Solution Architect

🕒 May 22

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CareMetx, LLC

WebsiteLinkedInAll Job Openings

501 - 1000 employees

⚕️ Healthcare Insurance

Healthcare Insurance

CareMetx, LLC is a company that specializes in transforming patient access to specialty therapeutics by reducing the time to therapy. They offer a digital Hub service that addresses emotional, financial, and clinical barriers for patients, aiming to improve treatment timelines and ongoing therapy use. CareMetx provides high-touch support and utilizes advanced technology to offer solutions for access, affordability, and adherence, benefiting both patients and healthcare providers. They partner with specialty pharmaceutical brands, healthcare providers, and hospital systems to enhance patient outcomes.

📋 Description

• Accountable for defining the technical program solution, timeline and scope for standard CMTX offerings to align with client goals and CMTX organizational strategy • Responsible for partnering with Product Management and Commercial team as appropriate to coordinate required cost/pricing inputs for pricing model during opportunity deal stage to ensure costs submitted consider solution scope, complexity, and staffing requirements • Map client requirements to standard hub operational capabilities, technology platforms, and workflows • Design end-to-end operational workflows covering all medical, pharmacy, and adherence services, including but not limited to: patient enrollment, benefits verification, prior authorization, copay assistance, and ongoing patient engagement • Partner with Product Management to identify gaps between client expectations and standard CMTX offerings; document assumptions, constraints, out-of-scope items, and feasibility risks • Partner with Product Management to support proposal development, client presentations, and early solution demonstrations • Lead requirements intake and workflow design sessions with internal operational, technical, and compliance stakeholders • Produce and maintain configuration documents, workflow diagrams, etc. required for program configuration • Facilitate program design reviews and obtain internal and external review and signature for Program Rules Document • Serve as solution SME and consultant throughout Sales and completion of Implementation • Supports client escalations during implementation, as it relates to solution and scope management

🎯 Requirements

• Minimum of seven (7) years experience managing software development and/or IT technology projects, or equivalent • Minimum of seven (7) years experience in pharmaceutical, medical device, biotech or healthcare hub services industries • Bachelor’s degree in a business-related field or technology • Experience in healthcare operations, patient support hubs, reimbursement services, or healthcare solution design • Strong knowledge of hub, pharmacy, and/or adherence services • Systems thinking mindset with the ability to see how products, services, and other attributes fit together and impact the overall design • Ability to translate client and patient needs into structured operational and system requirements • Experience documenting workflows, business requirements, and system configurations • Strong stakeholder facilitation and cross-functional collaboration skills • Experience supporting RFPs, proposals, or client solution demos preferred • Ability to communicate at all levels with clarity and precision, both written and verbally

🏖️ Benefits

• Flexible schedule • Health insurance • Paid time off • Professional development opportunities • Remote work options