Technical Architect

Why This Role Matters - New addition (To be filled by Practice /DO)

The customer processes 50,000+ claims annually across 250+ Third-Party Administrators using a fragmented, manual intake stack. The platform you architect will eliminate that friction, automate eligibility workflows, and become the data foundation on which all future AI/ML, BI, and operational capabilities are built. Phase 1 establishes a production-proven foundation on five priority TPAs the architecture you get right here sets the pattern for the full TPA network in subsequent phases.

What You’ll Do:

Architecture & Solution Design

Design and govern the OneLake medallion architecture (Bronze / Silver / Gold) for claims, eligibility, and policy/contract data across five Phase 1 TPAs

Define the AI-assisted schema registry versioned alias handling for ~10 TPA format variants each, with drift detection and forward-compatible schema evolution Data Platform & AI Integration

Govern the Fabric Data Factory pipeline architecture for batch file intake (xlsx, csv, txt) with SLA monitoring, control totals, duplicate detection, and quarantine/reject workflows

Architect the Azure Document Intelligence integration for eligibility PDF and screenshot extraction, including human-in-the-loop validation workflow design Governance, Security & Compliance

Design PHI access controls and data masking patterns enabling offshore development while meeting US-only PHI requirements

Establish the four-role RBAC model (Admin, IT Support, Regular User, Read-Only) across the eligibility portal and all operational UIs Technical Leadership

Lead sprint zero discovery backlog definition, TPA file layout review, RACI, tooling access, and delivery cadence establishment

Conduct architecture decision reviews and set engineering standards across all workstreams and the full offshore team Client Engagement

Serve as the primary technical voice in stakeholder meetings with client technology and business leadership translating platform decisions into clear, decision-ready recommendations

Partner with the client’s internal team to define Gold layer consumption spec and integration handoff criteria for the downstream claim creation platform

Do you have experience in Stakeholder relationship building?, 12+ years in data engineering and analytics; 3+ years as a Technical or Solution Architect on enterprise-scale, multi-workstream data programs

Hands-on expertise in Microsoft Fabric OneLake, Fabric Data Factory, Lakehouses, Delta Lake, medallion architecture, and point-in-time reconstruction patterns

Proven experience designing data quality and intake control frameworks schema validation, SLA checks, reconciliation, exception triage queues, and quarantine/reject workflows

Deep experience designing canonical data models for complex transactional domains insurance claims, healthcare, or financial services strongly preferred

Hands-on experience with Azure AI Services Azure Document Intelligence (Form Recognizer) or equivalent for unstructured/semi-structured document extraction integrated into pipelines

Strong Python and SQL you review and write production-grade code, not just diagrams

Demonstrated experience leading customer-facing technical engagements with full delivery accountability you own the outcome, not just the architecture review., Communication Skills

Communicate effectively with stakeholders.

Use clear verbal, written (emails, documentation), and instant messaging approaches to ensure alignment.

Interpersonal Skills

Build and maintain productive relationships across cross-functional teams.

Provide constructive feedback during requirement workshops and be open to stakeholder input.

Problem-Solving & Analytical Thinking

Strong analytical mindset to evaluate process flows.

Ability to troubleshoot requirement gaps, compliance risks, and process inefficiencies.

Task / Work Updates

Prior experience working in Agile/Scrum projects with tools like Jira or Azure DevOps.

Provide regular updates, demonstrate proactivity, and show due diligence in carrying out responsibilities.

Stakeholder Management

Skilled in facilitating workshops, UAT sessions, and requirement walkthroughs.

Act as liaison between business and technical teams, ensuring clarity and consensus.

Expected Outcome

A successful implementation of Phase I and II of Claims Management Platform