Description

Key Responsibilities · Translate business and regulatory requirements into end-to-end solution architectures and technical designs. · Define solutions spanning Facets, applications, data, APIs, integrations, and supporting platforms. · Provide architecture leadership for Claims, Eligibility, Enrollment/Member, and related healthcare payer capabilities. · Design scalable integration patterns between Facets and upstream/downstream applications. · Define application, service, API, data-flow, and interface architecture. · Evaluate solution options and recommend designs based on scalability, maintainability, security, and business needs. · Partner with business, engineering, data, integration, and platform teams to ensure alignment between requirements and technical implementation. · Review technical designs and provide architectural guidance throughout development, testing, deployment, and implementation. · Identify architectural dependencies, integration risks, and potential impacts across healthcare platforms. · Support regulatory initiatives requiring changes across multiple applications and Facets-related workflows. Required Skills · Strong hands-on knowledge of TriZetto Facets and healthcare payer systems. · Proven experience in Solution Architecture / Application Architecture. · Strong understanding of healthcare payer functions, particularly: o Claims o Eligibility o Enrollment and member data o Benefits o Provider-related processes · Experience architecting enterprise applications, APIs, services, and system integrations. · Strong understanding of application and data integration patterns. · Experience designing solutions that span multiple applications and technology platforms. · Ability to convert complex business and regulatory requirements into clear technical architecture. · Strong problem-solving, communication, and stakeholder-management skills

Key Skills

Education

Bachelor's degree