Senior Application Architect (Healthcare Interoperability)

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

The principal role of the PAI architect is to be a liaison between the customer and our Abacus partners and make sure the end-to-end solution for each client/project is fully supported with no gaps. This is product delivery, tailored to each client project. We assess and modify standard assets based on specific project needs. Most of the technical work is done through our vendor partner Abacus. We also have MDP which is fully Gainwell supported.

Your role in our mission

• Technical project documentation – Creating state specific artifacts such as ADDs, RTMs, data flow diagrams, project guides
• Support go-live activities – ensure that the above-mentioned documents are completed and approved
• Security documentation and approvals – ensure that we have the most current Abacus generated security reports SSP and controls need to gain security approval
• Coordinate the definition of state specific business rules - work with Abacus and state resources to define and resolve anomalies found during data ingestion.
• SFTP/MFT implementation - we use SFTP to transfer data for all states. We also use the Gainwell corporate MFT solution for many of our states. Need to ensure that these connections are established, documented, and supported.
• SharePoint management –Three SharePoint sites to help share PHI and non-PHI document with our external vendors. These sites need an owner to provide access management and support responsibilities going forward.
• Problem resolution and issue management – catch-all for all the unanticipated one-off requests we get to support our solution

What we're looking for

• Nine or more years of experience in application architecture, product development, or technical solution delivery.

• Required hands-on experience with FHIR and HL7 standards, including their use in healthcare interoperability, data exchange, and system integration.

• Strong knowledge of CMS interoperability requirements, including CMS-9115-F, CMS-0057-F, Patient Access requirements, and associated implementation guides.

• Experience with application design, product configuration, software development life cycle principles, SaaS/cloud solutions, and systems integration.

• Proven experience coordinating technical projects, vendors, customers, and cross-functional teams while resolving issues and supporting successful implementations.

What you should expect in this role

• United States remote opportunity
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• The Deadline to submit applications for this posting is November 28, 2026

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The pay range for this position is $95,100.00 - $135,800.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.