Facets Solutions Architect

Job#: 3052631
Job Description:
Facets Solutions Architect
Location: Home, Maryland (Remote)
Role Overview
This role is for a Facets Architect to support the modernization of Centers for Medicare & Medicaid Services (CMS) Claims Processing systems. The position is responsible for designing, implementing, and optimizing Facets platform deployments on Amazon Web Services (AWS) infrastructure in support of CMS Medicare operations. The Architect will serve as the technical lead for Facets implementation initiatives, providing end-to-end architectural guidance and interfacing with stakeholders to ensure solutions meet regulatory, performance, and security requirements. All candidates must be eligible to obtain and maintain a Public Trust clearance.
Key Responsibilities

• Lead the architecture, design, and implementation of Facets platform environments on AWS, including compute, storage, and networking components.
• Design and maintain cloud infrastructure using Infrastructure-as-Code (IaC) tools such as AWS CloudFormation and Terraform.
• Architect scalable and highly available solutions for Medicare claims processing, ensuring compliance with CMS performance requirements and HIPAA security standards.
• Configure and optimize Facets platform modules including Claims Adjudication, Membership/Enrollment, Provider Network Management, and Benefits Configuration.
• Design integration architectures for EDI transaction processing leveraging AWS services for event-driven workflows.
• Establish and maintain CI/CD pipelines for Facets application deployments using DevSecOps best practices and containerization.
• Collaborate with stakeholders, business analysts, and development teams to translate regulatory requirements into technical architecture.
• Provide technical leadership and mentorship to development team members.
• Design and implement monitoring, logging, and alerting solutions to ensure system health and security compliance.
• Support high-volume batch processing operations, including claims adjudication cycles and eligibility file processing.
• Develop and maintain architecture documentation, system diagrams, and technical specifications.
• Troubleshoot complex production issues spanning the Facets application, database performance, and AWS infrastructure.

Required Qualifications
Education: A minimum of 12 years of experience with a BS/BA or a minimum of 10 years with an MS/MA is required.
Experience:

• 8+ years of hands-on experience with the Facets platform, including configuration, implementation, and administration across Claims, Membership, Provider, and Benefits modules.
• 5+ years of experience designing and implementing solutions on Amazon Web Services (AWS), including EC2, EKS, RDS, S3, Lambda, VPC, Terraform, and IAM.
• Demonstrated experience with healthcare claims processing systems.
• Experience with EDI transaction standards (X12 837, 835, 834) and healthcare interoperability protocols (HL7, FHIR).
• Agile/SCRUM methodology experience, preferably within SAFe (Scaled Agile Framework) environments.

Technical Skills:

• Strong experience with Oracle RDBMS including stored procedures, performance tuning, and query optimization.
• Proficiency in Infrastructure-as-Code (Terraform, CloudFormation) and DevSecOps practices.
• Experience with containerization technologies (Docker, AWS ECS/EKS) and microservices architecture patterns.
• Strong understanding of HIPAA Security Rule and security requirements for cloud-hosted healthcare systems.
• Experience with monitoring and observability tools (CloudWatch, Splunk, or equivalent).
• Familiarity with Windows Server administration as it relates to Facets platform hosting.
• Must be eligible to obtain & maintain a Public Trust clearance.

Preferred Qualifications

• AWS Certified Solutions Architect (Associate or Professional) certification.
• Active or Prior Public Trust or DoD security clearance.

Everforth Apex is a world-class IT services company that serves thousands of clients across the globe. When you join Everforth Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRateds Best of Staffing in Talent Satisfaction in the United States and Great Place to Work in the United Kingdom and Mexico.
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