Solution Architect

Carefirst is looking for a Solution Architect with strong Healthcare Payer experience, particularly in Facets G6 and Claims Processing, to lead architecture for large-scale modernization and transformation initiatives.

8-10+ years of experience as a Solution Architect/Domain Architect in the Healthcare Payer space, with strong Claims experience. 5-6+ years of extensive Facets experience; Facets G6 experience is strongly preferred. Recent experience architecting Facets G6 real-time and batch claims processing, pre-adjudication validation, EDI transactions, claim editing engines, and third-party integrations. Strong understanding of integration/interoperability between Facets and enterprise data producers/consumers. Experience modernizing/refactoring Facets claims architecture, including: Architecture simplification and modernization Resiliency and controls for high-risk processes Reducing integration complexity/hops Provider data rationalization Legacy platform retirement/runout planning Strong understanding of Claims, Enrollment, Billing & Payments, Underwriting, Benefits, Partner Programs, and Business Operations. Experience with one or more of: Salesforce Health Cloud/Data Cloud, MuleSoft, Kafka, Azure/Fabric, or other healthcare platforms. Expertise across at least two architecture domains, such as Solution/Enterprise Architecture, Integration, Data, Cloud, Interoperability, Software Architecture, or AI. Strong experience working with business stakeholders, technical teams, enterprise architects, and third-party solution providers. Ability to define target-state architecture, make complex technology decisions/trade-offs, and communicate/present architecture to senior stakeholders.