Solution Architect II

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 II

POSITION SUMMARY:

The Solution Architect II (SA II) role within the Implementations team independently designs and documents end-to-end solutions for CareMetx products and services. This role translates client program needs into operationally feasible, compliant, and scalable hub workflows with minimal guidance, applying growing expertise in solution design and healthcare hub operations. The SA II leads program discovery activities, drives the Implementation SOW process, and serves as a reliable solution contributor from Sales through Implementation go-live, while actively pursuing Senior SA responsibilities, competencies, and skills.

PRIMARY DUTIES AND RESPONSIBILITIES:

• Independently defines technical program solutions, timelines, and scope for standard CMTX offerings, with a solid understanding of client goals and CMTX organizational strategy.
• Partners with Product Management and Commercial team to coordinate cost/pricing inputs for the pricing model during the opportunity deal stage, ensuring costs submitted reflect 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, and other materials required for program configuration.
• Facilitate program design reviews and obtain internal and external review and signature for the Program Rules Document.
• Serve as a solution contributor and emerging subject matter expert throughout Sales and completion of Implementation, actively pursuing Senior SA responsibilities, competencies, and skills.
• Support client escalations during implementation as they relate to solution and scope management, escalating complex issues to senior architects as appropriate.
• Maintain regular and reliable attendance, including being present, on time, and prepared for work as scheduled.
• Other duties as assigned - Duties, responsibilities and activities may change or new ones may be assigned at any time with or without notice.

Qualifications

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:

• Minimum of 5 years’ experience in IT technology, software implementation, solution design, or equivalent.
• Minimum of 5 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.
• Solid 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 solution design.
• 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 accommodation 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.
• Some Travel may be required.

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.