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MCG Health

We lead the healthcare community to deliver patient-focused care.

Payer Systems – Integration Architect

ArchitectArchitectFull TimeRemoteLeadTeam 201-500H1B SponsorCompany SiteLinkedIn

Location

Washington

Posted

5 days ago

Salary

$130K - $182K / year

Seniority

Lead

Bachelor Degree8 yrs expEnglish

Job Description

Payer Systems – Integration Architect

MCG Health

• Serve as MCG’s principal subject matter expert and escalation authority for payer workflows, interoperability, integration architecture, and healthcare data flows across customer implementations and internal initiatives • Lead complex workflow discovery and implementation advisory engagements to define integration strategies, clarify operational requirements, and guide solution design within diverse payer environments • Advise implementation teams and customers on how MCG solutions integrate into complex payer operational and technical ecosystems • Identify and resolve highly complex workflow, interoperability, and integration risks, gaps, dependencies, and implementation challenges, recommending scalable mitigation strategies and alternative approaches where standard solutions are insufficient • Partner cross-functionally with Product, Engineering, Implementation, Sales, and customer stakeholders to align solution design, integration strategy, technical dependencies, and implementation execution • Translate complex operational and technical concepts into clear, actionable guidance for technical teams, business stakeholders, and customers • Facilitate working sessions with internal teams and customers to align on workflows, integration points, data dependencies, interoperability considerations, and implementation approaches • Establish and evolve scalable implementation frameworks, standards, reusable assets, workflow models, and best practices • Analyze implementation trends and recurring workflow or interoperability challenges to identify opportunities for process improvement, scalability, and operational efficiency • Provide expert consultation and real-time workflow and integration guidance during customer engagements

Job Requirements

  • Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, Business, or a related field, or equivalent combination of education and experience
  • At least 8 years of experience working with health plan (payer) systems, workflows, operations, and healthcare integrations
  • Demonstrated experience leading or advising complex healthcare implementations, workflow transformations, or integration initiatives within payer environments
  • Strong understanding of end-to-end healthcare workflows, particularly within payer operational settings
  • Demonstrated expertise with healthcare interoperability, system integrations, and data flows across multiple platforms and technologies, including APIs, HL7, FHIR, or related standards
  • Proven ability to analyze, interpret, and translate business, operational, and technical requirements into scalable implementation guidance and solution approaches
  • Demonstrated experience navigating highly complex or ambiguous payer operational and integration environments and developing effective solution strategies
  • Experience working cross-functionally with technical, operational, product, and business stakeholders in matrixed environments
  • Demonstrated ability to diagnose highly complex workflow and integration issues and recommend effective, scalable solutions
  • Experience influencing technical and operational decisions without direct authority
  • Strong communication skills, including the ability to engage effectively with both technical and non-technical audiences
  • Experience facilitating customer-facing discussions involving technical workflows, interoperability, and implementation strategy

Benefits

  • 💻 Remote work
  • ✈️ Travel expected 3-4 times per year for company-sponsored events
  • 🩺 Medical, dental, vision, life, and disability insurance
  • 📈 401K retirement plan; flexible spending and health savings account
  • 🏝️ 15 days of paid time off + additional front-loaded personal days
  • 🏖️ 14 company-recognized holidays + paid volunteer days
  • 👶 up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave
  • 🌈 LGBTQ+ Health Services
  • 🐶 Pet insurance

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