Hiring FACETS G6 Solutions Architect
Abhinav Mohanty
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Role: FACETS G6 Solutions Architect
Location: Remote + onsite 1x per QTR (Expenses Paid)
Only GC and USC
Job Description:
seeking a Solutions Architect with
specific focus in FACETS G6 Integrations. This position is a contract to
permanent opportunity with our client, a major Healthcare Payor Organization in
the Maryland/Metro DC area. Although this position is 99% remote (1 onsite
meeting per QTR), we are seeking candidates that reside in one of the following
states: DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL
We are seeking a visionary and highly technical
Principal Enterprise & Solution Architect to lead the technological
transformation of our core healthcare payer platforms. In this role, you will
be the driving force behind modernizing our future-state enterprise
architecture, specifically focusing on Facets G6 claims processing
infrastructure. You will design high-performing architecture solutions,
remediate technical debt, and influence senior leadership to invest in
high-value technological acceleration. The ideal candidate brings extensive
domain expertise in healthcare payer functions, advanced integration
frameworks, and a proven track record of refactoring complex legacy platforms
into simplified, resilient ecosystems. This is a high-level, strategic
technology role focused on modernizing core payer systems, driving enterprise
refactoring, and optimizing integration frameworks across complex healthcare
ecosystems.
Key Responsibilities
- Architectural Strategy & Innovation: Drive business value by
innovating technological solutions that lead to tangible, measurable business
outcomes.
- Define future-state architecture to accelerate strategic value delivery and
tech modernization.
- Persuade key decision-makers and executive stakeholders to invest in
architectural acceleration. Align technical solutions across multiple
enterprise initiatives, products, and long-term roadmaps.
- Facets G6 Ecosystem Engineering & Refactoring - Architect core claims
solutions covering Facets G6 real-time/batch processing, pre-adjudication
validation, and claim-editing engines.
- Manage EDI data streams and end-to-end transaction data management
configurations. Refactor enterprise systems to simplify architecture, reduce
integration hops, and modernize data flows. Strengthen process controls and
platform resiliency across high-risk core processing areas. Optimize provider
data structures through comprehensive rationalization and cleanup. Plan
retirement paths for legacy systems, managing risk during runout phases.
Required Skills
- 10+ years of experience as a Solutions Architect
with the last 8 eights in the Healthcare / Claims Processing space
- Must have experience in both the Commerical and Federal Healthcare payor
sectors
- Must have recent solution/domain architecture experience with Facets G6
real-time and batch claims processing, pre-adjudication validation, EDI-based
transaction data management, claim editing engines, and third-party
integrations with partner organizations that provide these services.
- Must have experiential knowledge on how to apply interoperability and
integration best practices between Facets G6 and all data producers and data
consumers within the enterprise ecosystem surrounding Facets G6.
- Must have experience with enterprise level architecture refactoring to
resolve the following for
Facets G6 claims processing
1. Architectural simplification and modernization
2. Strengthening controls and resiliency in high-risk processes
3. Reducing unnecessary complexity and integration hops
4. Provider data improvements and rationalization
5. Legacy platform runout and retirement planning
- Must have experience working with claims processing,
enrollment, billing & payments, underwriting, partner programs, business
operations, and benefit management business functions either in a commercial or
government area (both preferred).
- Additional architecture experience in one or more technology platforms
(Salesforce Health Cloud/Data Cloud, other Healthcare specific platforms,
MuleSoft, Kafka, , Azure Fabric)
- Expertise with two or more architecture domains (enterprise architecture,
solution architecture, software development, data, integration,
interoperability, cloud, artificial intelligence) and their associated
architecture frameworks, standards/patterns, methods and tools. Experience
overseeing and driving third-party solution architecture engagements and
outcomes.
- Knowledge of healthcare data standards (e.g., HL7, FHIR, X12) and regulatory
requirements (HIPAA, CMS, NCQA).
- Experience contributing to portfolio rationalization and/or technical debt
remediation initiatives at an enterprise level