Technical Lead, IT​/Tech, Cybersecurity

At Commence, we’re the start of a new age of data‑centric transformation, elevating health outcomes and powering better, more efficient program and patient health. We combine quality data‑driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.

With human‑centered, healthcare‑relevant, and value‑based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.

The Technical Lead serves as the lead architect and technical authority for integration, and delivery. This individual owns the technical approach from MVP through full deployment, ensuring the solution meets VA's complex SaaS, security, interoperability, and performance requirements. The Technical Lead will work closely with personnel on data ingest, rules engine configuration, and AI/ML capabilities, and serve as the primary technical interface to VA OIT and IVC technical SME.

• Lead end-to-end technical design, architecture, and implementation of the SaaS platform
• Oversee delivery of MVP within 120 days of award — production‑ready, FedRAMP High compliant, VA‑authorized
• Direct integration with VA systems: eligibility, referral/authorization, financial, provider databases, and external sources
• Own system architecture documentation, API design, data dictionary, and integration specifications
• Lead FedRAMP High ATO process, VA Implementation Diagram (VAID) development, and 3
  
  PAO coordination
• Drive rules engine configuration and governance: CMS NCCI/MUE/MPPR edits, fee schedule validations, VA payment policies
• Oversee AI/ML pattern recognition model development, xAI output design, and HITL feedback loop implementation
• Ensure compliance with VA cybersecurity controls:
  Zero Trust, FICAM, PIV authentication, NIST SP 800-53, IPv6, TIC 3.0
• Manage technical performance against QASP SLAs: =99.9% uptime, =2 sec response time, =98% rule execution accuracy
• Lead technical coordination on healthcare data normalization, claims processing logic, and coding compliance
• Oversee Business Continuity/DR planning, bypass mechanism design, and Root Cause Analysis reporting

• 10+ years of federal IT solution architecture and technical leadership experience — delivery within VA OIT, DHA, CMS, or comparable federal health agency strongly preferred
• Demonstrated experience architecting and delivering FedRAMP High cloud SaaS solutions and navigating VA or federal ATO processes
• Strong background in data pipeline design, data normalization, and high‑throughput processing at enterprise scale (millions of transactions)
• Working knowledge of healthcare claims data standards: 837P/I/D, NCPDP, 835 — sufficient to direct technical design and integration; deep billing expertise
• Familiarity with reimbursement frameworks (NCCI, MUE, PPS systems, fee schedules) sufficient to oversee rules engine configuration and governance
• Experience with AI/ML model development and deployment in analytics or compliance environments
• Proficiency with HL7, FHIR, X12 EDI standards and federal interoperability frameworks
• Strong command of VA/federal security requirements:
  Zero Trust, FICAM, PIV authentication, NIST SP 800-53, TIC 3.0, VA Handbook 6500/6517
• Ability to obtain and maintain Public Trust (Tier 2 / Moderate Risk) background investigation

• Prior VA OIT technical delivery — direct experience with VA systems integration (VistA, eCMS, MPI, VA Profile, IVC systems)
• Experience delivering payment integrity, FWA detection, or audit analytics platforms in a federal health environment
• Background in VA Community Care program operations or IVC payment workflows
• Experience with explainable AI (xAI) outputs in federal audit or compliance workflows
• CISSP, CISM, or equivalent security certifications preferred