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HRP Migration Architect

ITCO Solutions, Inc.

Role overview

Qualifications

  • 10+ years in healthcare payer technology, with 5+ years of hands on HRP experience
  • Led at least 1-2 full core claims migrations to HRP
  • Deep functional and technical knowledge of HRP modules: Member, Product, Provider, Claims, Financials
  • Strong executive level communication and client facing leadership

Responsibilities

  • Define the HRP solution architecture across Member, Product/Benefit, Provider, Claims, and Financial modules
  • Design the end to end migration strategy, including data migration and cutover options
  • Lead gap/fit analysis and data mapping from legacy structures to HRP's data model
  • Shape the QE strategy and define go live readiness criteria

Key facts

Hard skills

Other skills

  • Communication
  • Leadership

About the company

ITCO Solutions, Inc. logo

ITCO Solutions, Inc.

Founded in 1997, ITCO Solutions is a global technology services and management company specializing in cloud computing, workforce solutions and managed services. ITCO is unmatched in our ability to deliver price/performance to companies worldwide. We are unique because we are vendor agnostic. Our offering is clear as we combine best in class consulting services, tailored technology solutions and more value to our customers on each engagement. This adds up to greater success and hard dollar savings for you. DELIVERING THE BEST PEOPLE, THE BEST EXPERTISE, AND THE BEST VALUE, FOR ALL YOUR PROJECTS

Company details

Company size201 - 500

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Job description

Position Title: HRP Migration Architect
Location: Remote, client location in Canton, MA preferred
Start Date: 11/2/2026
Priority: Critical

Technical Skills
  • Application Integrator-EDI
  • Data Migration
  • Health Care Payers
  • Solutions Architecture
Position Description
Lead architect for the migration of a healthcare payer's core claims platform from a legacy claims engine to HealthEdge HealthRules Payer (HRP) as the target system. You own the target state architecture, migration strategy, and integration design from discovery through cutover and stabilization.

This position is located at the client site in Canton, MA but can be performed remotely.

Your future duties and responsibilities
  • Target state architecture: Define the HRP solution architecture across Member, Product/Benefit, Provider, Claims, and Financial modules, and keep it aligned with the enterprise architecture.
  • Migration strategy: Design the end to end approach, including data migration (extract, transform, load, reconcile), cutover options (big bang vs. phased/LOB wise), parallel runs, and rollback.
  • Legacy to HRP mapping: Lead gap/fit analysis and data mapping from legacy structures to HRP's data model. Resolve configuration vs. customization decisions.
  • Configuration oversight: Guide benefit plan, product, pricing/fee schedule, contract, accumulator, and adjudication rule configuration in HRP.
  • Integration and EDI design: Own the integration landscape around HRP: X12 transactions: 837 (P/I/D), 835, 834, 820, 270/271, 276/277, 278 Clearinghouse, enrollment, eligibility, and billing flows Downstream feeds: finance/GL, pharmacy (PBM), UM/care management, data warehouse, reporting APIs and event/messaging patterns, plus interoperability touchpoints (e.g., CMS 0057 API dependencies)
  • Data quality and reconciliation: Define migration validation, financial and claims reconciliation, and open claim/in flight transition rules.
  • Testing and readiness: Shape the QE strategy (system, integration, end to end, UAT, regression, performance). Define entry/exit criteria and go live readiness.
  • Governance and leadership: Act as technical authority with the client, HRP vendor, and delivery teams. Own design decisions, risk/issue management, and architecture review boards.
  • Stakeholder communication: Translate technical decisions for business, operations, and executive audiences.
Required qualifications to be successful in this role
  • 10+ years in healthcare payer technology, with 5+ years of hands on HRP experience
  • Led at least 1 2 full core claims migrations to HRP (not just implementation or support)
  • Deep functional and technical knowledge of HRP modules: Member, Product, Provider, Claims, Financials
  • Strong command of HIPAA X12 EDI and how it maps to HRP inbound/outbound processing
  • Proven data migration experience at payer scale (conversion design, mapping, reconciliation, mock loads)
  • Solid understanding of claims adjudication, pricing, accumulators, COB, appeals, and payment/remit processes
  • Experience with integration patterns (APIs, MQ/ESB, ETL, batch vs. real time)
  • Familiarity with regulatory requirements (HIPAA, CMS, state mandates)
  • Strong executive level communication and client facing leadership
Preferred qualifications
  • HealthEdge certifications or direct HealthEdge partner/vendor experience
  • Experience with multiple LOBs (Commercial, Medicare Advantage, Medicaid, Exchange)
  • Exposure to cloud hosted HRP deployments and DevOps/CI CD for configuration promotion
  • Experience applying AI/automation to migration testing, mapping, or reconciliation
  • Background in payer mergers or multi entity platform consolidations
Education: Bachelor's degree in computer science or similar field.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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