Solution Architect

15 hours ago

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HealthEdge

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Healthcare Insurance • SaaS • Fintech

HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.

1001 - 5000 employees

Founded 2005

⚕️ Healthcare Insurance

☁️ SaaS

💳 Fintech

📋 Description

• Solution technical architecture for customer delivery programs • Integrate Claims, Enrollment, Provider, Authorization, Payment systems • Ensure architecture governance compliance • Collaborate with customer, partners, and internal product teams • Identify opportunities for automation, performance improvements and emerging technologies • Ensure repeatability and reusability of integration design, process, and code • Leading technical architectural conversations and solution discussions with customer and internal teams • Mentor technical staff

🎯 Requirements

• Bachelor’s degree or higher in business or technical field • 10+ years of relevant work experience in technology integrations • Knowledgeable in Healthcare insurance domain (Medicare Advantage / Medicaid or Commercial) • Integrated EDI healthcare transactions (837, 834, 835, 270/271, 276/277, 278) with healthcare core administration platforms (Claims adjudication/enrollment) • Working in AWS cloud environment and experience with AWS cloud services • Experience working in an onshore/offshore model is a must • Awareness to Agile tools and methodologies • Understanding of SQL, Core Java, Spring Boot, Web Services, XML, JSON, SQL, Middleware, and CI/CD pipeline philosophy • Communication skills with peers, customers, and partners including the ability to convey technical information effectively

🏖️ Benefits

• HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. • Inclusive workplace. • Opportunity to belong, make an impact, and deliver excellent software and services.