Healthcare operations platform for government and commercial payers
Acentra Health operates a healthcare claims and care-management platform serving Medicaid, Medicare, and commercial payers. The tech stack—Java, Spring Boot, Oracle, AWS, with active containerization (Docker/Kubernetes) and MLOps pipeline work—reflects an engineering org modernizing legacy claims systems via cloud migration while layering AI-driven assessment and eligibility logic. The healthcare department dominates hiring (101 roles), paired with steady engineering growth, signaling operational scaling across clinical case management and quality oversight.
Notable leadership hires: Program Director, Medical Director, Client Experience Director, Clinical Director
Acentra Health builds claims-processing, provider-credentialing, and care-management systems for state Medicaid programs, Medicare Advantage plans, and commercial insurers. The company operates across three core product areas: claims and encounter systems (processing transactions and utilization), provider solutions (enrollment, screening, credentialing), and clinical care models (assessment, case management, quality monitoring). With offices in the US, Canada, and India, Acentra runs a 1,000+ person operation split between clinical staff, engineers, data specialists, and operations teams. The platform integrates tightly with government systems (MMIS data warehouses, regulatory compliance frameworks) and is backed by Carlyle Group.
Java, Spring Boot, Angular, Oracle, AWS, Azure, PostgreSQL, MongoDB, and DynamoDB. The company is actively adopting Docker, Kubernetes, and RAG, with cloud migration to AWS underway.
Cloud migration to AWS, MLOps pipelines, MMIS data warehouse/lakehouse design, provider credentialing systems, needs-based eligibility determination engines, and clinical assessment platforms (PASRR, CAP).
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