Job Summary

We are seeking an experienced Pega Lead Developer / Architect to lead the technical design, architecture, development, and end-to-end delivery of enterprise-grade Pega applications supporting health insurance and payer workflows.
The successful candidate will provide technical leadership to engineering teams, ensure adherence to Pega architectural standards and guardrails, and design integrations with enterprise healthcare and core administration systems.
The ideal candidate combines strong hands-on Pega development and architecture expertise with the ability to translate complex business and technical requirements into scalable, maintainable, secure, and high-performing case management solutions.

Key Responsibilities

Architecture & Solution Design

• Lead the architecture, technical design, development, and delivery of scalable, multi-tier applications using Pega Infinity.
• Translate business and technical requirements into robust Pega solution designs.
• Define reusable application components, integration patterns, data models, and case management structures.
• Provide technical direction throughout the application development lifecycle.

Technical Leadership & Governance

• Ensure solutions adhere to Pega best practices, guardrails, architectural standards, and compliance requirements.
• Lead technical and code reviews across development teams.
• Identify and address application performance, scalability, maintainability, and technical-debt concerns.
• Mentor developers and provide technical guidance on complex Pega implementations.
• Promote reusable design patterns and engineering standards across the solution.

Enterprise Integration

• Design and implement robust integrations between Pega and enterprise healthcare platforms, core administration systems, and external/legacy applications.
• Develop and support integrations using REST APIs, SOAP web services, Pega Connectors, Data Pages, and other appropriate Pega integration patterns.
• Ensure integrations are scalable, resilient, secure, and maintainable.

Case Management & Workflow Optimization

• Design and configure complex Pega case types and case management workflows.
• Implement and optimize stages and processes, flow rules, user interface rules, decision rules, exception-handling workflows, work queues, and intelligent routing.
• Optimize workflows to improve operational efficiency and application performance.

Cross-Functional Collaboration

• Collaborate closely with Business Analysts, Product Owners, Scrum Masters, Architects, Developers, and other stakeholders.
• Translate business and operational requirements into effective Pega technical solutions.
• Participate in solution-design discussions, sprint planning, technical reviews, and implementation activities.
• Clearly communicate technical designs, dependencies, risks, and recommendations to technical and non-technical stakeholders.

Required Qualifications

Experience

• 8+ years of overall IT experience.
• Minimum 5+ years of enterprise Pega application development experience, including experience functioning as a Pega Lead Developer and/or Senior System Architect.
• Demonstrated experience designing and delivering enterprise-scale Pega applications.
• Strong hands-on experience with Pega application architecture, development, integration, and case management.

Pega Certification

• Required: Pega Certified Senior System Architect (CSSA).
• Preferred: Pega Certified Lead System Architect (CLSA).

Pega Technical Skills

• Pega Infinity
• Pega application architecture
• Case Management
• Case Types, Stages, and Processes
• Flow and UI rules
• Decision rules
• Data Pages
• REST/SOAP integrations
• Connectors
• Exception handling
• Work queues and routing
• Performance optimization
• Pega guardrails and best practices
• Application debugging and troubleshooting
• Code and design reviews

Healthcare & Specialized Pega Experience

• Basic understanding of the healthcare/payer domain and health insurance business processes.
• Familiarity with Pega Healthcare frameworks.
• Hands-on experience or strong familiarity with Pega BIX (Business Intelligence Exchange) for enterprise data extraction.

Preferred Skills

• Experience working with large-scale enterprise healthcare or health insurance applications.
• Experience integrating Pega with healthcare core administration and legacy platforms.
• Strong understanding of enterprise integration and API design patterns.
• Experience working in Agile/Scrum delivery environments.
• Ability to mentor Pega developers and provide technical leadership across distributed teams.
• Strong analytical, troubleshooting, and problem-solving skills.
• Effective written and verbal communication skills.

Candidate Profile

The ideal candidate is a hands-on Pega technical leader who can operate across both architecture and implementation. The individual should be comfortable moving between solution design, Pega configuration and development, integration design, troubleshooting, code reviews, technical governance, and mentoring engineering teams.
The role requires someone who can take complex healthcare business requirements and convert them into well-architected Pega case management solutions while maintaining Pega engineering standards and guardrails.