Senior Solution Architect

HealthEdge Software, Inc.; Northern (KY); Hybrid; USD 150,000 - 180,000; Full time

Job summary

HealthEdge Software, Inc. is seeking an accomplished Solution Architect to lead integration architecture for payer ecosystems, including Claims, Enrollment and Provider systems.

You will partner with HealthEdge Payor solutions and external vendors to deliver scalable enterprise integrations in a remote US setting. The role requires 12+ years in technology integrations, 7+ years in technical leadership, and strong communication.

Qualifications

• Bachelor’s degree or higher in business or technical field; 12+ years in technology integrations.
• 7+ years in technical leadership roles; experience mentoring teams.
• Deep Healthcare payor domain experience and integration of core admin platforms.
• Experience with onshore/offshore delivery models.
• Experience with HealthEdge products like HealthRules Payor or GuidingCare is a plus.
• Strong problem-solving and customer-focused communication.

Responsibilities

• 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

Skills

Solution architecture

Healthcare payer domain knowledge

AWS cloud services

Leadership / mentoring

Communication skills

Education

Bachelor's degree or higher in computer science or related field

Tools

SQL

RESTful Web Services

Java / Spring Boot

Web Services

CI/CD

Job description

Overview

HealthEdge® offers AI-powered operational infrastructure for health insurance companies, guaranteeing an enduring financial edge in an increasingly competitive market. We're experiencing strong market momentum, with a growing number of health plans choosing HealthEdge to modernize their operations and compete more effectively. As we expand, we're investing in the people who power that growth, making this a pivotal moment to join us and shape the future of healthcare technology. Learn more at HealthEdge.com.

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.

As a Solution Architect at UST HealthProof; you will be accountable for the following:

• 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

You bring:

• Architecting enterprise-wide software solutions
• 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
• 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
• Experience working in an onshore/offshore model is a must
• Experience working HealthEdge applications like HealthRules Payor or GuidingCare is a plus
• 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

Geographic Responsibility: Remote, US

Type of Employment: Full-time, permanent

Travel%: 25

FLSA Classification (USA Only): Exempt

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.

#LI-Remote

**The annual US base salary range for this position is $150,000 to $180,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will bedeterminedduring the interview process and is based on a combination of factors including, but not limited to,your skills, experience,qualificationsand education.