HRP Migration Architect

• Create your profile | Sign in
• Activate career alerts

Find similar career opportunities

HRP Migration Architect

Category: Architecture

Main location: United States, Massachusetts, Burlington

Position ID: J1026-0994

Employment Type: Full Time

U.S. - The best version of me

By playing this video you consent to Google/YouTube processing your data and using cookies - Learn more.

Position Description:

CGI is seeking a Lead Architect to drive the modernization of a healthcare payer's core claims platform through migration from a legacy claims engine to HealthEdge HealthRules Payer (HRP). In this high-impact role, you will define the target-state architecture, lead the migration strategy, and design critical integrations from initial discovery through implementation, cutover, and post-production stabilization.

This position to be performed near Burlington, MA - Hybrid

Your future duties and responsibilities:

. Target state architecture: Define the HRP solution architecture across Member, Product/Benefit, Provider, Claims, and Financial modules, and keep it aligned with the enterprise architecture.

. Migration strategy: Design the end to end approach, including data migration (extract, transform, load, reconcile), cutover options (big bang vs. phased/LOB wise), parallel runs, and rollback.

. Legacy to HRP mapping: Lead gap/fit analysis and data mapping from legacy structures to HRP''s data model. Resolve configuration vs. customization decisions.

. Configuration oversight: Guide benefit plan, product, pricing/fee schedule, contract, accumulator, and adjudication rule configuration in HRP.

. Integration and EDI design: Own the integration landscape around HRP: X12 transactions: 837 (P/I/D), 835, 834, 820, 270/271, 276/277, 278 Clearinghouse, enrollment, eligibility, and billing flows Downstream feeds: finance/GL, pharmacy (PBM), UM/care management, data warehouse, reporting APIs and event/messaging patterns, plus interoperability touchpoints (e.g., CMS 0057 API dependencies)

. Data quality and reconciliation: Define migration validation, financial and claims reconciliation, and open claim/in flight transition rules.

. Testing and readiness: Shape the QE strategy (system, integration, end to end, UAT, regression, performance). Define entry/exit criteria and go live readiness.

. Governance and leadership: Act as technical authority with the client, HRP vendor, and delivery teams. Own design decisions, risk/issue management, and architecture review boards.

. Stakeholder communication: Translate technical decisions for business, operations, and executive audiences.

Required qualifications to be successful in this role:

. 10+ years in healthcare payer technology, with 5+ years of hands on HRP experience

. Led at least 1-2 full core claims migrations to HRP (not just implementation or support)

. Deep functional and technical knowledge of HRP modules: Member, Product, Provider, Claims, Financials

. Strong command of HIPAA X12 EDI and how it maps to HRP inbound/outbound processing

. Proven data migration experience at payer scale (conversion design, mapping, reconciliation, mock loads)

. Solid understanding of claims adjudication, pricing, accumulators, COB, appeals, and payment/remit processes

. Experience with integration patterns (APIs, MQ/ESB, ETL, batch vs. real time)

. Familiarity with regulatory requirements (HIPAA, CMS, state mandates)

. Strong executive level communication and client facing leadership

Preferred qualifications

. HealthEdge certifications or direct HealthEdge partner/vendor experience

. Experience with multiple LOBs (Commercial, Medicare Advantage, Medicaid, Exchange)

. Exposure to cloud hosted HRP deployments and DevOps/CI CD for configuration promotion

. Experience applying AI/automation to migration testing, mapping, or reconciliation

. Background in payer mergers or multi entity platform consolidations

Education: Bachelor''s degree in computer science or similar field.

Other Information:

CGI is required by law in some jurisdictions to include a reasonable estimate of the compensation range for this role. The determination of this range includes various factors not limited to skill set, level, experience, relevant training, and licensure and certifications. To support the ability to reward for merit based performance, CGI typically does not hire individuals at or near the top of the range for their role. Compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range for this role in the U.S. is $98,500.00 $172,400.00.

CGI''s benefits are offered to eligible professionals on their first day of employment to include:

. Competitive compensation

. Comprehensive insurance options

. Matching contributions through the 401(k) plan and the share purchase plan

. Paid time off for vacation, holidays, and sick time

. Paid parental leave

. Learning opportunities and tuition assistance

. Wellness and Well-being programs

#LI-MP2

Skills:

• Application Integrator-EDI
• Data Migration
• Health Care Payers
• Solutions Architecture

What you can expect from us:

Together, as owners, let's turn meaningful insights into action.

Life at CGI is rooted in ownership, teamwork, respect and belonging. Here, you'll reach your full potential because…

You are invited to be an owner from day 1 as we work together to bring our Dream to life. That's why we call ourselves CGI Partners rather than employees. We benefit from our collective success and actively shape our company's strategy and direction.

Your work creates value. You'll develop innovative solutions and build relationships with teammates and clients while accessing global capabilities to scale your ideas, embrace new opportunities, and benefit from expansive industry and technology expertise.

You'll shape your career by joining a company built to grow and last. You'll be supported by leaders who care about your health and well-being and provide you with opportunities to deepen your skills and broaden your horizons.

Come join our team-one of the largest IT and business consulting services firms in the world.

Qualified applicants will receive consideration for employment without regard to their race, ethnicity, ancestry, color, sex, religion, creed, age, national origin, citizenship status, disability, pregnancy, medical condition, military and veteran status, marital status, sexual orientation or perceived sexual orientation, gender, gender identity, and gender expression, familial status or responsibilities, reproductive health decisions, political affiliation, genetic information, height, weight, or any other legally protected status or characteristics to the extent required by applicable federal, state, and/or local laws where we do business.

CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S., please email the CGI U.S. Employment Compliance mailbox at US_Employment_Compliance@cgi.com. You will need to reference the Position ID of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. Please note, this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a Position ID will not be returned.

We make it easy to translate military experience and skills! Click here to be directed to our site that is dedicated to veterans and transitioning service members.

All CGI offers of employment in the U.S. are contingent upon the ability to successfully complete a background investigation. Background investigation components can vary dependent upon specific assignment and/or level of US government security clearance held. Dependent upon role and/or federal government security clearance requirements, and in accordance with applicable laws, some background investigations may include a credit check. CGI will consider for employment qualified applicants with arrests and conviction records in accordance with all local regulations and ordinances.

CGI will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with CGI's legal duty to furnish information.

Have you been referred by a CGI Partner for this position? *

Yes No

CGI Partner's email (@cgi.com)*

First Name

Last Name

I agree to allow CGI to contact the CGI Partner who referred me to obtain additional information about my application and confirm my referral.*

• This field is required.

CGI is an Equal Opportunity Employer, to include disability and protected veteran status; we are committed to compliance with U.S. laws and regulations. Click here to access an overview of our U.S. Equal Employment Opportunity and Anti-Harassment Policy.

Applicants have rights under Federal Employment Laws:

• EPPA
• FMLA
• Know Your Rights: Workplace Discrimination is Illegal
• Pay Transparency Statement Policy

CGI provides reasonable accommodations to qualified individuals with disabilities. If you need an accommodation to apply for a job in the U.S., please email the CGI U.S. Employment Compliance mailbox at US_Employment_Compliance@cgi.com. You will need to reference the Position ID of the position in which you are interested. Your message will be routed to the appropriate recruiter who will assist you. Please note, this email address is only to be used for those individuals who need an accommodation to apply for a job. Emails for any other reason or those that do not include a Position ID will not be returned.

We make it easy to translate military experience and skills! Click here to be directed to our site that is dedicated to veterans and transitioning service members.

It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.