Payer Systems – Integration Architect

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🕒 vor 25 Tagen

☕ Washington – Remote

☕ Washington – Remote

💵 $130.000 - $182.000 / Jahr

⏰ Vollzeit

🟠 Senior

🔴 Experte

🏛️ Architekt

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MCG Health

WebsiteLinkedInAlle Stellen

201 - 500 Mitarbeiter

⚕️ Krankenversicherung

☁️ SaaS

🏢 Unternehmen

Healthcare Insurance • SaaS • Enterprise

MCG Health ist ein Unternehmen, das evidenzbasierte klinische Entscheidungsunterstützung und Care-Management-Lösungen für Gesundheitsorganisationen bereitstellt. Sie bieten Software und Dienstleistungen an, die Zahlern, Anbietern und Patienten helfen, fundierte und effektive Versorgungsentscheidungen zu treffen. MCG Health arbeitet mit staatlichen Gesundheitsbehörden, Anbieternetzwerken und Softwareanbietern im Gesundheitswesen zusammen, um ihre Richtlinien in klinische Arbeitsabläufe und das Nutzungsmanagement zu integrieren. Ihre Lösungen sind darauf ausgelegt, die Patientenergebnisse zu verbessern und die Koordination der Versorgung in verschiedenen Gesundheitseinrichtungen zu vereinfachen.

Beschreibung

• Serve as MCG’s principal subject matter expert and escalation authority for payer workflows, interoperability, integration architecture, and healthcare data flows across customer implementations and internal initiatives • Lead complex workflow discovery and implementation advisory engagements to define integration strategies, clarify operational requirements, and guide solution design within diverse payer environments • Advise implementation teams and customers on how MCG solutions integrate into complex payer operational and technical ecosystems • Identify and resolve highly complex workflow, interoperability, and integration risks, gaps, dependencies, and implementation challenges, recommending scalable mitigation strategies and alternative approaches where standard solutions are insufficient • Partner cross-functionally with Product, Engineering, Implementation, Sales, and customer stakeholders to align solution design, integration strategy, technical dependencies, and implementation execution • Translate complex operational and technical concepts into clear, actionable guidance for technical teams, business stakeholders, and customers • Facilitate working sessions with internal teams and customers to align on workflows, integration points, data dependencies, interoperability considerations, and implementation approaches • Establish and evolve scalable implementation frameworks, standards, reusable assets, workflow models, and best practices • Analyze implementation trends and recurring workflow or interoperability challenges to identify opportunities for process improvement, scalability, and operational efficiency • Provide expert consultation and real-time workflow and integration guidance during customer engagements

🎯 Anforderungen

• Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, Business, or a related field, or equivalent combination of education and experience • At least 8 years of experience working with health plan (payer) systems, workflows, operations, and healthcare integrations • Demonstrated experience leading or advising complex healthcare implementations, workflow transformations, or integration initiatives within payer environments • Strong understanding of end-to-end healthcare workflows, particularly within payer operational settings • Demonstrated expertise with healthcare interoperability, system integrations, and data flows across multiple platforms and technologies, including APIs, HL7, FHIR, or related standards • Proven ability to analyze, interpret, and translate business, operational, and technical requirements into scalable implementation guidance and solution approaches • Demonstrated experience navigating highly complex or ambiguous payer operational and integration environments and developing effective solution strategies • Experience working cross-functionally with technical, operational, product, and business stakeholders in matrixed environments • Demonstrated ability to diagnose highly complex workflow and integration issues and recommend effective, scalable solutions • Experience influencing technical and operational decisions without direct authority • Strong communication skills, including the ability to engage effectively with both technical and non-technical audiences • Experience facilitating customer-facing discussions involving technical workflows, interoperability, and implementation strategy

🏖️ Vorteile

• 💻 Remote work • ✈️ Travel 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