Solutions Architect-Interoperability

Summary

Join Abacus Insights, a mission-driven technology company transforming healthcare data, as a Solution Architect. You will partner with customers and internal teams to design scalable cloud architectures solving customer business problems and accelerating Abacus offerings adoption. The role focuses on CMS Interoperability solutions but may involve other data solutions. You will author architecture design documents, collaborate with cross-functional teams, and define solution architecture visions. You will also mentor internal teams and provide ongoing support. Abacus offers a flexible and secure platform for healthcare data organization and exchange, contributing to improved patient experiences and lower healthcare costs.

Requirements

• Understanding and passion for healthcare data and systems – including payer, provider, and integration partners. Strong working knowledge of US healthcare data, including but not limited to Medical Claims, Pharmacy Claims, Membership / Enrollment, Provider and Clinical
• Domain expertise in CMS Interoperability Mandate (9115 / 0057) - including the technology used to serve the mandated APIs as well as the data structures (FHIR) required to be compliant
• Ability to define the solution architecture vision in architecture design documents
• Broad and general technical knowledge as well as competencies in infrastructure, data models, databases, service orientation, programming, frameworks, standards, and technical modeling. Strong experience with one or more cloud vendors (AWS / Azure / GCP) and data platforms (Databricks / Snowflake) desired
• Strong understanding of healthcare industry trends, regulations, and customer needs with preference for previous payer / Interoperability vendor experience
• Experience translating business needs into technology solutions that enable delivery of the Abacus platform
• Strong communicator who can leverage their domain and technical expertise effectively with the client and build working relationships with internal and external team members. Ability to communicate succinctly and clearly, both verbally and written, across technical and non-technical audiences at multiple levels, including business leaders
• Experience working in the payer / healthcare data space and understanding of the historical data architecture needs of our clients
• Understanding of client services or experience working for a cloud-based data management provider to large clients

Responsibilities

• Author the project architecture design documents, including data flows, sequence diagrams and overall system architecture, that will drive the technical implementation of the solutions. This role will primarily focus on defining solutions associated with CMS Interoperability, but may also work on other data solutions
• Work across business and IT teams to understand the current business and system capabilities and determine the desired state to define the overall technology strategy roadmap
• Work closely with cross-functional teams, including business experts, technical business analysts, project managers, sales / account executives and data engineers to successfully implement client projects which reduce technology costs and solution redundancy
• Collaborate with Product Management to identify client-specific requirements that may translate into an existing standard product feature or a future feature on the Abacus product roadmap
• Define the solution architecture visions for designated components that describe the long-term goals as well as near-term needs of the client
• Provide mentorship to internal teams on business needs and use cases for seamless client implementation. Provide ongoing support to address questions and issues raised by the implementation team

Preferred Qualifications

• Working knowledge of Provider (EHR) Data formats and topics – including FHIR, X-12, HL-7 V2, and CCDA/CDA - as well as the general system architecture required to consume and make use of this data
• Working knowledge of Utilization Management / Care Management / Disease Management