UST HealthProof is a dynamic company with a mission to lower the cost of care and deliver the future of healthcare. Our consumer-centric approach gives our health plan customers a modern infrastructure and reduced administrative costs, helping to drive better business results for our customers — and better outcomes for our communities.
We achieve this mission together through teamwork, communication, collaboration, and focus. Our employees are our greatest assets, and we invite you to apply to be a part of our journey toward making a difference in healthcare in the United States.
You Are
The Solution Architect will help in solutioning and architecting the overall Integration needs required to implement UST HealthProof’s core-admin ecosystem for our Health plan customers. The Solution Architect will work with the Health Plan Customers, third party vendors, and internal teams to define and implement enterprise solutions and support technical system implementations. Candidate should have deep experience in HealthCare Payor domain especially with integrating Core admin platforms (Claims adjudication, enrollment, provider platforms) and excellent technical and communication skills and ability to engage as part of a team working both physically together and virtually. You should be an excellent problem solver who’s able to grasp customer needs and brainstorm ways to fulfill them.
The Opportunity
Solution technical architecture for customer delivery programs
Integrate Claims, Enrollment, Provider, Authorization, Payment systems
Ensure architecture governance compliance
Collaborate with customer, partners, and internal product teams
Identify opportunities for automation, performance improvements and emerging technologies
Ensure repeatability and reusability of integration design, process, and code
Leading technical architectural conversations and solution discussions with customer and internal teams
Mentor technical staff
What You Need
Architecting enterprise-wide software solutions
Knowledgeable in Healthcare insurance domain (Medicare Advantage / Medicaid or Commercial)
Exposure to healthcare eco-systems from partners HealthEdge, TriZetto, NASCO, Advantasure or Change Healthcare and experience in technical integration of these eco-systems
Experience with people management, mentorship, and creating inclusive and diverse teams
Integrated EDI healthcare transactions (837, 834, 835,270/271, 276/277, 278) with healthcare core administration platforms (Claims adjudication/enrollment)
Working in AWS cloud environment and experience with AWS cloud services
Awareness to Agile tools and methodologies
Understanding of SQL, Core Java, Spring Boot, Web Services, XML, JSON, SQL, Middleware, and CI/CD pipeline philosophy
Commitment to Customer and quality
Communication skills with peers, customers, and partners including the ability to convey technical information effectively
Thrives in a dynamic, sometimes ambiguous environment and has a knack for quickly prioritizing needs and creating scalable processes and structure
Affinity for leading and navigating change management
Comfortable in a fully remote environment that relies heavily on asynchronous written collaboration and communication
Experience working in an onshore/offshore model is a must
Experience working HealthEdge applications like HealthRules Payor or GuidingCare is a plus
Bachelor’s degree or higher in business or technical field, 12+ years of relevant work experience in technology integrations, 7+ years of work experience in technical leadership roles
Travel: Up to 25%
Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. As required by applicable law, UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.
Role Location: Remote
Compensation Range: $115,000 - $173,000
Our full-time, regular associates are eligible for 401K matching, and vacation accrual and are covered from day 1 for paid sick time, healthcare, dental, vision, life, and disability insurance benefits.
What We Believe
We’re proud to embrace the same values that have shaped UST HealthProof since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion, and to place people at the center of everything we do.
Humility
We will listen, learn, be empathetic and help selflessly in our interactions with everyone.
Humanity
Through business, we will better the lives of those less fortunate than ourselves.
Integrity
We honor our commitments and act with responsibility in all our relationships.
Equal Employment Opportunity Statement
UST HealthProof is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
UST HealthProof reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.
#Healthproof
#CB
Skills
Healthcare,Architecture,Software Architecture
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Engineering and Information Technology
Industries
IT Services and IT Consulting
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