Solution Architect – Facets & Medicaid Regulatory Transformation
Abhinav SharmaUnited StatesSENIORPosted 4d ago
TriZetto FacetsMainframeJavaIBM DataStageTalend
About the Role
We are looking for a seasoned Solution Architect – Facets & Medicaid Regulatory Transformation with broad architectural expertise across Mainframe, Java, TriZetto Facets, DataStage, and Talend/TalendWorks. The ideal candidate will analyze state-specific Medicaid regulatory requirements and determine the right implementation approach across Facets configuration, application development, batch processing, ETL pipelines, interfaces, and surrounding healthcare systems.
Key Responsibilities
• Analyze state Medicaid regulations and translate them into scalable technical architectures
• Determine whether each regulatory change belongs in Facets configuration, Java applications, Mainframe programs, ETL processes, or integrated systems
• Define end-to-end solution designs across claims, membership, eligibility, benefits, and payments
• Assess upstream and downstream impacts across applications, interfaces, databases, and batch systems
• Establish integration patterns, data flows, technical specifications, and implementation guidelines
• Collaborate with business, regulatory, development, QA, and enterprise architecture teams
• Promote reusable architecture patterns while accommodating state-specific Medicaid requirements
Requirements
• Solution Architecture – Cross-Platform Design & Technical Decision-Making
• TriZetto Facets – Claims, Membership, Eligibility & Benefits
• Mainframe Architecture – Legacy Systems, Batch Processing & Interfaces
• Java/J2EE – Application Architecture, APIs & Integration Solutions
• IBM DataStage & Talend – ETL Architecture & Data Integration
• Medicaid Regulatory Transformation – State-Specific Requirements
• Healthcare Payer Systems – Medicaid Managed Care & Medicare
• Claims Adjudication – Pricing, Edits, Payments & Business Rules
• System Integration – Upstream/Downstream Applications & Data Flows
• Technical Impact Analysis – Determining Where Regulatory Changes Belong
• Architecture Governance – Reusable Solutions & State-Specific Variations