Full Job Description
Job Summary
Are you passionate about leveraging technology to improve healthcare affordability, enhance claims accuracy, and drive measurable business outcomes? We are seeking a strategic and innovative Application Architect to play a key role in advancing our Payment Integrity Product portfolio. In this highly visible position, you will partner with Product, Business, Clinical, Operations, and Technology teams to design and deliver scalable enterprise solutions that prevent inaccurate payments, optimize claims adjudication, strengthen payment integrity capabilities, and improve operational efficiency.
As a trusted technical leader, you will define and execute application architecture strategies that align business objectives and enterprise roadmaps, while guiding complex solution designs across integrated healthcare platforms. You will serve as a subject matter expert for payment integrity technologies, ensuring seamless integration of applications, databases, and middleware solutions that support critical claims and payment accuracy initiatives. This role requires a strong balance of strategic architecture leadership, technical expertise, and cross-functional collaboration to deliver innovative solutions that maximize value realization, improve healthcare outcomes, and support the organization's long-term digital transformation goals.
NOTE: This is a WFH role. Sponsorship is not available including if you are currently on OPT.
Required Job Qualifications:
Bachelor's degree with 4 years of Information Technology experience, OR technical certification and/or college coursework with 6 years of Information Technology experience, OR 8 years of Information Technology experience.
*Experience in application architecture, solution design, or product architecture.*Experience with application development platforms and modern
programming technologies.
*Experience with cloud computing platforms and services.
*Experience with DevOps, CI/CD pipelines, and Agile delivery methodologies.
*Experience with enterprise integration technologies and API-based architecture.
*Strong analytical, problem-solving, and collaboration skills.
*Ability to communicate effectively with both technical and business
stakeholders.
Preferred Job Qualifications:
*Experience architecting solutions within Healthcare Payer, Payment Integrity, Claims Processing, Revenue Management, or related healthcare domains.
*Deep understanding of Payment Integrity functions, including pre-payment and post payment editing, coding validation, reimbursement methodologies, provider billing compliance, and claims adjudication workflows.
*Experience integrating third-party Payment Integrity solutions, including claims editing, audit recovery fraud, waste, and abuse platforms.
*Proven ability to design end- to-end enterprise solutions that span multiple systems, products, and business domains.
*Strong knowledge of healthcare data and transaction processing, including claims, provider, member, and clinical integrations.
*Experience with cloud-native architectures, microservices, APIs, event driven systems, and modern integration frameworks.
*Understanding of application security, healthcare compliance, data privacy, and secure design principles.
*Experience leading architecture governance, vendor evaluations, and strategic technology roadmap development.
*Demonstrated ability to influence technical direction and align cross-functional stakeholders around a shared architectural vision.
*Strong leadership, communication, relationship-building skills and thrive in highly collaborative environments and excel at building strong partnerships across teams.
This is an opportunity to work on high-visibility initiatives that directly impact healthcare affordability, claim accuracy, and member experience. You'll be part of a collaborative product organization focused on innovation, continuous improvement, and delivering meaningful outcomes for our customers, providers, and members.
If you're looking to make a measurable impact while advancing your career in healthcare technology and payment integrity, we'd love to hear from you.
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Pay Transparency Statement:
At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.
Base Pay Range
$92,700.00 - $167,500.00
Exact compensation may vary based on skills, experience, and location.
