Solutions Architect (Healthcare Facets/Claims/GuidingCare (HealthEdge))

Position : Solutions Architect
Location : Baltimore Maryland Remote
Direct Client Requirement

Solution Architecture Scope for Core Consolidation:
The architects assigned will remediate architectural issues and provide solution architectures that resolve high priority (top 20%) technical debt. Their work will be guided by the following strategic themes:
Architectural simplification & modernization
Strengthening controls and resiliency in high-risk processes
Reducing unnecessary complexity and integration hops
Provider data improvements and rationalization
Legacy platform runout and retirement planning inclusive of retiring data pipelines and jobs that supported these
Ensure Alignment with our broader Foundational Priorities work and FEP MA Wrap

Deliverables:
Long-term Target Statediagrams showing the ideal enterprise pictures corresponding to each of the strategic themes above.
Interim Statediagrams touching upon all the above strategic theme areas. The interim state diagrams will capture the realistic investments that we can afford to make in the next calendar period of 12 to 18 months, with a strong focus on incrementally building toward the Long-term Target State.

Intake Call Notes:
100% remote role but need to come onsite once in every 3 months. (expenses will be paid for the travel)
We can submit candidates from the 11 approved states but need to come onsite as per requirements.
This role will be supporting core consolidation, batch processes and claims editing vendors and processes. Along with integration of FACETs systems.
8-10 years of solid experience in the HC payer space.
The HM is looking for Solution Architects who have experience streamlining data flows and batch processes.
Solid experience with FACETs G6.
Claims Adjurication.
Must have FACETs integration framework experience. Will be heavily involved in integration.
Experience with data flow refracting in claims. Architecture of FACETs G6.
Must have a mix experience of Government and commercial healthcare programs.
Low level engineering design experience.
FACETs customization experience.
Must have some development experience with FACETs.
Edifecs or GuidingCare (HealthEdge) is nice to have.