This is a remote position.

Senior Automation Engineer (AWS) — Cloud Anesthesia Billing

Location: Fully remote (US ONLY) Employment type: Full-time Compensation: $120,000+ salary, based on experience

About the role

We’re a cloud-based anesthesia billing and revenue cycle management (RCM) practice built on AWS, and we’re looking for a senior automation engineer to help us scale. You’ll design, build, and maintain the automated workflows that move claims, charge data, and reconciliation processes through our systems reliably and securely — reducing manual touch points across billing operations while keeping us compliant with HIPAA and payer requirements.

This is a hands-on, high-autonomy role. You’ll work closely with billing operations, data, and leadership to identify where manual work is slowing the practice down, then design cloud-native automation to fix it for good.

What you’ll do

• Design and build serverless automation pipelines (Lambda, Step Functions, EventBridge, SQS/SNS) that handle claim submission, charge entry validation, remittance processing, and other RCM workflows end to end.

• Integrate with practice management, EHR, clearinghouse, and payer systems — including EDI 837/835 claim and remittance file exchange, claim scrubbing, and eligibility checks.

• Understand infrastructure as code (Terraform or CloudFormation) for the automation layer, and build/maintain CI/CD pipelines for reliable, auditable deployments.

• Write and optimize Python for data transformation, validation, and orchestration tasks; work directly against PostgreSQL/RDS for data quality, reconciliation, and duplicate/error detection.

• Monitor and alert on pipeline health (CloudWatch, or equivalent), and build in retries, dead-letter handling, and audit logging so failures are caught before they become billing problems.

• Apply AWS security best practices for handling PHI — IAM least privilege, encryption at rest/in transit, VPC design, NACLs/security groups, and audit trails — in partnership with compliance.

• Document workflows and runbook so automation is maintainable by the team, not just the person who built it.

• Partner with billing operations and leadership to prioritize automation opportunities based on volume, error rate, and revenue impact.

• Automate document retrieval and data extraction from payer portals, EOBs/remittances, and other unstructured or semi-structured sources, using AI-based scraping and extraction tools (LLM document parsing, OCR, intelligent web/portal automation) in place of manual pulls.

• Map and model existing billing/RCM processes end to end, identify bottlenecks and manual hand-offs, and redesign workflows for throughput, accuracy, and lower cost per claim — using standard process modeling techniques (BPMN or equivalent) to communicate current-state vs. future-state.

• Use AI coding tools (e.g., Claude Code, GitHub Copilot, or similar) as a standard part of your own development workflow to accelerate build, testing, and delivery — while maintaining code quality, security review, and documentation standards.

Benefits

Compensation & benefits

• $120,000+, based on experience.

• Fully remote, but must live in the US.

• Benefits: health/dental/vision, PTO, 401(k), STD, LTD, Accident, Life, Critical Illness.