About HealthEdge 
HealthEdge® is trusted to provide the technology and services that power health plans’ most important value streams. With an integrated platform of solutions spanning claims administration, quality improvement, prospective payment accuracy, provider network management, care management, member engagement and risk adjustment, HealthEdge enables health plans to converge their data so they can harness automation and the promise of AI. Combining this next-gen technology with services and expertise gives health plans unmatched capabilities to deliver a future of frictionless and cost-effective healthcare experiences. For more information, visit www.HealthEdge.com.

Position Overview:

We are searching for a highly motivated Enterprise Architect for Ecosystem Implementations to join our team. The Enterprise Architect position serves as strategic technical leader and client-facing advisor for complex health plan engagements, leading discovery and design efforts while supervising 2-4 Solution Architects. This role combines deep healthcare payor domain expertise with exceptional analytical and communication abilities.

Your Impact:

• Lead client discovery sessions and translate business requirements into technical strategies
• Serve as primary technical advisor to executive-level stakeholders
• Support pre-sales engagements including RFP responses, demonstrations, and proposals
• Develop resource (FTE) estimates and financial projections for implementations
• Create statements of work and support contract negotiations
• Contribute to thought leadership content supporting business development
• Design enterprise integration architectures spanning multiple core administration platforms
• Evaluate technology approaches across healthcare ecosystem platforms (HealthEdge, TriZetto, NASCO, Change Healthcare)
• Develop comprehensive solution documentation including architecture diagrams and technical specifications
• Assess technical feasibility and business impact of proposed solutions
• Supervise and mentor 2-4 Solution Architects
• Review and approve technical designs developed by team members
• Foster collaborative, learning-focused team culture
• Conduct regular one-on-ones and performance reviews
• Establish and enforce architecture standards and best practices
• Ensure solutions meet security, scalability, performance, and compliance requirements
• Drive repeatability and reusability of integration patterns
• Lead architecture review boards and technical design sessions

This position description identifies the responsibilities and tasks typically associated with the performance of the position.  Other relevant essential functions may be required.

What You Bring:

• Bachelor's degree in business, computer science, or technical field
• Minimum of 20 years in healthcare technology integration
• Minimum of 10 years in technical leadership roles
• Minimum of 5 years people management experience with direct reports
• Proven track record of large-scale health plan implementations
• Expert knowledge of payor operations across Medicare Advantage, Medicaid, and Commercial
• Deep experience with core administration platforms (HealthEdge, TriZetto, NASCO, Change Healthcare)
• Extensive EDI transaction integration experience (837, 834, 835, 270/271, 276/277, 278)
• Understanding of healthcare standards (HL7, FHIR, X12, NCPDP, ICD-10)
• Knowledge of CMS and state regulatory requirements
• Exceptional analytical abilities and strategic thinking
• Outstanding communication skills for technical and executive audiences
• Proven ability to support sales cycles including proposals and presentations
• Experience with AWS cloud environments and modern cloud services
• Knowledge of SQL, Java, Spring Boot, Web Services, XML, JSON
• Familiarity with Agile methodologies and CI/CD pipelines
• Experience working in onshore/offshore delivery models
• Comfortable in fully remote environment with strong collaboration skills

HealthEdge commits to building an environment and culture that supports the diverse representation of our teams. We aspire to have an inclusive workplace. We aspire to be a place where all employees have the opportunity to belong, make an impact and deliver excellent software and services to our customers.

Geographic Responsibility: While HealthEdge is located in Boston, MA you may live anywhere in the US
Type of Employment: Full-time, permanent

Work Environment: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job:

• The employee is occasionally required to move around the office. Specific vision abilities required by this job include close vision, color vision, peripheral vision, depth perception, and ability to adjust focus.
• Work across multiple time zones in a hybrid or remote work environment.
• Long periods of time sitting and/or standing in front of a computer using video technology.
• May require travel dependent on company needs.

The above statements are intended to describe the general nature and level of the job being performed by the individual(s) assigned to this position. They are not intended to be an exhaustive list of all duties, responsibilities, and skills required. HealthEdge reserves the right to modify, add, or remove duties and to assign other duties as necessary. In addition, reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position in compliance with the Americans with Disabilities Act of 1990. Candidates may be required to go through a pre-employment criminal background check.

HealthEdge is an equal opportunity employer. We are committed to workforce diversity and actively encourage all qualified persons to seek employment with us, including, but not limited to, racial and ethnic minorities, women, veterans and persons with disabilities.

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**The annual US base salary range for this position is $190,000 to $215,000. This salary range may cover multiple career levels at HealthEdge. Final compensation will be determined during the interview process and is based on a combination of factors including, but not limited to, your skills, experience, qualifications and education.