Senior Solution Architect

atHealthEdgeRemoteUS flagUnited StatesFull-timeSolutions EngineerSenior$150k – $180k/year

Posted 5 days ago

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

📋 Description

• Design solutions for customer delivery initiatives

• Establish and execute enterprise integration strategies for UST HealthProof’s core-admin ecosystem

• Connect claims, enrollment, provider, authorization, and payment systems

• Maintain adherence to architecture governance standards

• Collaborate with health plan customers, external vendors, partners, and internal product teams

• Discover opportunities for automation, performance enhancements, and emerging technologies

• Ensure the repeatability and reusability of integration designs, processes, and code

• Lead discussions on technical architecture and solution development

• Guide and mentor technical staff

• Assist in the implementation of technical systems

• Operate across various time zones in a remote work setting

• Travel as necessary based on company requirements


⛳️ Requirements

• Bachelor’s degree or higher in a business or technical discipline

• Over 12 years of relevant experience in technology integrations

• More than 7 years of experience in technical leadership positions

• Extensive experience in the healthcare payer sector, particularly in core-admin platform integration

• Proven track record in architecting enterprise-level software solutions

• Knowledgeable in Medicare Advantage, Medicaid, or Commercial healthcare insurance

• Experience integrating healthcare partner ecosystems, including HealthEdge, TriZetto, NASCO, Advantasure, or Change Healthcare

• Familiarity with EDI healthcare transactions: 837, 834, 835, 270/271, 276/277, and 278

• Experience with healthcare core administration platforms for claims adjudication and enrollment

• Proficient in AWS cloud environments and AWS cloud services

• Understanding of Agile methodologies and tools

• Knowledge of SQL, Core Java, Spring Boot, Web Services, XML, JSON, Middleware, and CI/CD pipeline practices

• Experience in people management, mentoring, and fostering inclusive and diverse teams

• Background in working within an onshore/offshore model

• Comfortable in a wholly remote environment that relies on asynchronous written communication and collaboration

• Familiarity with HealthEdge applications such as HealthRules Payor or GuidingCare is an advantage

• Ability to work across multiple time zones

• Capable of passing a pre-employment criminal background check


🏝️ Benefits

• Fully remote work environment

• Travel opportunities with approximately 25% travel required

• Reasonable accommodations available for individuals with disabilities

• Commitment to equal opportunity and workforce diversity

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