Solution Architect

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CareMetx, LLC

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501 - 1000 Mitarbeiter

⚕️ Krankenversicherung

Healthcare Insurance

CareMetx, LLC ist ein Unternehmen, das sich auf die Verbesserung des Zugangs von Patienten zu Spezialtherapeutika durch die Verkürzung der Zeit bis zur Therapie spezialisiert hat. Sie bieten einen digitalen Hub-Dienst an, der emotionale, finanzielle und klinische Hürden für Patienten adressiert, mit dem Ziel, die Behandlungszeitpläne sowie die fortlaufende Nutzung von Therapien zu verbessern. CareMetx bietet umfassende Unterstützung und nutzt fortschrittliche Technologie, um Lösungen für Zugang, Bezahlbarkeit und Therapietreue zu bieten, was sowohl Patienten als auch Gesundheitsdienstleistern zugutekommt. Sie arbeiten mit Spezial-Pharmamarken, Gesundheitsdienstleistern und Krankenhaus-Systemen zusammen, um die Patientenergebnisse zu verbessern.

Beschreibung

• 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 • Travel may be required for client-related meetings • Other duties as deemed required

🎯 Anforderungen

• 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, with the aptitude to coach and navigate other internal stakeholders on best practices. • 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.

🏖️ Vorteile

• Must be flexible on schedule and hours • Overtime may be required from time to time • Must be willing to work weekends if required to meet company demands