Facets Solution Architect SME

We are seeking a highly experienced Facets Solution Architect SME to provide architectural leadership for a large-scale Facets implementation within the healthcare payer environment. This role will be responsible for defining end-to-end solution design, integrations, and technical standards to support CMS program requirements, including Medicare Advantage (MA) and Medicaid.

Key Responsibilities:

• Lead the architectural design and implementation of the Facets platform across the organization
• Define and maintain solution architecture, technical standards, and best practices
• Design and oversee system integrations between Facets and third-party technologies (ETLs, APIs, and other enterprise systems)
• Provide subject matter expertise on Facets data structures, infrastructure, and system compatibility
• Design and support environment strategy, including setup and data movement across environments
• Translate complex business and regulatory requirements into scalable, compliant system solutions
• Collaborate with business, technical, and vendor teams to ensure alignment across all workstreams
• Identify and mitigate architectural risks, ensuring system performance, scalability, and stability
• Support data migration and system transformation efforts as part of the Facets implementation
• Maintain documentation related to architecture, integrations, and system configurations

Requirements

Required Qualifications:

• Minimum of 10 years of hands-on experience with the Facets platform
• At least 3 years of experience working with CMS work products, including Medicare Advantage (MA) or Medicaid
• Deep understanding of Facets environments, including setup and data movement across environments
• Experience working with Facets version 25.1 or newer
• In-depth knowledge of Facets data infrastructure, architecture, and system compatibility
• Proven experience designing and implementing integrations with third-party technologies (ETLs, APIs, etc.)
• Strong understanding of healthcare payer operations and claims processing workflows
• Excellent communication skills, with the ability to lead and influence stakeholders at all levels