Jobs → Customer Support → Solution Architect

About the Role We are seeking a senior healthcare Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes across the health-plan technology ecosystem. Key Responsibilities • Own end-to-end technical architecture for state-specific Medicaid regulatory changes. • Assess regulatory impacts across Facets, Mainframe platforms, Java/J2EE applications, DataStage, Talend/TalendWorks, APIs and integration services, Databases, Batch platforms, and 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, eligibility, benefits, claims adjudication, claims pricing, claims payment, regulatory edits, and 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. Requirements • 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.