Personify Health

Solution Architect, Claims Platform Migration

Personify Health

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $85,000 - $105,000 per year

About the role

  • 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
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
gap analysissolution designclaims administrationbenefits configurationdata ingestionreportinganalyticsdigital experiencedocumentationrisk mitigation
Soft Skills
leadershipcommunicationanalytical skillsproblem-solvingcollaborationclient engagementpresentation skillstranslation of technical languageattention to detailorganizational skills