United States onlyOverview
About HealthEdge HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gives health plans unmatched capabilities to deliver a future of frictionless and cost-effective healthcare experiences. For more information, visit www.HealthEdge.com.
Position Overview:
We are searching for a highly skilled and experienced Solution Architect to join our growing team. The Solution Architect will help in solutioning and architecting the overall Integration needs required to implement UST HealthProof’s core-admin ecosystem for our Health plan customers. The Solution architect will work with the Health Plan Customers, third party vendors, and internal teams to define and implement enterprise solutions and support technical system implementations. Candidate should have deep experience in HealthCare Payor domain especially with integrating Core admin platforms (Claims adjudication, enrollment, provider platforms) and excellent technical and communication skills and ability to engage as part of a team working both physically together and virtually. You should be an excellent problem solver who’s able to grasp customer needs and brainstorm ways to fulfill them.
Your Impact:
- 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
This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.
What You Bring:
- 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)
- Exposure to healthcare eco-systems from partners HealthEdge, TriZetto , NASCO, Advantasure or Change Healthcare and experience in technical integration of these eco-systems
- Experience with people management, mentorship, and creating inclusive and diverse teams
- 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
- Experience working HealthEdge applications like HealthRules Payor or GuidingCare is a plus
- Awareness to Agile tools and methodologies
- Understanding of SQL, Core Java, Spring Boot, Web Services, XML, JSON, SQL, Middleware, and CI/CD pipeline philosophy
- Commitment to Customer and quality
- Communication skills with peers, customers, and partners including the ability to convey technical information effectively
- Thrives in a dynamic, sometimes ambiguous environment and has a knack for quickly prioritizing needs and creating scalable processes and structure
- Affinity for leading and navigating change management
- Comfortable in a fully remote environment that relies heavily on asynchronous written collaboration and communication
HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.
Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the USType of Employment: Full-time, permanent
Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:
- The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
- Work across multiple time zones in a hybrid or remote work environment.
- Long periods of time sitting and/or standing in front of a computer using video technology.
- May require travel dependent on company needs.
The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.
HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.
**The annual US base salary range for this position is $140,000 to $160,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.
