Solutions Architect

Position summary

Varmoda is seeking a Solutions Architect responsible for establishing strategic technology direction and creating solution architecture for large complex initiatives/projects. The role is responsible for the strategic design of technical solutions for complex business problems that are in line with established and emerging technology standards, patterns, and best practices. Primary accountability for architecture work takes place during the lifecycle of major transformation/modernization initiatives/projects, from planning through implementation. Provides technical oversight and strategic direction to IT project teams in order to deliver key solutions to business problems.

Key Responsibilities

• Accountable for leading the Solution Architecture deliverables for large complex portfolio, program or product line, which aligns with enterprise architecture and links the high-level architecture, business requirements, and technology standards into a cohesive solution.
• Responsible for defining and communicating a shared technical and architecture vision across the portfolio/program.
• Provides foundational architecture and creates technical alignments for the full solution balancing the needs from both business and domain architecture.
• Has an expert knowledge of integration solutions and communicates with business owners, domain architects, other Solution Architects, technical delivery staff, and key technical stakeholders, including Security, Data, and Technology Centers of Excellence.
• Collaborates with peer Solution Architects to ensure that the proposed solution is consistent with other designs.
• Leads solutions design incremental and analysis of complex projects/issues that require in-depth knowledge across multiple technical areas and business segments.
• Responsible for defining components and subsystem, end to end integration architecture and their interface, as well as the target deployment aligning with target architecture vision.
• Responsible for recommendations of critical design decisions and trade-offs.
• Ensures seamless integration of new applications with enterprise applications in the ecosystem by selecting the technology, tools or services that provides the best solution for business needs.
• Accountable for communicating solution architecture and getting it implemented.
• Defines and directs implementation governance activities associated ensuring solution architecture compliance with the intent and overall enterprise architecture.
• Responsible for creating architecture and technical enablers to support architecture runways.
• Supports the implementation of enablers and ensures solution of technical and architecture enablers meet solution objectives.
• Partners with the project manager, product managers, technical delivery manager, requirements manager, and business leadership in the definition of the Solution Architecture.
• Works closely with product managers and product owners to ensure a robust architecture runway that can support future business needs through product lifecycle.
• Provides consulting support to domain architects and solution delivery team to ensure project and product aligned with overall enterprise architecture.
• Maintains knowledge of and applies industry best practices for architecture.
• Participates in cross-functional component architecture teams and develops future architecture and technology migration plans.
• Evaluates and selects from existing and emerging technologies options best fitting business and IT strategic needs.
• Innovates ideas and solutions resulting in tangible and measurable business outcomes.
• Creates architecture solutions within the enterprise architecture future state for technological acceleration of value outcomes and effectively presents and persuades key decision makers to invest in this acceleration.
• Oversees and drives third-party solution architecture engagements and outcomes.
• Provides solution architectural consulting to business leaders, program leaders, product owners, and delivery teams.
• Sets architectural solutions across multiple initiatives or domains aligned to platform/product roadmaps and facilitates implementation of approved solution.
• Coaches peers and team members across multiple business and technology disciplines.

Required Qualifications

• 10 years experience as an infrastructure architect.
• Bachelor's Degree in Computer Science, IT related field.
• In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
• Strong development and integration technology experience.
• Excellent communication skills both written and verbal.
• Ability to lead, coordinate, and manage complex projects.
• Solution architecture and integration architecture design experience.
• Deep understanding of emerging technologies, including cloud, big data, BPM, AI/ML, or robotics etc.
• Must have recent solution/domain architecture experience with Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI-based transaction data management, claim editing engines, and third-party integrations with partner organizations that provide these services.
• Must have experiential knowledge on how to apply interoperability and integration best practices between Facets G6 and all data producers and data consumers within the enterprise ecosystem surrounding Facets G6.
• Must have experience with enterprise level architecture refactoring to resolve the following for Facets G6 claims processing:
  • Architectural simplification and modernization.
  • Strengthening controls and resiliency in high-risk processes.
  • Reducing unnecessary complexity and integration hops.
  • Provider data improvements and rationalization.
  • Legacy platform runout and retirement planning.
• Must have experience working with claims processing, enrollment, billing & payments, underwriting, partner programs, business operations, and benefit management business functions either in a commercial or government area (both preferred).
• Expertise with two or more architecture domains including enterprise architecture, solution architecture, software development, data, integration, interoperability, cloud, artificial intelligence and their associated architecture frameworks, standards/patterns, methods and tools.
• Knowledge of healthcare data standards such as HL7, FHIR, X12 and regulatory requirements such as HIPAA, CMS, NCQA.
• Ability to motivate and influence others so that architecture objectives are met in a timely and consistent manner.
• Ability to collaborate with stakeholders to develop high quality architecture solutions and technical designs based on approved standards.
• Effective organizational/interpersonal/relationship management, analytical/systems thinking, communications (written and verbal), and collaboration across multiple business and IT teams.

Preferred Qualifications

• Master's degree in Computer Science or related field preferred.
• Experience in the development, implementation, and maintenance of large-scale systems, preferably across multiple hardware and software platforms in the health care industry.
• Experience with intranet development and implementation is a plus.
• Recent payer or provider healthcare experience.
• 8 10 years of solid experience in the HC payer space.
• Solid experience with FACETs G6.
• Claims adjudication experience.
• FACETs Integration Framework experience.
• Experience with data flow refactoring in claims and architecture of FACETs G6.
• FACETs customization experience.
• Development experience with FACETs.
• Edifecs or GuidingCare (HealthEdge) experience.
• Experience streamlining data flows and batch processes.
• Experience with government and commercial healthcare programs.
• Low-level engineering design experience.
• Additional architecture experience in one or more technology platforms including Salesforce Health Cloud/Data Cloud, other Healthcare specific platforms, MuleSoft, Kafka, Azure Fabric.
• Experience overseeing and driving third-party solution architecture engagements and outcomes.
• Experience contributing to portfolio rationalization and/or technical debt remediation initiatives at an enterprise level.
• Ability to set architectural solutions across multiple initiatives or domains aligned to platform/product roadmaps and facilitate implementation of approved solution.

Certifications & Clearance

• No specific certification or clearance requirement was provided.
• Bachelor's Degree in Computer Science or IT related field is required, or an additional 4 years of relevant work experience in lieu of the degree.