Solution Architect, Claims Platform Migration
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Migration Solution Designer creating end-to-end migration solutions for clients in health administration. Collaborating across teams to ensure seamless transitions for health plan administration.
Responsibilities:
- Conduct comprehensive gap analyses: Assess differences between current-state and future-state service and digital experiences at the group level to identify solution requirements and migration challenges.
- Design migration solutions: Create solutions that address claims administration, eligibility, benefits configuration, data ingestion, reporting and analytics, and digital experience needs for transitioning clients.
- Lead solution demonstrations: Present client-facing demonstrations focused on digital portals, tools, and workflows, highlighting impact on client and member service delivery.
- Translate design into requirements: Partner with Business Analysts to convert solution designs into clear client requirements documentation for implementation teams.
- Ensure accurate execution: Collaborate with Business Analysts and Project Managers to verify solution designs are implemented accurately and meet client expectations.
- Identify and mitigate risks: Proactively flag risks, dependencies, and constraints within proposed solutions while recommending mitigation strategies to keep projects on track.
- Serve as subject matter expert: Provide expertise on claims ecosystem and digital platform capabilities while aligning solutions with product roadmap direction.
Requirements:
- Bachelor's degree in business, healthcare administration, information systems, or related field, or equivalent experience
- 5+ years experience in solution design, implementation, or configuration within healthcare, insurance, or TPA environment
- Experience in TPA or payor environments strongly preferred
- Background supporting claims platforms and digital member/employer solutions
- Strong understanding of employer benefits administration systems and digital engagement platforms
- Ability to conduct and document detailed gap analyses and solution designs
- Proficiency in presenting and demonstrating solutions in client-facing engagements
- Ability to translate technical capabilities into client-friendly language and actionable solutions
- Strong analytical, problem-solving, and documentation abilities
Benefits:
- Comprehensive medical and dental through our own health solutions (yes, we use what we build)
- Unlimited PTO—rest and recharge time is non-negotiable
- Mental health support, retirement planning, and financial protection
- Professional development with clear career progression and learning budgets
- Mission-driven culture where diverse perspectives drive real impact on people's health
Similar Jobs
Customer Solutions Architect
Customer focused Solutions Architect at Nexxa.ai designing solutions for heavy industries. Involves system architecture and customer collaboration for AI-driven projects.
Inside Solutions Architect – Datacenter
Inside Solutions Architect responsible for driving HPE's data center networking and routing solutions. Engage with enterprise accounts and provide solution design guidance for networking technologies.
Senior Technical Solution Architect – Dynamics 365 CRM
Senior Technical Solution Architect leading Dynamics 365 CRM and Power Platform solutions. Responsible for architecture design, implementation, and mentoring technical teams.
Senior Solutions Consultant
Senior Solutions Consultant architecting AI powered digital workforce solutions at SS&C. Collaborating with executives to shape automation and AI roadmaps aligned to strategic business outcomes.
Senior Solution Architect, Salesforce
Senior Solution Architect at factory42 guiding clients in Salesforce architecture for digital transformation. Collaborating on complex CRM projects to innovate customer processes.
Senior Solutions Architect
Senior Solutions Architect at Medical Solutions creating and transforming healthcare software products. Collaborating with teams to enhance operational efficiency and healthcare outcomes.
Field Solution Architect
Field Solution Architect developing cloud-first strategies and solutions for clients at Connection Services. Collaborating with teams to enhance and grow technological solutions across accounts.
Senior Principal Mechanical Integration Engineer – Data Center Liquid Cooling
Mechanical Integration Engineer defining factory level mechanical and thermal solutions for Jabil manufacturing facilities. Leading early phase factory design and ensuring operational excellence at hyperscale data centers.
Solutions Engineer
Solutions Engineer supporting partnerships at Atomic, focusing on financial services integration and technical advisory. Collaborating with product teams to optimize partner implementation processes.
Solutions Architect – Corporate Applications
Solutions Architect at US Anesthesia Partners designing and implementing enterprise application solutions. Leading cross-functional teams and ensuring enterprise architecture standards are met.
Senior Solution Engineer – Workload Automation ANOW! Suite
Senior Solution Engineer for Beta Systems developing enterprise automation solutions in workload automation. Collaborating with sales and product management to optimize customer success.
Lead Solutions Architect
Lead Solutions Architect for Solana Foundation, focusing on institutional blockchain adoption and technical strategy. Engage with tier-1 financial institutions to establish trusted relationships and drive standards.
Senior Pre-Sales Solution Architect
Pre-Sales Senior Solution Architect at OutSystems supporting customers with high-quality presentations and workshops. Analyzing requirements and designing solutions while collaborating with sales and delivery teams.
Senior Salesforce Solution Architect
Senior Solution Architect specializing in Salesforce solutions for digital transformation with a focus on client collaboration and tech innovation. Join factory42 in shaping the future of customer interaction.
Senior AI Solutions Engineer – Copilot, Azure AI
Senior Solutions Engineer at Nexer specializing in Microsoft AI technologies. Leading cloud solution architecture and integration for substantial business transformation projects.
AI Agents Solutions Architect – Finance
Architect and build the AI-native finance operating system at Kraken for global finance operations. Deploy production-grade automation and establish frameworks for finance automation.
AI Agents Solutions Architect – Finance
AI Solutions Architect at Kraken responsible for architecting and building an AI-native finance operating system. Leading automation efforts across financial operations and compliance within a crypto environment.
Applied AI Solutions Architect – East Coast
Applied AI Solutions Architect at LlamaIndex, turns engineering skepticism into signed deals by addressing infrastructure issues. Engages with enterprises to design solutions that meet AI challenges.
Solutions Architect
Solutions Architect at Kevel, blending technical expertise with customer-facing work in LATAM. Helping retailers with AI-driven ad tech infrastructure and customizable platforms.
Clinical Solutions Manager – Respiratory
Clinical Solutions Manager working with care providers to enhance respiratory care. Engage and educate clinicians on innovative solutions impacting patient care nationwide.