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HealthEdge

Technology Strategy & Solution Architect

HealthEdge

Technology Strategy & Solution Architect driving transformation for payer Core Administration systems at HealthEdge. Collaborating with executives to design scalable technology solutions.

Posted 4/29/2026full-timeRemote • 🇺🇸 United StatesSeniorLead💰 $160,000 - $200,000 per yearWebsite

Tech Stack

Tools & technologies
Cloud

About the role

Key responsibilities & impact
  • Lead solution architecture and blueprinting for payer Core Admin transformation initiatives
  • Assess legacy platforms and define migration pathways to modern platforms, including HealthRules Payer (HRP)
  • Design future-state architecture for claims, enrollment, billing, provider, UM, A&G, benefits admin, and member operations
  • Define integration strategy for Core Administration Transformation across CRM, portals, care management, provider data, payment integrity, and data/analytics platforms
  • Recommend modern technology patterns: cloud-native architectures, event-driven messaging, scalable API frameworks
  • Identify opportunities for automation, workflow orchestration, and AI-enabled operational models
  • Support Advisory and Sales teams on strategic pursuits, proposals, and RFP responses
  • Lead technical discussions with CIOs, CTOs, technology leaders, and operations executives
  • Develop value cases showing cost, operational, and scalability benefits
  • Conduct current-state assessments of Core Admin and ecosystem technologies
  • Create modernization roadmaps, platform transition strategies, and future-state enterprise architectures
  • Ensure proposed solutions align with operational goals, compliance requirements, and long-term scalability
  • Mentor team members on architecture principles, Core Admin domains, HRP concepts, and solution design
  • Partner with delivery/engineering teams to validate feasibility and alignment with modernization strategy
  • Represent Advisory in client workshops, executive sessions, and strategic planning forums.

Requirements

What you’ll need
  • 10–15+ years in healthcare payer technology, enterprise architecture, or Core Admin strategy
  • Strong experience with one or more Core Admin platforms (including HealthRules Payer (HRP), Facets, QNXT, QicLink, Javelina, or modern cloud-native platforms)
  • Deep understanding of operational domains: claims, enrollment, billing, benefits, UM, A&G, provider, and member services
  • Proven ability to design future-state architectures and transformation blueprints
  • Strong sales-facing skills: whiteboarding, pursuit support, and executive communication
  • Exceptional communication, analytical ability, and client-facing presence.

Benefits

Comp & perks
  • HealthEdge commits to building an environment and culture that supports the diverse representation of our teams
  • We aspire to have an inclusive workplace
  • Opportunity to belong, make an impact and deliver excellent software and services to our customers

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
solution architectureblueprintingmigration pathwayscloud-native architecturesevent-driven messagingAPI frameworksautomationworkflow orchestrationAI-enabled operational modelsfuture-state architecture
Soft Skills
leadershipcommunicationanalytical abilityclient-facing presencementoringstrategic planningcollaborationtechnical discussionssales-facing skillsproposal support