Experience supporting large-scale State Government Health and Human Services (HHS) applications, specifically Medicaid programs and Medicaid enterprise environments, including complex government business rules, integrated applications, data exchanges, regulatory requirements, and coordination across state, federal, and vendor stakeholders. Cloud-native architecture, enterprise architecture, software development lifecycle, microservices, NoSQL databases, cloud technologies, modern application development, Agile/Scrum, project management, implementation management, risk and dependency management, technical delivery management.