We are seeking a highly experienced Facets Solution Architect SME to provide architectural leadership for a large-scale Facets implementation within the healthcare payer environment. This role will be responsible for defining end-to-end solution design, integrations, and technical standards to support CMS program requirements, including Medicare Advantage (MA) and Medicaid.
Key Responsibilities:
Lead the architectural design and implementation of the Facets platform across the organization
Define and maintain solution architecture, technical standards, and best practices
Design and oversee system integrations between Facets and third-party technologies (ETLs, APIs, and other enterprise systems)
Provide subject matter expertise on Facets data structures, infrastructure, and system compatibility
Design and support environment strategy, including setup and data movement across environments
Translate complex business and regulatory requirements into scalable, compliant system solutions
Collaborate with business, technical, and vendor teams to ensure alignment across all workstreams
Identify and mitigate architectural risks, ensuring system performance, scalability, and stability
Support data migration and system transformation efforts as part of the Facets implementation
Maintain documentation related to architecture, integrations, and system configurations
Requirements
Required Qualifications:
Minimum of 10 years of hands-on experience with the Facets platform
At least 3 years of experience working with CMS work products, including Medicare Advantage (MA) or Medicaid
Deep understanding of Facets environments, including setup and data movement across environments
Experience working with Facets version 25.1 or newer
In-depth knowledge of Facets data infrastructure, architecture, and system compatibility
Proven experience designing and implementing integrations with third-party technologies (ETLs, APIs, etc.)
Strong understanding of healthcare payer operations and claims processing workflows
Excellent communication skills, with the ability to lead and influence stakeholders at all levels
