Case 01
$500M/year in healthcare payments on AWS serverless
- Sector:
- Government / Healthcare
- Engagement:
- 10 years, full ownership
- Scale:
- Multi-state exchange
The challenge
State-based healthcare insurance exchanges process hundreds of millions of dollars in payments annually with regulatory enrollment deadlines that cannot move. Transitioning off the federal exchange platform required production-grade AWS infrastructure that did not yet exist at this scale of insurance commerce.
The approach
Architected and operated AWS serverless infrastructure across multiple state exchanges. Led the migration that holds the record for the fastest state-based exchange transition off FedHub. Built and maintained 300+ automated jobs for HIPAA- and SOC 2-compliant reporting. Led SOC 2 certification and annual audit processes across state clients.
The result
- → $500M+ per year in payments processed on AWS
- → Fastest state-based exchange off FedHub on record
- → $1M annual contract expansion from data warehouse build
- → $2M annual contract expansion from automation framework
- → Two AWS City on a Cloud awards earned for this work (2016, 2018)