Principal Solutions Architect

Job Summary

A company is looking for a Solutions Architect, Principal.

Key Responsibilities

• Serve as a subject matter expert in Claims, Third Party Liability (TPL), and Prior Authorization domains
• Define and drive product strategy, ensuring solutions are scalable and compliant with regulatory requirements
• Act as a liaison between business and engineering teams, managing product backlog and ensuring quality delivery

Required Qualifications

• Bachelor's or Master's degree or equivalent experience
• 12+ years of experience in Healthcare Claims systems
• Deep expertise in claims adjudication, pricing, and payment processing
• Experience with Medicaid/Medicare programs and payer operations
• Hands-on experience with EDI transactions (837, 276, 277, 835)