Solution Architect

Job Description

Solution Architect

Software Solution Architect I

Who We Are

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 with solutions 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 the HealthCare Payor domain, especially with integrating Core admin platforms (Claims adjudication, enrollment, provider platforms) excellent technical and communication skills, and the 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, and Payment systems
• Ensure architecture governance compliance
• Collaborate with customers, 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
• Architecting enterprise-wide software solutions

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required. **

What You Need**

• Knowledgeable in the 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 of 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 with 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

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 local law, UST Healthproof provides a reasonable range of compensation for roles that may be hired in California, Colorado, New York, or Washington 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.

#USTHealthproof

#CB