Solutions Architect (FACETS G6 Integration)

Voto Consulting LLC; Reston (VA); Hybrid; USD 140,000 - 180,000; Full time

Job summary

Voto Consulting LLC is seeking a visionary Solutions Architect with deep Facets G6 integration experience to lead the modernization of our core healthcare payer platforms. You will own strategic technology transformations, focusing on real-time and batch processing, pre-adjudication validation, EDI data management, and complex third-party integrations.

You will influence enterprise-wide architecture, drive simplification, resilience, and data quality improvements across commercial and federal

Qualifications

• Must have 10 years as a Solutions Architect with last 8 in Healthcare/Claims Processing
• Experience in both Commercial and Federal Healthcare payor sectors
• Recent experience with Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI, claim editing engines, and third-party integrations
• Knowledge of interoperability practices between Facets G6 and data producers/consumers
• Experience refactoring enterprise architecture to modernize Facets G6 claims processing
• Experience with claims processing, enrollment, billing & payments, underwriting, partner programs, and benefits management
• Additional architecture experience in Salesforce Health Cloud/Data Cloud, MuleSoft, Kafka, Azure Fabric
• Expertise across multiple architecture domains and managing third-party engagements
• Knowledge of HL7, FHIR, X12 and HIPAA/CMS/NCQA requirements
• Portfolio rationalization or technical debt remediation at enterprise scale

Responsibilities

• Lead modernization of Facets G6 claims processing infrastructure
• Drive interoperability between Facets G6 and enterprise data producers/consumers
• Oversee architectural refactoring to simplify and strengthen controls
• Coordinate with commercial and government payor domains on integration strategy
• Manage third-party solution architecture engagements and outcomes
• Guide portfolio rationalization and technical debt remediation at scale

Skills

FACETS G6 integration

Healthcare payer domain

Enterprise architecture

Integration frameworks

EDI transactions

Interoperability

Cloud architecture

MuleSoft

Kafka

Azure Fabric

HL7/FHIR

HIPAA/CMS/NCQA

Tools

MuleSoft

Kafka

Salesforce Health Cloud

Data Cloud

Azure Fabric

Job description

Job Post : Solutions Architect (FACETS G6 Integration) - Remote

Must Have/Preferred: Current Health Insurance Customer Experience

Healthcare Payer is required

Location: Candidates from Approved States ONLY: DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL

Work Mode: Remote onsite 1x per QTR

Interview Mode: 2 videos, then F2F in Reston is required

JD:

• Solutions Architect with specific focus in FACETS G6 Integrations.
• We are seeking a visionary and highly technical Principal Enterprise & Solution Architect to lead the technological transformation of our core healthcare payer platforms.
• In this role, you will be the driving force behind modernizing our future-state enterprise architecture, specifically focusing on Facets G6 claims processing infrastructure.
• The ideal candidate brings extensive domain expertise in healthcare payer functions, advanced integration frameworks, and a proven track record of refactoring complex legacy platforms into simplified, resilient ecosystems. This is a high-level, strategic technology role focused on modernizing core payer systems.

Required Skills:

• 10 years of experience as a Solutions Architect with the last 8 eights in the Healthcare / Claims Processing space
• Must have experience in both the Commercial and Federal Healthcare payor sectors
• Must have recent solution/domain architecture experience with Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI-based transaction data management, claim editing engines, and third-party integrations with partner organizations that provide these services.
• Must have experiential knowledge on how to apply interoperability and integration best practices between Facets G6 and all data producers and data consumers within the enterprise ecosystem surrounding Facets G6.
• Must have experience with enterprise level architecture refactoring to resolve the following for Facets G6 claims processing
  1. Architectural simplification and modernization
  2. Strengthening controls and resiliency in high-risk processes
  3. Reducing unnecessary complexity and integration hops
  4. Provider data improvements and rationalization
  5. Legacy platform runout and retirement planning
• Must have experience working with claims processing, enrollment, billing & payments, underwriting, partner programs, business operations, and benefit management business functions either in a commercial or government area (both preferred).
• Additional architecture experience in one or more technology platforms (Salesforce Health Cloud/Data Cloud, other Healthcare specific platforms, MuleSoft, Kafka, , Azure Fabric)
• Expertise with two or more architecture domains (enterprise architecture, solution architecture, software development, data, integration, interoperability, cloud, artificial intelligence) and their associated architecture frameworks, standards/patterns, methods and tools. Experience overseeing and driving third-party solution architecture engagements and outcomes.
• Knowledge of healthcare data standards (e.g., HL7, FHIR, X12) and regulatory requirements (HIPAA, CMS, NCQA).
• Experience contributing to portfolio rationalization and/or technical debt remediation initiatives at an enterprise level