Cloud Architect/Solution Architect (Facets)

8–10+ years of experience as a Solution Architect/Domain Architect in the Healthcare Payer space, with strong Claims experience.

5–6+ years of extensive Facets experience; Facets G6 experience is strongly preferred.

Recent experience architecting Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI transactions, claim editing engines, and third-party integrations.

Strong understanding of integration/interoperability between Facets and enterprise data producers/consumers.

Experience modernizing/refactoring Facets claims architecture, including:

Architecture simplification and modernization

Resiliency and controls for high-risk processes

Reducing integration complexity/hops

Legacy platform retirement/runout planning

Strong understanding of Claims, Enrollment, Billing & Payments, Underwriting, Benefits, Partner Programs, and Business Operations.

Experience with one or more of: Salesforce Health Cloud/Data Cloud, MuleSoft, Kafka, Azure/Fabric, or other healthcare platforms.

Expertise across at least two architecture domains, such as Solution/Enterprise Architecture, Integration, Data, Cloud, Interoperability, Software Architecture, or AI.

Strong experience working with business stakeholders, technical teams, enterprise architects, and third-party solution providers.

Ability to define target-state architecture, make complex technology decisions/trade-offs, and communicate/present architecture to senior stakeholders.