Solution Architect – Facets
One of our leading client is looking for Solution Architect – Facets remotely. Seeking a senior healthcare Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem. The architect should have deep knowledge of Facets, Mainframe, Java, DataStage, Talend/TalendWorks and healthcare payer architecture, combined with strong Medicaid regulatory and business-process knowledge.
Key Responsibilities:
Own end-to-end technical architecture for state-specific Medicaid regulatory changes.
Assess regulatory impacts across:
- Facets
- Mainframe platforms
- Java/J2EE applications
- DataStageTalend/TalendWorksAPIs and integration services
- DatabasesBatch platforms
- Upstream and downstream applications
Determine the appropriate implementation approach across Facets configuration, Mainframe development, Java development, ETL/data changes, integration changes, or surrounding applications.
Design solutions supporting:
Member enrollment
EligibilityBenefitsClaims adjudication
Claims pricing
Claims payment
Regulatory edits
Medicare/Medicaid coordination
Develop architecture patterns that allow common capabilities to be reused while supporting state-specific Medicaid variations.
Perform regulatory impact assessments and identify cross-platform dependencies.
Provide technical leadership to Mainframe, Java, Facets, ETL, and QA teams.
Conduct architecture reviews, technical quality assessments, and production-readiness reviews.
Identify design gaps, integration risks, data impacts, and downstream regulatory impacts.
Partner with Medicaid regulatory SMEs, business analysts, product owners, engineering, and QA teams.
Required Experience:
Deep TriZetto Facets architecture and implementation experience.
Strong Mainframe architecture and application knowledge, including COBOL/JCL/DB2/CICS or comparable technologies.
Strong Java/J2EE architecture and engineering knowledge.
Experience with IBM DataStage.
Experience with Talend/TalendWorks.
Experience with enterprise APIs, integrations, batch systems, databases, and data architecture.
Strong knowledge of Medicaid managed care and state-specific regulations.
Good understanding of Medicare and Medicaid plan operations.
Deep understanding of membership/eligibility and end-to-end claims processing.
Experience architecting regulatory-driven changes across multiple integrated applications.