Solutions Architect (FACETS G6 Integration)

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 Commerical 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

Thanks & Regards

Vaibhav Srivastav

Senior Talent  Acquisition Specialist

Mob- (551) (322) (0987)

Email-

Voto Consulting LLC- M/WBE Certified Company