Payer Systems – Integration Architect

This is a fully remote position, open to applicants in Washington.

📋 Description

• Act as MCG’s leading subject matter expert and escalation authority regarding payer workflows, interoperability, integration architecture, and healthcare data flows throughout customer implementations and internal projects.

• Lead intricate workflow discovery and implementation advisory engagements to outline integration strategies, clarify operational requirements, and guide solution design in varied payer environments.

• Provide guidance to implementation teams and customers on how MCG solutions fit into complex payer operational and technical ecosystems.

• Identify and address highly complex risks, gaps, dependencies, and implementation challenges related to workflows, interoperability, and integration, recommending scalable mitigation strategies and alternative solutions when standard options fall short.

• Collaborate cross-functionally with Product, Engineering, Implementation, Sales, and customer stakeholders to synchronize solution design, integration strategy, technical dependencies, and execution of implementations.

• Simplify complex operational and technical concepts into clear, actionable advice for technical teams, business stakeholders, and customers.

• Facilitate working sessions with internal teams and customers to ensure alignment on workflows, integration points, data dependencies, interoperability considerations, and implementation strategies.

• Develop and enhance scalable implementation frameworks, standards, reusable assets, workflow models, and best practices.

• Examine implementation trends and recurring workflow or interoperability challenges to pinpoint opportunities for process enhancement, scalability, and operational efficiency.

• Offer expert consultation and real-time guidance on workflows and integration during customer engagements.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, Business, or a related field, or an equivalent combination of education and experience.

• A minimum of 8 years of experience with health plan (payer) systems, workflows, operations, and healthcare integrations.

• Proven experience in leading or advising on complex healthcare implementations, workflow transformations, or integration initiatives within payer settings.

• Strong grasp of end-to-end healthcare workflows, particularly in payer operational environments.

• Demonstrated expertise in healthcare interoperability, system integrations, and data flows across various platforms and technologies, including APIs, HL7, FHIR, or similar standards.

• Established ability to analyze, interpret, and convert business, operational, and technical requirements into scalable implementation guidance and solution strategies.

• Experience navigating highly complex or ambiguous payer operational and integration environments and formulating effective solution strategies.

• Background in collaborating cross-functionally with technical, operational, product, and business stakeholders in matrixed environments.

• Proven ability to diagnose intricate workflow and integration issues and recommend effective, scalable solutions.

• Experience influencing technical and operational decisions without direct authority.

• Excellent communication skills, including the capability to engage effectively with both technical and non-technical audiences.

• Experience leading customer-facing discussions regarding technical workflows, interoperability, and implementation strategies.

🏝️ Benefits

• 💻 Remote work

• ✈️ Travel is expected 3-4 times per year for company-sponsored events

• 🩺 Medical, dental, vision, life, and disability insurance

• 📈 401K retirement plan; flexible spending and health savings account

• 🏝️ 15 days of paid time off + additional front-loaded personal days

• 🏖️ 14 company-recognized holidays + paid volunteer days

• 👶 Up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave

• 🌈 LGBTQ+ Health Services

• 🐶 Pet insurance