Healthcare Fraud Shield Tech Stack

AI-powered fraud detection and payment integrity for healthcare payers

Software Development Chesterfield, MO 51–200 employees Founded 2011 Privately Held

Healthcare Fraud Shield detects and prevents fraud, waste, abuse, and billing errors for health plans using a hybrid AI and rules-based engine built on Microsoft infrastructure (SQL Server, .NET, Azure). The company is operationally small (51–200 employees) but security-focused: active projects span information security management, claims processing, and scoring workflows, while pain points center on fraudulent billing detection, vulnerability remediation, and HITRUST compliance. Hiring velocity is accelerating with mid and senior engineers, signaling capacity expansion in core detection logic.

Tech Stack 15 technologies

Core StackWindows Server VMware Hyper-V Ansible SQL Server C# .NET SQL Server Management Studio Azure Azure Entra ID Microsoft 365 Group Policy PowerShell CyberArk Git

What Healthcare Fraud Shield Is Building

◆Challenges

Fraudulent billing detection
Patching and vulnerability remediation
Compliance with hitrust csf
System reliability and security

▲Active Projects

Information security management program
Claim import implementations
Scoring workflow processes

Hiring Activity

Accelerating5 roles · 3 in 30d

Department

Engineering

Ops

Seniority

Mid

Senior

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About Healthcare Fraud Shield

Healthcare Fraud Shield detects and prevents fraud, waste, abuse, and billing errors (FWAE) in healthcare claims for payers. The platform combines AI detection with rules-based modules that operate on both pre-payment (claims verification before reimbursement) and post-payment (audit and recovery after payment). The company was founded in 2011 and operates from Chesterfield, Missouri. The technology stack is Microsoft-centric (SQL Server, .NET, Azure, Windows Server), with infrastructure automation via Ansible and identity management through Azure Entra ID and CyberArk. Core operational challenges include scaling fraudulent billing detection, maintaining security posture under compliance mandates (HITRUST CSF), and ensuring system reliability.

HeadquartersChesterfield, MO

Company Size51–200 employees

Founded2011

Hiring MarketsUnited States

Frequently Asked Questions

What tech stack does Healthcare Fraud Shield use?

Primarily Microsoft: SQL Server, .NET, C#, Azure, and Windows Server. Infrastructure runs on VMware and Hyper-V with Ansible automation, Azure Entra ID for identity, and CyberArk for secrets management.

Where is Healthcare Fraud Shield headquartered?

Chesterfield, Missouri. All current hiring is in the United States.