Company Description Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation.
Role: Healthcare Solution Architect
Location: Baltimore, MD (Remote – Required Once in a Quarter)
Job Type: 6 Months Contract-To-Hire
Job Summary:
We are seeking a Healthcare Solution Architect with strong healthcare payer, claims/adjudication, and Facets expertise. The ideal candidate will have recent Solution Architecture experience combined with hands-on technical/engineering experience.
Key Responsibilities
Design and support end-to-end Facets-based healthcare solutions.
Define application, integration, and data-flow architecture.
Optimize claims editing, batch sequencing, and adjudication workflows.
Collaborate with business, engineering, and technical teams on architecture decisions.
Develop architecture documentation, integration designs, and data-flow diagrams.
Identify opportunities to modernize/refactor existing healthcare platforms.
Required Skills & Qualifications
8–10 years of healthcare payer experience, with strong knowledge of claims and adjudication processes.
Strong hands-on Facets G6 experience is highly preferred.
Deep understanding of Facets architecture, modules, data flows, integrations, and claims processing.
Candidates with 5+ years of strong Facets Legacy experience may also be considered.
Recent experience as a Solution Architect; engineering/development + architecture backgrounds are welcome.
Strong experience with Facets integration frameworks, data-flow architecture, refactoring, and integration patterns.
Experience designing batch processes and sequencing to optimize claims adjudication performance.
Experience integrating claims editing tools/vendors and determining the optimal sequence for claims editor calls.
Ability to evaluate architecture and integration approaches to improve claims processing efficiency and performance.
Experience with government programs and commercial healthcare is preferred. A 50/50 split is not required.
Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.
Numbers & Facts
Location
Baltimore, MD (Remote)
Skills
Adjudicationunmatched
Application Integrationunmatched
Blueprintsunmatched
Business Processesunmatched
Business Strategyunmatched
Claims Processingunmatched
Consultingunmatched
Documentationunmatched
Editingunmatched
Engineeringunmatched
Enterprise Architectureunmatched
Governmentunmatched
Healthcareunmatched
Information Technology Consultingunmatched
Performance Tuning/Optimizationunmatched
Professional Servicesunmatched
Refactoringunmatched
Technical Recruitingunmatched
Technical Supportunmatched
🎯
Be found by employers
5,500+ employers search our resume database daily. Add yours to get found by recruiters looking for candidates like you.
Level up your application
Professional resume templates
Browse dozens of recruiter approved resume templates, layouts and formats. Choose your favorite and make it your own in minutes.