Note: The job is a remote job and is open to candidates in USA. Lumen Solutions Group Inc. is a technology consulting services company seeking a Healthcare Solution Architect with healthcare payer, claims adjudication, and Facets expertise. The role focuses on designing and supporting Facets-based healthcare solutions, defining application and integration architecture, optimizing claims workflows, and modernizing healthcare platforms.
Responsibilities
- Design and support end-to-end Facets-based healthcare solutions
- Define application, integration, and data-flow architecture
- Optimize claims editing, batch sequencing, and adjudication workflows
- Collaborate with business, engineering, and technical teams on architecture decisions
- Develop architecture documentation, integration designs, and data-flow diagrams
- Identify opportunities to modernize/refactor existing healthcare platforms
Skills
- 8-10 years of healthcare payer experience, with strong knowledge of claims and adjudication processes
- Deep understanding of Facets architecture, modules, data flows, integrations, and claims processing
- Candidates with 5+ years of strong Facets Legacy experience may also be considered
- Recent experience as a Solution Architect; engineering/development + architecture backgrounds are welcome
- Strong experience with Facets integration frameworks, data-flow architecture, refactoring, and integration patterns
- Experience designing batch processes and sequencing to optimize claims adjudication performance
- Experience integrating claims editing tools/vendors and determining the optimal sequence for claims editor calls
- Ability to evaluate architecture and integration approaches to improve claims processing efficiency and performance
- Remote - Required Once in a Quarter
- Strong hands-on Facets G6 experience is highly preferred
- Experience with government programs and commercial healthcare is preferred
Benefits
- Remote work, required once per quarter
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