ResponsibilitiesPeraton Health, State and Local Sector is seeking a Facets Architect to support the modernization of CMS Claims Processing systems. This role is responsible for designing, implementing, and optimizing Facets platform deployments on Amazon Web Services (AWS) infrastructure in support of CMS Medicare operations.
The Architect will serve as the technical lead for Facets implementation initiatives, providing end-to-end architectural guidance from infrastructure provisioning through application configuration and integration. This individual will work within a persistent, collaborative Agile development team and interface directly with CMS stakeholders to ensure solutions meet regulatory, performance, and security requirements.
The ideal candidate combines deep expertise in Facets platform architecture with hands-on AWS cloud engineering experience, enabling the design of scalable, secure, and HIPAA-compliant solutions for high-volume Medicare claims processing environments.
This position requires staying current with industry trends in cloud-native healthcare IT, claims processing modernization, and CMS regulatory changes to continuously improve system architecture and operational efficiency.
Responsibilities:
- Lead the architecture, design, and implementation of Facets platform environments on AWS, including compute (EC2, ECS), storage (S3, Oracle), and networking (VPC, Direct Connect) components
- Design and maintain cloud infrastructure using Infrastructure-as-Code (IaC) tools such as AWS CloudFormation and Terraform to enable repeatable, automated environment provisioning
- Architect scalable and highly available solutions for Medicare claims processing, ensuring compliance with CMS performance requirements, HIPAA security standards, and FedRAMP controls
- Configure and optimize Facets platform modules including Claims Adjudication, Membership/Enrollment, Provider Network Management, Benefits Configuration, and Pricing Engine components
- Design integration architectures for EDI transaction processing (X12 837, 835, 834) leveraging AWS services such as Lambda, SQS, SNS, and Kinesis for event-driven workflows
- Establish and maintain CI/CD pipelines for Facets application deployments using DevSecOps best practices, containerization (Docker/EKS), and automated testing frameworks
- Collaborate with CMS stakeholders, business analysts, and development teams to translate Medicare regulatory requirements into technical architecture decisions and system configurations
- Provide technical leadership and mentorship to development team members on Facets platform capabilities, AWS cloud services, and healthcare IT best practices
- Design and implement monitoring, logging, and alerting solutions using AWS CloudWatch, CloudTrail, and GuardDuty to ensure system health, security compliance, and batch cycle reliability
- Support high-volume batch processing operations including overnight claims adjudication cycles, capitation runs, and eligibility file processing with performance optimization
- Develop and maintain architecture documentation, system diagrams, runbooks, and technical specifications for all Facets-on-AWS implementations
- Participate in technical design sessions, sprint planning, and architecture review boards to ensure alignment with enterprise standards and CMS directives
- Troubleshoot complex production issues spanning Facets application logic, Oracle database performance, and AWS infrastructure, providing root cause analysis and remediation
Qualifications
Basic Qualifications:
- Minimum of 12 years with BS/BA or a Minimum of 10 years with MS/MA.
- 8+ years of hands-on experience with Facets platform, including configuration, implementation, and administration across Claims, Membership, Provider, and Benefits modules
- 5+ years of experience designing and implementing solutions on Amazon Web Services (AWS), including EC2, EKS, RDS, S3, Lambda, VPC, Terraform, and IAM
- Strong experience with Oracle RDBMS including stored procedures, performance tuning, query optimization, and database architecture in the context of Facets implementations
- Demonstrated experience with healthcare claims processing systems
- Experience with EDI transaction standards (X12 837, 835, 834) and healthcare interoperability protocols (HL7, FHIR)
- Proficiency in Infrastructure-as-Code (Terraform, CloudFormation) and DevSecOps practices including CI/CD pipeline design and automated deployment
- Experience with containerization technologies (Docker, AWS ECS/EKS) and microservices architecture patterns
- Strong understanding of HIPAA Security Rule, FedRAMP, and CMS security requirements for cloud-hosted healthcare systems
- Agile/SCRUM methodology experience, preferably within SAFe (Scaled Agile Framework) environments
- Experience with monitoring and observability tools (CloudWatch, Splunk, or equivalent) for enterprise healthcare applications
- Familiarity with Windows Server administration as it relates to Facets platform hosting and operations
- Must be able to achieve Public Trust clearance
- US Citizen.
Preferred Qualifications:
- AWS Certified Solutions Architect (Associate or Professional) certification
Target Salary Range$176,000 - $282,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.
