[Remote] Facets Solution Architect (Medicaid Regulatory Transformation)

Note: The job is a remote job and is open to candidates in USA. AppLab Systems, Inc. is seeking a Facets Solution Architect to lead architecture and solution design for state-specific Medicaid regulatory changes. The role coordinates technical solutions across payer platforms and applications, and provides architecture leadership to engineering and QA teams.

Responsibilities

• Own end-to-end technical architecture for state-specific Medicaid regulatory changes
• Assess regulatory impacts across:
• Facets
• Mainframe platforms
• Java/J2EE applications
• DataStage
• Talend/TalendWorks
• APIs and integration services
• Databases
• Batch platforms
• Upstream and downstream applications
• Determine the appropriate implementation approach across Facets configuration, Mainframe development, Java development, ETL/data changes, integration changes, or surrounding applications
• Design solutions supporting:
• Member enrollment
• Eligibility
• Benefits
• Claims adjudication
• Claims pricing
• Claims payment
• Regulatory edits
• Medicare/Medicaid coordination
• Develop architecture patterns that allow common capabilities to be reused while supporting state-specific Medicaid variations
• Perform regulatory impact assessments and identify cross-platform dependencies
• Provide technical leadership to Mainframe, Java, Facets, ETL, and QA teams
• Conduct architecture reviews, technical quality assessments, and production-readiness reviews
• Identify design gaps, integration risks, data impacts, and downstream regulatory impacts
• Partner with Medicaid regulatory SMEs, business analysts, product owners, engineering, and QA teams

Skills

• Deep knowledge of Facets, Mainframe, Java, DataStage, Talend/TalendWorks and healthcare payer architecture, combined with strong Medicaid regulatory and business-process knowledge
• Deep TriZetto Facets architecture and implementation experience
• Strong Mainframe architecture and application knowledge, including COBOL/JCL/DB2/CICS or comparable

Benefits

• Remote (USA)

Company Overview

AppLab Systems has a strong reputation as a Recruitment, Staffing, Healthcare and information technology consulting company. It was founded in 2006, and is headquartered in Princeton, New Jersey, USA, with a workforce of 201-500 employees. Its website is https://applabsystems.com.

Company H1B Sponsorship

AppLab Systems, Inc has a track record of offering H1B sponsorships, with 5 in 2022, 38 in 2021, 7 in 2020. Please note that this does not guarantee sponsorship for this specific role.