Healthedge Product Architect at American Cybersystems, Inc. in New York, New York

Job Description:

Innova Solutions is immediately hiring a HealthEdge Product Architect


Position type: Contract
Duration: 12 Months
Location: Remote

As a HealthEdge Product Architect, you will:


We are seeking an experienced HealthEdge Product Architect with specialized knowledge in Smart Claims Engine (SCE) to design and oversee the development of cutting-edge claims processing solutions. As a Product Architect, you will work with stakeholders to define the product vision, translate business requirements into robust technical solutions, and ensure the seamless integration and optimization of HealthEdge platforms and SCE in the healthcare ecosystem. Your expertise will help drive the next generation of healthcare solutions by improving claims management, operational efficiency, and compliance.

Key responsibilities:


Product Architecture:
Lead the architecture and design of scalable, efficient, and robust solutions for claims processing using HealthEdge platforms, including integration with Smart Claims Engine (SCE).
Define system architecture, data flows, integration patterns, and design principles to ensure seamless interactions between HealthEdge and third-party applications.
Solution Design & Strategy:
Develop and communicate the long-term vision for the product, ensuring alignment with business goals and healthcare regulations.
Translate complex business requirements into high-level design specifications and detailed implementation strategies.
Smart Claims Engine (SCE) Expertise:
Leverage deep knowledge of SCE to architect solutions that optimize claims workflows, decision rules, and data integrity.
Design and implement SCE configurations and integrations within the broader HealthEdge framework.
Integration & Interoperability:
Oversee the integration of HealthEdge platforms with other enterprise systems (e.g., payer systems, claims databases, third-party applications) using APIs, web services, and data exchange standards (e.g., HL7, FHIR, EDI).
Ensure smooth data flow and ensure the platform's ability to scale as data volume and processing demands grow.
Technical Leadership:
Provide technical guidance and mentorship to cross-functional teams, including developers, business analysts, and QA testers.
Review and approve technical designs, development progress, and ensure adherence to industry standards.
Compliance & Best Practices:
Ensure the architecture and implementation meet healthcare compliance standards (e.g., HIPAA) and industry best practices for security, performance, and scalability.
Stay current with industry trends and regulatory changes that may impact product design and development.
Stakeholder Collaboration:
Collaborate with product managers, business analysts, and senior leadership to ensure alignment between business needs and technical solutions.
Present product roadmaps, design strategies, and technical updates to stakeholders.
Optimization & Performance:
Continuously monitor and improve the performance, efficiency, and reliability of claims processing systems.
Implement performance tuning, scalability, and fault tolerance best practices to ensure a high-quality user experience.

Education Skills:


Bachelor's or master's degree in computer science, Software Engineering, Healthcare Informatics, or a related field.
Relevant certifications in HealthEdge platforms, Pega, or cloud technologies are a plus.

Preferred Skills:


Experience with DevOps practices, CI/CD pipelines, and version control systems (e.g., Git).
Familiarity with healthcare analytics, reporting tools, and business intelligence platforms.
Knowledge of enterprise architecture frameworks (e.g., TOGAF, Zachman).

Required Skills:


At least 7 years of experience in product architecture, with a focus on claims processing, HealthEdge platforms, and Smart Claims Engine (SCE).
Proven experience in designing and delivering complex, large-scale solutions within the healthcare domain, particularly in payer systems and claims processing.
Technical Expertise:
Extensive experience with HealthEdge platforms (e.g., HealthRules Payor) and their integration with other systems.
Strong knowledge of Smart Claims Engine (SCE) and its application in claims adjudication and management.
Expertise in integration technologies, such as APIs, SOAP/REST, EDI, HL7, and FHIR.
Experience with cloud-based architectures, microservices, and containerization (e.g., Docker, Kubernetes).
Healthcare Domain Knowledge:
Strong understanding of healthcare payer systems, claims adjudication workflows, and compliance regulations (e.g., HIPAA, CMS).
Leadership & Communication Skills:
Proven ability to lead technical teams and collaborate with business and product stakeholders to drive solution success.
Excellent communication skills, both verbal and written, with the ability to articulate complex technical concepts to non-technical stakeholders.
Problem-Solving & Innovation:
Strong analytical and problem-solving skills, with a passion for creating innovative solutions to complex challenges.
Ability to think strategically and make decisions that balance business needs, technical constraints, and compliance requirements.

Qualified candidates should APPLY NOW for immediate consideration! Please hit APPLY to provide the required information, and we will be back in touch as soon as possible.
We are currently interviewing to fill this and other similar positions. If this role is not a fit for you, we do offer a referral bonus program for referrals that we successfully place with our clients, subject to program guidelines.
ASK ME HOW.
Thank you

Kiran Vajrala
Manager

PAY RANGE AND BENEFITS:

Pay Range: 112,000 $ - 131,500 $ Per Year
Pay range offered to a successful candidate will be based on several factors, including the candidate's education, work experience, work location, specific job duties, certifications, etc.

Benefits: Innova Solutions offers benefits( based on eligibility) that include the following: Medical & pharmacy coverage, Dental/vision insurance, 401(k), Health saving account (HSA) and Flexible spending account (FSA), Life Insurance, Pet Insurance, Short term and Long term Disability, Accident & Critical illness coverage, Pre-paid legal & ID theft protection, Sick time, and other types of paid leaves (as required by law), Employee Assistance Program (EAP).

ABOUT INNOVA SOLUTIONS: Founded in 1998 and headquartered in Atlanta, Georgia, Innova Solutions employs approximately 50,000 professionals worldwide and reports an annual revenue approaching $3 Billion. Through our global delivery centers across North America, Asia, and Europe, we deliver strategic technology and business transformation solutions to our clients, enabling them to operate as leaders within their fields.

Recent Recognitions:

• Named One of America's Best Employers for New Grads by Forbes (2024)


• Named One of the Best Companies to Work For by U.S. News & World Report (Private Companies List, 2024-2025)


• One of the Largest IT Staffing Firms in the US - Ranked #3 by Staffing Industry Analysts (SIA, 2024)


• One of the Largest Staffing Firms in the US - Ranked #13 by Staffing Industry Analysts (SIA, 2024; includes Innova Solutions, Volt, & HireGenics)


• Named One of the Top Ten Private Companies in Atlanta by the Atlanta Business Chronicle (2023)


• One of the Largest Certified Minority Business Enterprises (MBEs) in the United States (NMSDC, 2024)


• AWS Advanced Tier Services Partner with 100+ certifications

Website: https://www.innovasolutions.com/

Innova Solutions is an Equal Opportunity Employer and prohibits any kind of unlawful discrimination and harassment. Innova Solutions is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment on the basis of race, color, religion or belief, national origin, citizenship, social or ethnic origin, sex, age, physical or mental disability, veteran status, marital status, domestic partner status, sexual orientation, or any other status protected by the statutes, rules, and regulations in the locations where it operates. If you are an individual with a disability and need a reasonable accommodation to assist with your job search or application for employment, please contact us at hr@innovasolutions.com or (770) 493-5588. Please indicate the specifics of the assistance needed.Innova Solutions encourages all interested and qualified candidates to apply for employment opportunities.Innova Solutions (HireGenics/Volt) does not discriminate against applicants based on citizenship status, immigration status, or national origin, in accordance with 8 U.S.C. § 1324b. The company will consider for employment qualified applicants with arrest and conviction records in a manner that complies with the San Francisco Fair Chance Ordinance, the Los Angeles Fair Chance Initiative for Hiring Ordinance, and other applicable laws. Apply Now