Senior Solution Architect

🕒 il y a 16 jours

🇺🇸 États-Unis – Télétravail

💵 $150 000 - $180 000 / an

⏰ Temps Plein

🟠 Senior

💻 Ingénieur Solutions

🦅 Parrain de Visa H1B

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🗣️🇺🇸🇬🇧 Anglais requis

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HealthEdge

1001 - 5000 employés

Fondée en 2005

🏥 Santé

💼 Conseil

⚕️ Assurance santé

Healthcare • Consulting • Healthcare Insurance

HealthEdge est une entreprise spécialisée dans la fourniture de solutions avancées pour les gestionnaires de soins de santé grâce à sa suite HealthRules Solutions. Cette suite comprend un système complet de traitement administratif des réclamations numériques, des solutions de gestion des workflows de soins et des solutions d'intégrité des paiements, visant à améliorer l'efficacité opérationnelle et la qualité des soins pour les régimes de santé. En tirant parti de la technologie intégrée et de l'automatisation, HealthEdge aide les régimes de santé à éliminer les silos de données, à accroître la précision des paiements et à améliorer l'expérience des membres, transformant ainsi le paysage des soins de santé pour une meilleure collaboration et accessibilité.

Description

• Architect solutions for customer delivery programs • Define and implement enterprise integration solutions for UST HealthProof’s core-admin ecosystem • Integrate claims, enrollment, provider, authorization, and payment systems • Ensure compliance with architecture governance • Collaborate with health plan customers, third-party vendors, partners, and internal product teams • Identify opportunities for automation, performance improvements, and emerging technologies • Ensure repeatability and reusability of integration designs, processes, and code • Lead technical architecture conversations and solution discussions • Mentor technical staff • Support technical system implementations • Work across multiple time zones in a remote work environment • Travel as required by company needs

🎯 Exigences

• Bachelor’s degree or higher in business or technical field • 12+ years of relevant work experience in technology integrations • 7+ years of work experience in technical leadership roles • Deep experience in the healthcare payer domain, especially integrating core-admin platforms • Experience architecting enterprise-wide software solutions • Knowledge of Medicare Advantage, Medicaid, or Commercial healthcare insurance • Experience integrating healthcare partner ecosystems, including HealthEdge, TriZetto, NASCO, Advantasure, or Change Healthcare • Experience with EDI healthcare transactions: 837, 834, 835, 270/271, 276/277, and 278 • Experience with healthcare core administration platforms for claims adjudication and enrollment • Experience working in AWS cloud environments and AWS cloud services • Awareness of Agile tools and methodologies • Understanding of SQL, Core Java, Spring Boot, Web Services, XML, JSON, Middleware, and CI/CD pipeline philosophy • Experience with people management, mentorship, and creating inclusive and diverse teams • Experience working in an onshore/offshore model • Comfortable in a fully remote environment relying on asynchronous written collaboration and communication • Experience with HealthEdge applications such as HealthRules Payor or GuidingCare is a plus • Ability to work across multiple time zones • Ability to pass a pre-employment criminal background check

🏖️ Avantages

• Fully remote work environment • Travel opportunities/25% travel • Reasonable accommodations for individuals with disabilities • Equal opportunity and workforce diversity commitment

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