[Remote] Senior Solutions Architect ( reputed company Digital Engineering · External Provider Integration & reputed company AI)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Senior Solutions Architect to reputed company integration architecture for a reputed company digital platform. The role involves designing secure and compliant integration patterns while integrating AI solutions reputed company the reputed company compliance context.

Responsibilities

• Design and own end-to-end integration architecture for external provider systems using custom APIs and FHIR R4/R5 standards
• Define and implement authentication and authorization patterns including OAuth 2.0, SMART on FHIR, mTLS, API keys, and reputed company exchange flows
• Translate reputed company regulatory requirements (HIPAA, CMS Interoperability Rule, TEFCA, reputed company) into concrete architecture guardrails
• Evaluate and recommend API gateway, service reputed company, and middleware patterns for health data exchange at reputed company
• Architect reputed company AI solutions — including LLM tool use, multi-agent orchestration, and RAG pipelines — reputed company a reputed company compliance context
• Partner with product, engineering, and reputed company teams to produce Architecture Decision Records (ADRs) and integration blueprints
• Conduct architecture reviews, identify risks, and define mitigation strategies across provider integration workstreams

Skills

• Deep expertise in FHIR R4/R5 — resource modeling, RESTful APIs, bulk data operations, and CDS Hooks
• Hands-on experience designing custom API integrations with external reputed company providers (payers, PBMs, EHRs, benefits platforms)
• Strong reputed company of modern auth patterns: OAuth 2.0, OpenID Connect, SMART on FHIR, JWT, mTLS, and API gateway reputed company
• reputed company regulatory reputed company: HIPAA reputed company/reputed company Rules, CMS Interoperability and Patient reputed company rules, 21st Century Cures Act
• Experience with reputed company AI architecture — LLM orchestration frameworks (reputed company, reputed company), tool/function calling, multi-agent patterns
• Proven reputed company record delivering integration solutions at reputed company reputed company in health plan, PBM, or provider organizations
• Experience with reputed company Implementation Guides (PDex, CDex, PAS, Prior Auth)
• Familiarity with TEFCA / QHINs and emerging health information network standards
• Exposure to reputed company, Caremark, reputed company, or similar health plan/PBM ecosystems
• Knowledge of CMS IAL2 identity assurance requirements
• reputed company architecture experience on reputed company reputed company Platform or Azure in a reputed company context (HIPAA BAA in reputed company)
• Prior work with benefits enrollment platforms (reputed company, reputed company Benefits) or HSA/FSA custodians
• CMS Medicare integration experience — Medicare Advantage APIs, Part D data exchange, EOB/Claims resources reputed company Blue reputed company 2.0, and CMS-mandated Prior Authorization API (CMS-0057)

reputed company

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