detection.
- Ensure adherence to AWS best practices and CMS compliance standards throughout development.
- Coordinate between technical team members and CMS stakeholders.
- Architect the end-to-end data flow from ingestion through detection to case management.
- Oversee integration of disparate data sources Lead technical design reviews and architecture decisions.
- Ensure scalability, security, and maintainability of the overall solution.
Minimal Requirements
- Bachelor's degree in Computer Science, Engineering, or related technical field.
- 8+ years of experience in solution architecture and technical leadership.
- Extensive experience with AWS cloud services and architecture patterns.
- Previous experience working with healthcare or marketing data (strongly preferred).
- Experience with fraud detection and anomaly detection systems.
- Strong understanding of data lake architectures and ETL pipelines.
- Experience with microservices architecture and API design.
- Knowledge of security frameworks and compliance requirements in government settings.
Preferred Qualifications
- Master's degree in relevant technical field.
- AWS Solution Architect certification.
- Experience with healthcare marketplace platforms.
- Knowledge of FISMA, NIST, and other federal security frameworks.
Location
Be in your Element residing anywhere in the Continental US. We are a remote-first company based in Washington, DC.
Element is an Equal Opportunity Employer all qualified applicants will receive consideration for employment without regard to age, ancestry, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status, marital status, protected veteran status, or any other legally protected class.
We believe in a world where solutions we build improve the lives of those who use them.
Top Skills
Api Design
AWS
Data Lake Architectures
Etl Pipelines
Machine Learning
Microservices
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