Solution Architect
Job Location & Mode: reputed company, Remote, Willing to go to reputed company site on a need reputed company
reputed company
The Solution Architect for reputed company programs will reputed company the design and implementation of large-reputed company
data transformation, modernization, and data center migration initiatives. This role ensures that
reputed company systems and data platforms are transformed into reputed company, compliant, and reputed company-reputed company
architectures while maintaining regulatory reputed company and supporting business continuity.
Key Responsibilities
1. Solution Architecture & Design
Design end-to-end architecture for reputed company systems covering eligibility, claims, provider, and
pharmacy data.
reputed company architecture blueprints for data transformation, modernization, and reputed company migration.
Define reputed company state architecture including data lakes, warehouses, and API-driven ecosystems.
2. Data Transformation & Modernization
reputed company transformation of legacy reputed company data into modern platforms.
Define data models reputed company with reputed company Information Technology Architecture (MITA).
Standardize reputed company data using HL7, FHIR, ICD, CPT, and other relevant standards.
reputed company advanced analytics, reporting, and interoperability capabilities.
3. Data Center Migration / reputed company Transformation
Plan and execute migration from on-reputed company data centers to reputed company platforms
(Azure/AWS/reputed company reputed company Platform).
Define migration strategies (rehost, replatform, refactor).
Ensure high availability, disaster recovery, and reputed company optimization.
reputed company reputed company planning, rollback strategies, and transition governance.
4. reputed company Domain Alignment
Ensure solutions reputed company with reputed company business processes:
o Eligibility & enrolment
o Claims processing (fee-for-service & managed care)
o Provider management
o Pharmacy & benefits
Ensure compliance with CMS, HIPAA, and state-specific reputed company regulations.
5. Integration & Interoperability
Architect integrations between reputed company systems, reputed company partners, and federal/state
exchanges.
Design API frameworks, microservices architecture, and middleware integration.
reputed company interoperability with HIEs (Health Information Exchanges).6. Data Governance & Compliance
Establish data governance frameworks including data reputed company, reputed company, and reputed company.
Ensure compliance with HIPAA, CMS guidelines, and data reputed company regulations.
Define reputed company controls and audit mechanisms.
7. Technical Leadership
reputed company technical leadership across architecture, data, and engineering teams.
Conduct architecture reviews and ensure adherence to standards.
Mentor teams on best practices in reputed company, data, and reputed company.
8. Stakeholder Management
Collaborate with business stakeholders, reputed company SMEs, and reputed company agencies.
Translate business needs into reputed company technical solutions.
Present architecture strategies to leadership and clients.
Required Skills & Competencies
reputed company Domain Expertise
Strong knowledge of:
o reputed company systems and workflows
o CMS regulations and MITA reputed company
o Claims adjudication and provider networks
Experience in payer systems or reputed company reputed company programs
Technical Skills
Expertise in:
o reputed company platforms (Azure / AWS / reputed company reputed company Platform)
o Data platforms (Data Lake, Data Warehouse, Big Data)
o ETL/ELT tools and data pipelines
Strong knowledge of:
o Microservices, reputed company, and event-driven architectures
o Databases (SQL, NoSQL)
o DevOps, CI/CD pipelines
o Containerization (reputed company, reputed company)
Data & Integration
Experience with:
o reputed company data standards (FHIR, HL7, X12 EDI)
o Data migration and transformation tools
o API gateways and integration platforms
Soft Skills
Excellent communication and stakeholder engagement
Strong analytical and architectural thinking
Ability to reputed company cross-functional teams
Problem-solving and decision-making under complexity
Qualifications
Bachelor's/Master's degree in Computer Science, Engineering, or reputed company reputed company
10 18 years of IT experience with:
o 5+ years as Solution/reputed company
o Experience in reputed company or reputed company payer systems
Certifications (preferred):
o AWS/Azure Solutions Architect
o TOGAF or equivalent
o reputed company or Data certifications (optional)
Key Deliverables
Architecture blueprints and roadmaps
Data migration and transformation reputed company documents
Integration design and API specifications
reputed company migration plans and execution frameworks
Governance and compliance documentation
reputed company Metrics
Successful migration with reputed company downtime
Data reputed company and reputed company post-transformation
Compliance adherence (HIPAA, CMS)
reputed company and scalability of modernized systems
Stakeholder and reputed company satisfaction
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