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HealthEdge logo
HealthEdge

Become a Digital Payer

Technology Strategy & Solution Architect

Solutions EngineerSolutions EngineerFull TimeRemoteLeadTeam 1,001-5,000Since 2005H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

87 days ago

Salary

$160K - $200K / year

Seniority

Lead

Bachelor Degree10 yrs expEnglishCloud

Job Description

Technology Strategy & Solution Architect

HealthEdge

• Lead solution architecture and blueprinting for payer Core Admin transformation initiatives • Assess legacy platforms and define migration pathways to modern platforms, including HealthRules Payer (HRP) • Design future-state architecture for claims, enrollment, billing, provider, UM, A&G, benefits admin, and member operations • Define integration strategy for Core Administration Transformation across CRM, portals, care management, provider data, payment integrity, and data/analytics platforms • Recommend modern technology patterns: cloud-native architectures, event-driven messaging, scalable API frameworks • Identify opportunities for automation, workflow orchestration, and AI-enabled operational models • Support Advisory and Sales teams on strategic pursuits, proposals, and RFP responses • Lead technical discussions with CIOs, CTOs, technology leaders, and operations executives • Develop value cases showing cost, operational, and scalability benefits • Conduct current-state assessments of Core Admin and ecosystem technologies • Create modernization roadmaps, platform transition strategies, and future-state enterprise architectures • Ensure proposed solutions align with operational goals, compliance requirements, and long-term scalability • Mentor team members on architecture principles, Core Admin domains, HRP concepts, and solution design • Partner with delivery/engineering teams to validate feasibility and alignment with modernization strategy • Represent Advisory in client workshops, executive sessions, and strategic planning forums.

Job Requirements

  • 10–15+ years in healthcare payer technology, enterprise architecture, or Core Admin strategy
  • Strong experience with one or more Core Admin platforms (including HealthRules Payer (HRP), Facets, QNXT, QicLink, Javelina, or modern cloud-native platforms)
  • Deep understanding of operational domains: claims, enrollment, billing, benefits, UM, A&G, provider, and member services
  • Proven ability to design future-state architectures and transformation blueprints
  • Strong sales-facing skills: whiteboarding, pursuit support, and executive communication
  • Exceptional communication, analytical ability, and client-facing presence.

Benefits

  • HealthEdge commits to building an environment and culture that supports the diverse representation of our teams
  • We aspire to have an inclusive workplace
  • Opportunity to belong, make an impact and deliver excellent software and services to our customers

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