Senior Solution Architect

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $150k - $180k / year

⏰ Full Time

🟠 Senior

💻 Solutions Engineer

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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HealthEdge

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2005

🏥 Healthcare

💼 Consulting

⚕️ Healthcare Insurance

Healthcare • Consulting • Healthcare Insurance

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.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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