Explore Careers That Transform Lives

We’re growing our network of clinical reviewers and are actively seeking Physicians (MD/DO) who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you’ll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to military members and their families. 

What You’ll Do

• Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
• Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
• Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns
• Uphold the highest standard of clinical integrity, neutrality, and objectivity.

Qualifications

• Hold an active, unrestricted U.S. license as an MD, DO, or PA
• Board certified in your specialty by an ABMS or AOA-recognized board within the State of Maryland or surrounding states
• Minimum of 5 years of clinical experience in your specialty post residency or fellowship
• Currently practicing and seeing patients an average of at least 20 hours per week over the past 30 days

Why This Role

• Fully remote, contract-based (1099)
• Flexible workload – cases assigned based on your availability and specialty
• Impactful work that contributes to high-quality care and oversight
• Compensation is structured on a per-record basis and is contingent upon completion of the patient record review and accompanying report, as required by the State of Maryland. 
• Most cases take 1–3 hours to complete; shorter reviews may take less than 1 hour
• Strong written communication skills and attention to detail
• Ability to review cases objectively and meet turnaround deadlines
• Comfortable working independently in a secure, remote environment

Current High Priority Specialties:

•  Alternative and Integrative psychiatry
•  Electrophysiologist Cardiologist

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting accommodation, all applications must be submitted through our online application system.

We’re growing our network of clinical reviewers and are actively seeking Alternative/Holistic psychiatrist (must be actively practicing) who are passionate about quality, accountability, and patient outcomes. As a member of our reviewer panel, you’ll play a key role in ensuring the appropriateness, necessity, and quality of care delivered to military members and their families.

What You’ll Do:

• Conduct independent, remote case reviews evaluating medical necessity, appropriateness, or quality of care.
• Provide evidence-based assessments and written determinations following established clinical guidelines and review criteria.
• Support case types including: Utilization review, Appeals and hearings, Quality of care and standard of care concerns
• Uphold the highest standard of clinical integrity, neutrality, and objectivity.

Qualifications

• Hold an active, unrestricted U.S. license/certification
• Board certified in your specialty by an ABMS or AOA-recognized board
• Minimum of 5 years of clinical experience in your specialty
• Currently practicing and seeing patients an average of at least 20 hours per week

Why This Role

• Fully remote, contract-based (1099)
• Flexible workload – cases assigned based on your availability and specialty
• Impactful work that contributes to high-quality care and oversight
• Per-case pay ranging from $$750 depending on case complexity
• Strong written communication skills and attention to detail
• Ability to review cases objectively and meet turnaround deadlines
• Comfortable working independently in a secure, remote environment

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. 

Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system. 

The Assistant Project Manager (APM) supports the Project Manager in day-to-day contract execution, serves as the designated PM backup during absences or unavailability, and independently owns specific operational workstreams including regulatory reporting, Joint Operating Agreement (JOA) coordination with Medicare Administrative Contractors (MACs), meeting management, and compliance tracking. 

Essential Duties and Responsibilities 

• Support the Project Manager in all aspects of day-to-day contract execution; serve as the designated PM backup and assume full PM responsibilities during absences or unavailability without interruption to program operations or CMS deliverables.
• Own the regulatory reporting workstream end-to-end, including the preparation, review, quality control, and on-time submission of all required CMS reports, monthly status updates, and contractual deliverables.
• Lead coordination of Joint Operating Agreements (JOAs) with Medicare Administrative Contractors (MACs), including scheduling, agenda development, documentation, follow-up action tracking, and compliance with CMS JOA requirements.
• Manage the program meeting structure, including CMS status calls, internal leadership meetings, and cross-functional operational reviews; prepare agendas, capture minutes, and track decisions and action items to resolution.
• Own compliance tracking across program workstreams, maintaining visibility into contractual performance standards, deliverable deadlines, corrective action plans, and COR/CO correspondence; escalate issues to the PM with recommended courses of action.
• Manage complex systems and medical review workflow operations, ensuring staffing levels, review throughput, and operational processes remain aligned with contractual performance standards and CMS expectations.
• Interface with CMS on day-to-day operational matters within the APM’s assigned workstreams; maintain professional, responsive relationships with the Contracting Officer Representative (COR) and Contracting Officer (CO) as directed by the PM.
• Support contract transition activities, onboarding of new personnel, and special projects as assigned by the PM; contribute to continuous improvement initiatives across program operations.

Qualifications 

• Minimum 4 years of professional experience in healthcare program management, federal contracting, or a closely related operational field.
• Minimum 3 years of experience managing complex systems and medical review workflow operations, including demonstrated ability to track performance across multiple concurrent workstreams.
• Minimum 2 years of experience in Medicare Fee-for-Service (FFS) program operations, with working knowledge of Medicare coverage, payment policy, and claims processing.
• Master’s degree in Healthcare Administration, Public Administration, Business Administration, or a related field preferred. In lieu of a Master’s degree, a Bachelor’s degree plus a minimum of 3 additional years of directly relevant experience may be substituted.

Preferred Qualifications

• Prior experience as an operations manager, deputy director, or senior program administrator at a CMS medical review contractor.
• Working knowledge of federal contracting reporting requirements, Contracting Officer Representative (COR) and Contracting Officer (CO) relationship dynamics, and monthly status reporting cycles in a CMS contract environment.
• Direct experience coordinating Joint Operating Agreements (JOAs) with Medicare Administrative Contractors (MACs), including an understanding of data sharing protocols, referral workflows, and contractor coordination obligations under CMS policy.

*Commence’ headquarters are in Virginia Beach, VA, however we are open to remote candidates in the following states:   AZ, AR, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV* 

Work Environment/Physical Demands 

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch. 

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.  

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. 

Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system. 

The Business Analyst will support the design, development, and implementation a case management system for the Centers for Medicare & Medicaid Services. The BA will serve as the primary liaison between business stakeholders, technical teams, and program leadership to ensure requirements are accurately captured, validated, and implemented in alignment with CMS standards.  This role requires strong experience in healthcare systems, case management workflows, and data interoperability, along with the ability to operate in an Agile delivery environment. 

• Lead requirements gathering sessions with CMS stakeholders and end users  
• Translate business needs into functional and non-functional requirements  
• Develop and maintain user stories and use cases  
• Process flows  
• Ensure traceability from requirements through testing and deployment  
• Maintain documentation required for audits and reviews  
• Analyze and document end-to-end case management workflows 
• Define data requirements and mapping logic across systems  
• Collaborate with data engineers on data models and reporting needs 
• Participate in Agile ceremonies such as sprint planning, daily standups, sprint reviews and retrospectives  
• Maintain and prioritize the product backlog with the Product Owner  
• Support acceptance criteria definition and backlog grooming  
• Act as a liaison between CMS stakeholders, developers, and QA teams  
• Facilitate workshops, demos, and requirements walkthroughs  
• Prepare clear documentation and status updates for leadership  

Qualifications 

• Bachelor’s degree in business, healthcare, IT, or related field  
• 5+ years of Business Analyst experience (federal or healthcare preferred)  
• Experience supporting CMS or similar federal health programs  
• Strong knowledge of case management systems and workflows  
• Experience with Agile methodologies 
• Expertise with tools such as Jira, Confluence, Azure DevOps  
• Direct experience supporting CMS initiatives  

Preferred Qualifications 

• Experience with CMS programs or Medicaid/Medicare systems  
• Experience with healthcare data formats (CDA, HL7, FHIR) 
• Agile certifications (e.g., SAFe, Scrum) certifications 

We are seeking a board-certified physician to serve as Clinical Medical Director in support of CMS Healthcare Program. In this role, you will provide clinical leadership and medical expertise to support the federal independent dispute resolution (IDR) process ensuring that dispute resolution decisions are grounded in sound clinical standards, coding guidance, and medical necessity criteria. 

This is a high-impact, policy-adjacent role combining clinical expertise with federal health program operations. The Clinical Medical Director will work closely with program management, legal, and analytical staff to support accurate, compliant, and defensible dispute resolution outcomes. 

Key Responsibilities 

• Provide clinical oversight and medical subject matter expertise across program operations 
• Review and adjudicate complex medical necessity, coding, and billing disputes involving out-of-network claims 
• Develop and maintain clinical review protocols, decision frameworks, and quality standards 
• Serve as the clinical authority on provider billing practices, medical coding (CPT, ICD-10), and insurance coverage determinations 
• Advise program and legal staff on clinical aspects of IDR cases, including surprise billing policy interpretation 
• Support development and delivery of training for clinical reviewers and case management staff 
• Interface with CMS clinical policy staff as needed on program-level clinical questions 
• Ensure clinical decisions are consistent with current guidelines, CMS policy, and applicable law (No Surprises Act, ERISA, state surprise billing laws) 

Minimum Qualifications 

• M.D. or D.O. degree required; board-certified in a relevant specialty 
• Active, unrestricted medical license; multi-state licensure a plus 
• 5+ years of clinical practice experience post-residency 
• 3+ years in a medical director, utilization management, or independent medical review role 
• Strong working knowledge of CPT coding, medical billing, and insurance reimbursement processes 
• Familiarity with utilization management criteria (InterQual, MCG/Milliman) and clinical appeals 
• Experience with federal health programs (Medicare, Medicaid, or CHIP) preferred 
• Excellent written and verbal communication; ability to produce clear, defensible clinical rationale documentation 
• Must be eligible for CMS Public Trust (MBI) clearance 

Preferred Qualifications 

• Direct experience with surprise billing, IDR, IRO, or IME (Independent Medical Examination) programs 
• Background with CMS, health insurance exchange operations, or ACA regulatory environment 
• Peer review or Independent Review Organization (IRO) experience 
• Health law, compliance, or healthcare policy background (J.D. or MPH a plus) 

*Commence’ headquarters are in Virgina Beach, VA, however we are open to remote candidates in the following states:   AZ, AR, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV* 

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting accommodation, all applications must be submitted through our online application system.  

The Clinical Review Coordinator conducts all mandatory case review and quality assurance activities as stipulated by contracts and maintains the required timeliness and accuracy within the review process. The role is remote work, but you must reside in the Las Vegas, NV area.

• Maintains responsibility for assuring an efficient case review process through the production system.
• Identifies and corrects problem areas on a case-by-case and system-wide basis.
• Interprets and applies coverage and payment policies, standards of care, and utilization review criteria applicable to a specific      position. 
• Communicates with and supports physician reviewers by summarizing case facts, preparing case questions, and resolving physician input issues. 
• Informs Medicare beneficiaries, health care providers, and other partners of the activities and responsibilities of the Quality Improvement Organization (QIO). 
• Edits documentation for internal and external dissemination to beneficiaries, providers, and other medical personnel. 
• Protects the confidentiality of patient information through compliance with the Health Insurance Portability and Accountability Act (HIPAA) and the Health Information Technology for Economic and Clinical Health Act (HITECH). 
• Performs desktop medical reviews.
• Attends annual security awareness, rules of conduct, and conflict of interest training. 
• Performs other duties as assigned. 

Depending on departmental assignment, this position may also have some or all of the following duties:

• Acts as a neutral liaison for beneficiaries and their representatives.
• Navigates beneficiaries through the health care system.
• Provides education, advocacy, resource access, and targeted support to decrease the likelihood of readmission to acute inpatient care.
• Develops and maintains working relationships with community agencies.
• Assists beneficiaries with an understanding of their diagnoses.
• Informs beneficiaries and other interested parties of their rights and responsibilities as patients covered by the Medicare program. 
• Schedules staff for the Medicare Beneficiary Helpline during work hours.
• Collaborates with internal and external QIO staff on the development and implementation of health care improvement projects. 

Essential Knowledge:

Individuals must be detailed oriented and clinically knowledgeable of medical terminology.

Essential Education:

• Graduation from an accredited school of nursing and current unrestricted licensure as a Registered Nurse (RN) or Licensed Practical Nurse (LPN).
• License must be recognized in the jurisdiction(s) relevant to the work assigned. For example, for a federal contract the license must be issued by a body within the United States.
• A degree in a healthcare-related field with a professional clinical background and experience with Medicare QIO.
• Quality of care review experience or medical review experience in support of Medicare Administrative Contractor (MAC) or Recovery Audit Contractor (RAC) appeals. Experience performing pre- and post-pay claims reviews, and utilization reviews may also qualify. 
• Minimum of two to four years of experience in clinical decision-making relative to Medicare patients.
• This position requires notifying a Livanta HR Manager in writing within five calendar days if there is any status change or disciplinary proceeding relating to any of Employee’s licenses or certifications, including, but not limited to, (1) restrictions on an employee’s license or certification, (2) changes to the states in which Employee can practice (3) revocation or expiration of any license or certification, and (4) any potential or actual disciplinary action against Employee by a certifying or licensing body.

Essential Skills:

• Ability to organize and coordinate multiple simultaneous tasks in a team environment.
• Ability to follow complex written and oral instructions. 
• Ability to collect data, distinguish relevant material, and exercise sound judgment.
• Ability to apply problem-solving skills and maintain objectivity.
• Strong computer keyboarding skills. 
• Ability to work independently with minimal supervision.
• Ability to communicate accurately, consistently, timely, clearly, empathetically, respectfully, and effectively with beneficiaries,      representatives, and providers, both verbally and in writing. 

Organizational “Fit” Considerations:

Schedules may vary and may include weekend and holiday shifts. This position requires established, professional relationships with internal personnel at all levels within the company and with beneficiaries, representatives, providers, and other stakeholders.

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is an office/remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

This is a remote position. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.  

Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. 

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.

The Cloud Infrastructure Engineer (CIE) is responsible for designing, deploying, and maintaining secure cloud infrastructure while driving automation across development practices and operations. You will act as the lead administrator for AWS cloud infrastructure on our SaaS products, bridging infrastructure and product development to implement scalable architectures that improve response times and resolve operational bottlenecks on key initiatives. This role spans CI/CD pipeline management, infrastructure-as-code, systems administration across Windows Server and Linux environments, cloud migration, and observability. 

• Serve as a lead administrator for AWS cloud infrastructure on SaaS products, configuring and managing AWS services to align with AWS Well-Architected Framework.
• Design, implement, and maintain infrastructure using Terraform and AWS CloudFormation to automate provisioning, configuration, security, and environment consistency across development, staging, and production.
• Partner with software engineering to manage operating system configurations across Windows Server and Linux (AL/Ubuntu/RHEL), including security measures, firewall configurations, and system updates.
• Partner with data team to manage and automate underlying Databricks workspaces – networking, storage, compute provisioning and environment consistency.
• Partner with DevOps teams to support CI/CD pipelines using tools like GitLab CI, Jenkins, or Azure DevOps, ensuring frequent, reliable software releases and automated build, test, and deployment workflows. Set up and manage monitoring, logging, and alerting tools to ensure visibility into system performance, application health, and infrastructure stability.
• Ensure security best practices are integrated into the development lifecycle, including managing secrets, security monitoring, configuring firewalls, and ensuring compliance with standards like FISMA, ISO 27001, and HITRUST.
• Implement regional backup strategies and comprehensive disaster recovery plans to ensure business continuity across all environments.
• Monitor system performance, respond to incidents, and troubleshoot issues related to infrastructure, application performance, and deployment processes under tight time constraints.
• Work closely with operations, quality assurance, data, and software engineering teams to resolve bottlenecks, explain complex issue resolutions to client-facing teams, and ensure smooth cross-functional delivery.

Qualifications

• Bachelor’s degree in Computer Science, Information Systems, Information Technology, or a related field (or 10+ years of related experience). 
• 7+ years of experience in IT infrastructure (SysOps or DevOps).
• Strong proficiency in AWS, including hands-on experience configuring and deploying EC2, ECS, VPC, S3, RDS, Lambda, EMR, and serverless functions.
• Programming and scripting proficiency in Python, Bash, PowerShell, or Go, with the ability to automate tasks, customize pipelines, and build tooling.
• Hands-on experience with CI/CD tools (Jenkins, GitLab CI/CD, Azure DevOps) and version control systems (Git-based) for automating build and deployment workflows.
• Experience with containerization and orchestration for efficient deployment, scaling, and management of containerized applications.

Preferred Qualifications

• Active industry certifications (AWS Certified Security Specialist, AWS Certified SysOps/DevOps, Databricks Platform Administration).
• Excellent project management and communication skills: self-directed, capable of facilitating meetings, and comfortable working with customers and all levels of the organization.
• Experience in healthcare technology, federal agencies or regulated industries.
• Experience with data analytic architectures.
• Working knowledge of Atlassian, SaltStack, Ansible, N-Central, Microsoft SCCM, AWS Systems Manager.

*Commence’ headquarters are in Virginia Beach, VA, however we are open to remote candidates in the following states: AZ, AR, DE, FL, GA, IL, IN, KS, KY, MA, MD, MI, MS, MO, MT, NC, NE, NV, NY, OH, OK, PA, SC, TN, TX, VA, DC, WI, and WV*

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is an in-office position. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

Commence is an equal employment opportunity for employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. 

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.

The Customer Service Manager (CSM) oversees the SMRC’s provider-facing customer service operation, which serves as the primary point of contact for the hundreds of provider calls and written inquiries the program receives daily. The CSM manages the team responsible for handling these contacts, ensures all provider communications are addressed accurately and within contractually required response timeframes, and escalates unresolved or sensitive issues to the Project Manager. This role is the operational face of the SMRC to the Medicare provider community and directly affects provider trust, compliance rates, and the program’s overall reputation with CMS.

Essential Duties and Responsibilities 

• Manage the day-to-day operations of the SMRC provider customer service unit, ensuring the provider phone line is staffed and fully operational from 8:30 AM to 6:00 PM ET on all required business days without interruption.
• Oversee all provider inquiry response activities, including phone calls, written correspondence, and portal-based communications; ensure responses are accurate, professionally delivered, and completed within contractually required timeframes.
• Handle provider inquiries related to Additional Documentation Request (ADR) letters, medical review determinations, Discussion and Education (D&E) session scheduling, and Medicare appeals processes; ensure staff are trained and equipped to address each inquiry type accurately.
• Supervise, train, and performance-manage customer service staff, including scheduling to maintain full coverage during expanded operational hours; develop and maintain staff training materials on SMRC program requirements and Medicare provider communication standards.
• Identify, document, and escalate unresolved or complex provider issues to the Project Manager with recommended dispositions; maintain a log of escalated inquiries and track resolution through closure.
• Track and report on customer service performance metrics, including call volume, response timeliness, resolution rates, and service level compliance; provide regular reporting to the PM and flag SLA risks before they become contractual issues.
• Coordinate with the Medical Review Manager and clinical team to ensure customer service staff have current, accurate information on active review topics, ADR requirements, and program updates to communicate to providers.

Qualifications 

• Bachelor’s degree in Business, Healthcare Administration, Communications, or a related field required. In lieu of a degree, 4 additional years of directly related work experience may be substituted.
• Minimum 2 years of experience managing a customer service unit, including direct supervision of staff, scheduling, and performance accountability.
• Experience handling Medicare provider inquiries preferred; working knowledge of Medicare billing, claims, or coverage topics that providers commonly raise is a strong asset in this role.

Preferred Qualifications

• Prior customer service management experience at a CMS contractor, including a Medicare Administrative Contractor (MAC), BFCC-QIO, RAC, SMRC, or similar program with direct provider-facing responsibility.
• Experience managing call center or provider relations teams operating under strict Service Level Agreement (SLA) requirements, including documented accountability for response timeliness and quality metrics.
• Familiarity with Medicare provider communications standards, including ADR letter requirements, review determination notice procedures, Discussion and Education (D&E) processes, and the Medicare administrative appeal process through the ALJ level.

Work Environment/Physical Demands 

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. 

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.

The Data Solutions Architect will design and implement health data integration strategies across complex healthcare ecosystems. You’ll serve as the bridge between clinical stakeholders and engineering teams, translating business requirements into scalable technical architectures that enable seamless health data exchange. 

• Lead discovery sessions with clients and stakeholders to understand data needs, workflows, and system landscapes. 
• Define scalable ingestion and normalization pipelines for clinical, claims, and administrative data.
• Develop technical specifications, data flow diagrams, and integration roadmaps. 
• Implement and optimize data exchanges using HL7 v2, FHIR R4, C-CDA, X12 EDI, and other healthcare standards.
• Design FHIR-based APIs and ensure compliance with regulatory frameworks such as USCDI, ONC, and HIPAA.
• Evaluate build vs. buy decisions and recommend appropriate technologies.
• Collaborate with data teams to design performant data models for analytics and reporting.

Minimum Qualifications:

• B.S. in Computer Science, Systems Engineering, Management, or related or equivalent experience. 
• 5+ years of experience in healthcare data engineering, health IT, or a related technical field.
• Strong working knowledge of healthcare interoperability standards: HL7 v2, FHIR, C-CDA, or X12.
• Exposure to EHR platforms such as Epic or Cerner.
• Proficiency in at least one backend language (Python, Java, C#) and strong SQL/NoSQL skills.
• Excellent communication skills with the ability to lead technical discussions and document solutions clearly.

Work Environment/Physical Demands

The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This is a remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.

Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law. 

Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai. Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.