Healthcare Solution Architect

Lumen Solutions Group, Inc.

  • Baltimore, MD
  • 20 days ago
  • Remote

    Highlights

    We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation.

    Numbers & Facts

    LocationBaltimore, MD (
    Remote
    )

    Description

    Company Description 
    Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation. 
     
    Role: Healthcare Solution Architect
    Location: Baltimore, MD (Remote – Required Once in a Quarter)
    Job Type: 6 Months Contract-To-Hire


    Job Summary:
    We are seeking a Healthcare Solution Architect with strong healthcare payer, claims/adjudication, and Facets expertise. The ideal candidate will have recent Solution Architecture experience combined with hands-on technical/engineering experience.
     
    Key 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.
     
    Required Skills & Qualifications
    • 8–10 years of healthcare payer experience, with strong knowledge of claims and adjudication processes.
    • Strong hands-on Facets G6 experience is highly preferred.
    • 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.
    • Experience with government programs and commercial healthcare is preferred. A 50/50 split is not required.
     
    Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status. 

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