Remote Position
[Remote] Facets Solution Architect (Medicaid Regulatory Transformation)
🌍 Remote · Bangladesh
💼 Full-time
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)
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