> Markdown version of [/jobs/ext/735413-solution-architect-in-healthcare](https://www.wearedevelopers.com/jobs/ext/735413-solution-architect-in-healthcare). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Solution Architect in Healthcare - **Company:** Tata Consultancy Services Limited - **Location:** Dallas, TX, United States - **Experience:** Expert - **Salary:** $138,600.0 - $187,500.0 - **Contract:** Permanent contract - **Skills:** Artificial Intelligence, Healthcare Effectiveness Data and Information Set, Pega, QNXT - **Published:** June 29, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=d369c762dab7ba90 ## About the Role Do you have experience in Operational management?, Do you have a Master's degree?, * Bachelor's or master's degree in business administration or related discipline * 13+ years BPO and contact center delivery operations * 10+ years in U.S. healthcare contact center leadership roles * Mandatory experience in U.S. Member Services across Commercial, Medicare, or Medicaid * Strong exposure to Provider Services and payer back-office integration * Hands-on experience with payer platforms such as Facets, QNXT, WGS, PEGA, and portals * Strong knowledge of CMS audits, HEDIS, STAR ratings, and G&A processes * Lean Six Sigma Green or Black Belt Certification preferred ## Description The Solution Architect is responsible for leading large-scale U.S. healthcare payer contact center operations across Member Services, Provider Services, Claims, Enrollment, and Eligibility. This role owns end-to-end delivery excellence including SLAs, regulatory compliance, financial performance, workforce productivity, and transformation initiatives across Commercial, Medicare, and Medicaid lines of business. The role serves as a senior client-facing leader managing complex multi-LOB healthcare operations while driving cost optimization, quality, and AI-led transformation. Responsibilities and Duties: * Provide hands on leadership for 200 - 400+ FTE U.S. healthcare contact center operations across Member Services, Provider Services, Claims, Enrollment, and Eligibility * Act as a U.S. payer domain SME with deep understanding of member and provider journeys * Own end to end KPIs and SLAs including AHT, ASA, FCR, quality, accuracy, grievance TAT, and appeals resolution * Ensure compliance with U.S. healthcare regulations including HIPAA, CMS, Medicare, Medicaid, ACA, and state mandates * Lead governance with U.S. payer leadership across Operations, CX, Compliance, and Medical Management * Drive cost to serve reduction through workforce optimization, automation, and AI led interventions * Lead U.S. healthcare transformation initiatives including digital self service, contact reduction, intelligent routing, and agent assist * Proactively identify and mitigate operational, regulatory, and compliance risks * Support U.S. healthcare pursuits and expansions with SME ownership for solutioning, pricing, and operating model design * Own delivery financials including budgeting, productivity targets, and P&L performance * Build leadership capability across Managers and Senior Managers and drive a high performance delivery culture ## Related Videos - [Edit Your Future: Queerverse Radical AI](https://www.wearedevelopers.com/videos/909-edit-your-future-queerverse-radical-ai) - [From Global Capability Centers to AI-Powered Command Centers](https://www.wearedevelopers.com/videos/100096-from-global-capability-centers-to-ai-powered-command-centers) - [AI is dead, long live AK](https://www.wearedevelopers.com/videos/1093-ai-is-dead-long-live-ak) - [Blueprints for Success: Steering a Global Data & AI Architecture](https://www.wearedevelopers.com/videos/1577-blueprints-for-success-steering-a-global-data-ai-architecture) - [HR Tech: An Essential Ingredient for Tech-Driven Business Transformation](https://www.wearedevelopers.com/videos/1482-hr-tech-an-essential-ingredient-for-tech-driven-business-transformation) - [Angstfreude - AI and Corporate Culture - The Thrill and the Threat](https://www.wearedevelopers.com/videos/100354-angstfreude-ai-and-corporate-culture-the-thrill-and-the-threat) ## Related Articles - [What Industries Outside of AI Are Hiring The Most AI Experts?](https://www.wearedevelopers.com/magazine/98-what-industries-outside-of-ai-are-hiring-the-most-ai-experts) - [Coffee with Developers - Maria Apazoglou - Making AI understandable for all in production](https://www.wearedevelopers.com/magazine/475-coffee-with-developers-maria-apazoglou-making-ai-understandable-for-all-in-production) - [Best US AI Conferences for CTOs in 2026: Build vs. Buy, Vendor Evaluation, and Peer Intelligence](https://www.wearedevelopers.com/magazine/736-best-us-ai-conferences-for-ctos-in-2026-build-vs-buy-vendor-evaluation-and-peer-intelligence) - [What Are The Top Skills Required For Azure Developers?](https://www.wearedevelopers.com/magazine/77-what-are-the-top-skills-required-for-azure-developers) - [A Guide to Green Tech and Green IT Careers](https://www.wearedevelopers.com/magazine/374-a-guide-to-green-tech-and-green-it-careers) - [Stephan Gillich - Bringing AI Everywhere](https://www.wearedevelopers.com/magazine/489-stephan-gillich-bringing-ai-everywhere)