Solution Architect

From intake to outcomes, CareMetx is dedicated to delivering industry-leading patient access solutions and support services that help patients quickly start and stay on specialty therapy treatments. We provide scalable, efficient digital hub services for pharmaceutical companies and healthcare providers, streamlining workflows with seamless integration for patient enrollment, consent, and prior authorization. Our best-in-class patient support services enhance every step of care, connecting patients, providers, and brands to drive better outcomes and accelerate time-to-therapy.

Job Title: Solution Architect 

Position Summary:

The Solution Architect (SA) role within the Implementations team plays a critical role in ensuring effective end to end solutions of CareMetx products and services that not only meet client expectations but also align with CareMetx strategic goals and objectives. This role is responsible for translating client program needs into operationally feasible, compliant, and scalable hub workflows. Upon winning new CareMetx business, this role will perform critical program discovery activities to confirm and document final patient support solution to aid in the Implementation SOW creation and execution. Partnering with other internal stakeholders as appropriate, this role will serve as the primary decision maker for the detailed technical solution to be implemented. This role will be critical from Sales through Implementation go-live, ensuring the right solution is designed and implemented throughout.

Primary Duties and Responsibilities:

• Accountable for defining the technical program solution, timeline and scope for standard CMTX offerings to align with client goals and CMTX organizational strategy
• Responsible for partnering with Product Management and Commercial team as appropriate to coordinate required cost/pricing inputs for pricing model during opportunity deal stage to ensure costs submitted consider solution scope, complexity, and staffing requirements
• Map client requirements to standard hub operational capabilities, technology platforms, and workflows.
• Design end-to-end operational workflows covering all medical, pharmacy, and adherence services, including but not limited to: patient enrollment, benefits verification, prior authorization, copay assistance, and ongoing patient engagement.
• Partner with Product Management to identify gaps between client expectations and standard CMTX offerings; document assumptions, constraints, out-of-scope items, and feasibility risks.
• Partner with Product Management to support proposal development, client presentations, and early solution demonstrations.
• Lead requirements intake and workflow design sessions with internal operational, technical, and compliance stakeholders.
• Produce and maintain configuration documents, workflow diagrams, etc. required for program configuration
• Facilitate program design reviews and obtain internal and external review and signature for Program Rules Document.
• Serve as solution SME and consultant throughout Sales and completion of Implementation
• Supports client escalations during implementation, as it relates to solution and scope management
• Travel may be required for client-related meetings
• Other duties as deemed required

Education and Experience Qualifications:

• Minimum of seven (7) years experience managing software development and/or IT technology projects, or equivalent
• Minimum of seven (7) years experience in pharmaceutical, medical device, biotech or healthcare hub services industries
• Bachelor’s degree in a business-related field or technology

Minimum Skills, Knowledge, and Ability Requirements:

• Experience in healthcare operations, patient support hubs, reimbursement services, or healthcare solution design.
• Strong knowledge of hub, pharmacy, and/or adherence services 
• Systems thinking mindset with the ability to see how products, services, and other attributes fit together and impact the overall design, with the aptitude to coach and navigate other internal stakeholders on best practices.
• Ability to translate client and patient needs into structured operational and system requirements.
• Experience documenting workflows, business requirements, and system configurations.
• Strong stakeholder facilitation and cross-functional collaboration skills.
• Experience supporting RFPs, proposals, or client solution demos preferred.
• Ability to communicate at all levels with clarity and precision, both written and verbally

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to sit
• The employee must occasionally lift and/or move up to 10 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.

Schedule

• Must be flexible on schedule and hours
• Overtime may be required from time to time
• Must be willing to work weekends if required to meet company demands

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.