Solution Architect/Engineer – Healthcare Payer Systems

Blutic; Northern (KY); Hybrid; USD 120,000 - 170,000; Full time

Job summary

Blutic is seeking an experienced Solution Architect/Engineer for healthcare payer platforms to lead architecture, design, and implementation of Zelis Payment Integrity and TPA projects.

You will collaborate with business and IT stakeholders, design end-to-end data integrations, and guide migrations while ensuring HIPAA/HITRUST compliance and scalable solutions in a remote, Pacific Time-focused project.

Qualifications

• 5+ years of experience as a Solution Architect or Engineer in a healthcare payer environment.
• Strong understanding of claims adjudication, provider payments, and healthcare data management.
• Experience with the Zelis Payment Integrity solution and TPA implementation is highly preferred.
• Experience with payer platforms such as Trizetto Facets.
• Proficiency in cloud platforms and data pipelines.
• Excellent problem-solving, communication, and leadership skills.
• Experience with Agile and DevOps methodologies.

Responsibilities

• Lead solution architecture, design, and implementation for Zelis Payment Integrity and TPA platform projects.
• Collaborate with business and IT stakeholders to define technical strategies that align with organizational goals.
• Design integration solutions to enable efficient data exchange between payer platforms, claims processing systems, and external vendors.
• Provide technical leadership for system migrations, enhancements, and data transformations.
• Develop high-level and detailed solution designs, including system architecture diagrams, workflows, and API integrations.
• Ensure compliance with HIPAA, HITRUST, and other healthcare data security standards.
• Engage with vendors and third-party solution providers to evaluate and implement scalable solutions.
• Troubleshoot complex system issues and drive resolution across multi-functional teams.

Skills

Payer domain

Solution architecture

Cloud platforms

SQL

Data warehousing

API integrations

HIPAA compliance

Leadership

Zelis Payment Integrity

Trizetto Facets

Tools

Zelis Payment Integrity

Trizetto Facets

Job description

Solution Architect/Engineer – Healthcare Payer Systems

Blutic is looking for an experienced Solution Architect/Engineer with 5+ years of experience as a Solution Architect or Engineer in a healthcare payer environment to take a lead role in the 2025 project portfolio. This position will drive the implementation of the Zelis Payment Integrity solution and a Third-Party Administrator (TPA).

The ideal candidate will have deep expertise in payer operations, claims processing, provider payments, and healthcare data integration and lead solution architecture, design, and implementation for Zelis Payment Integrity and TPA platform projects.

This is a 100% remote opportunity with 8-9 months project engagement with possibility of extension. The candidate should be willing to work in the Pacific time zone?

Job Responsibilities:

Lead solution architecture, design, and implementation for Zelis Payment Integrity and TPA platform projects.

Collaborate with business and IT stakeholders to define technical strategies that align with organizational goals.

Design integration solutions to enable efficient data exchange between payer platforms, claims processing systems, and external vendors.

Provide technical leadership for system migrations, enhancements, and data transformations.

Develop high-level and detailed solution designs, including system architecture diagrams, workflows, and API integrations.

Ensure compliance with HIPAA, HITRUST, and other healthcare data security standards.

Engage with vendors and third-party solution providers to evaluate and implement scalable solutions.

Troubleshoot complex system issues and drive resolution across multi-functional teams.

Qualifications & Skills:

5+ years of experience as a Solution Architect or Engineer in a healthcare payer environment.

Strong understanding of claims adjudication, provider payments, and healthcare data management.

Experience with the Zelis Payment Integrity solution and TPA implementation is highly preferred.

Experience with payer platforms such as Trizetto Facets.

Proficiency in cloud platforms and data pipelines.

Strong background in SQL, ETL processes, and data warehouse solutions.

Familiarity with networking, security, IAM, data governance, and compliance frameworks related to healthcare IT.

Excellent problem-solving, communication, and leadership skills.

Experience with Agile and DevOps methodologies.

Job ID

BT-J0199

Job Type

Full Time

Location

United States

Date Posted

21 May 2025

CAREERS