Solution Architect – Facets

Programmers.io; United States; Remote; USD 180,000 - 230,000; Full time

Job summary

Programmers.io is seeking a Senior Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem. The role is remote in the United States and requires deep expertise in Facets, Mainframe, Java, DataStage, Talend and healthcare payer operations.

You will own end-to-end architectures, assess regulatory impacts across platforms, and provide technical leadership to cross-functional teams including QA and product

Qualifications

• Deep TriZetto Facets architecture and implementation experience.
• Strong Mainframe architecture knowledge (COBOL/JCL/DB2/CICS).
• Extensive Java/J2EE architecture and engineering experience.
• Experience with IBM DataStage and Talend/TalendWorks.
• Knowledge of Medicaid regulatory requirements and state-specific variations.

Responsibilities

• Own end-to-end technical architecture for state-specific Medicaid regulatory changes.
• Assess regulatory impacts across Mainframe, Java, DataStage, Talend, APIs, databases, and batch platforms.
• Design reusable architecture patterns to accommodate state Medicaid variations.
• Provide technical leadership to Mainframe, Java, Facets, ETL, and QA teams.
• Conduct architecture reviews, technical quality assessments, and production-readiness reviews.
• Partner with Medicaid regulatory SMEs, business analysts, product owners, engineering, and QA teams.

Skills

Solution architecture

Regulatory knowledge

Technical leadership

Cross-team collaboration

Tools

Facets (TriZetto)

Mainframe architecture (COBOL/JCL/DB2/CICS)

Java/J2EE

IBM DataStage

Talend/TalendWorks

APIs & integration

Databases

ETL systems

Batch processing

Job description

One of our leading client is looking for Solution Architect – Facets remotely.

Seeking a senior healthcare Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem.

The architect should have deep knowledge of Facets, Mainframe, Java, DataStage, Talend/TalendWorks and healthcare payer architecture, combined with strong Medicaid regulatory and business-process knowledge.

Key Responsibilities

• Own end-to-end technical architecture for state-specific Medicaid regulatory changes.
• Assess regulatory impacts across:
• Mainframe platforms
• Java/J2EE applications
• DataStage
• Talend/TalendWorks
• APIs and integration services
• Databases
• Batch platforms
• Upstream and downstream applications
• Determine the appropriate implementation approach across Facets configuration, Mainframe development, Java development, ETL/data changes, integration changes, or surrounding applications.
• Design solutions supporting:
• Claims adjudication
• Regulatory edits
• Develop architecture patterns that allow common capabilities to be reused while supporting state-specific Medicaid variations.
• Perform regulatory impact assessments and identify cross-platform dependencies.
• Provide technical leadership to Mainframe, Java, Facets, ETL, and QA teams.
• Conduct architecture reviews, technical quality assessments, and production-readiness reviews.
• Identify design gaps, integration risks, data impacts, and downstream regulatory impacts.
• Partner with Medicaid regulatory SMEs, business analysts, product owners, engineering, and QA teams.

Required Experience

• Deep TriZetto Facets architecture and implementation experience.
• Strong Mainframe architecture and application knowledge, including COBOL/JCL/DB2/CICS or comparable technologies.
• Strong Java/J2EE architecture and engineering knowledge.
• Experience with IBM DataStage.
• Experience with Talend/TalendWorks.
• Experience with enterprise APIs, integrations, batch systems, databases, and data architecture.
• Strong knowledge of Medicaid managed care and state-specific regulations.
• Good understanding of Medicare and Medicaid plan operations.
• Deep understanding of membership/eligibility and end-to-end claims processing.
• Experience architecting regulatory-driven changes across multiple integrated applications.