Sr. Healthcare Solutions Architect (Provider)

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.

Acentra Health is looking for a Sr. Healthcare Solutions Architect (Provider) to join our growing team.

***Position will work remotely in the U.S. Flexibility to travel up to 10% for client and team meetings, trainings required***

Job Summary:

Sr. Healthcare Solutions Architect (Provider) is responsible for solutioning, designing and bridging the business and technology to fulfil the business needs. Sr. Healthcare Solutions Architect (Provider) supports implementation of new business capabilities and migration of new technology enhancing business processes and communicates expert understanding to internal and external stakeholders. This role is a member of the Design Engineering Excellence Team and reports directly to the Director of Design Engineering Excellence Team.

Job Responsibilities:

• Design optimized end-to-end solutions by conducting decision analysis and resolution on potential options using system mapping, organizational mapping, and business model analysis.
• Collaborate with key stakeholders to translate business and technical requirements into implementable components.
• Create high-level architectural and design specifications with a focus on system integration and alignment with business processes.
• Partner with customers to present business and technical solutions for complex functionalities.
• Lead client demonstrations and presentations as needed.
• Work closely with product and project teams to review and analyze requirements, identifying gaps using Fit-to-Product (F2P) tools.
• Demonstrate in-depth knowledge of payer-side healthcare operations, particularly in Medicaid/Medicare, with expertise in provider enrollment and services solutions.
• Evaluate and translate business requirements into functional system specifications and optimized business processes.
• Develop prototypes, proofs of concept (PoCs), and wireframe models to illustrate proposed solutions.
• Provide guidance on workflow diagrams, process mapping, and gap analysis to define current (AS-IS) and future (TO-BE) business and system states.
• Lead business transformation initiatives by aligning business capability models with value streams.
• Integrate strategic business needs, process management, operations, and systems to deliver comprehensive solutions.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

Required Qualifications/Experience:

• Bachelor's degree with 7+ years of experience in business solutioning, or a Master's degree with 5+ years of experience, specifically in the healthcare domain.
• Experience with a focus on the Provider Enrollment business area.
• Experience leading Fit-to-Product (F2P) design sessions and presenting complex business requirements to clients.
• Strong understanding of SDLC methodologies (e.g., Waterfall, Hybrid Agile, Agile/Scrum), with the ability to collaborate effectively with business units and technology teams on major initiatives.
• Excellent understanding of configuration data management and data migration processes with knowledge on technical tools.
• Solid knowledge of relational databases, preferably Oracle, and experience with Java EE platforms.
• Proficient in version control and defect management tools such as SVN and Jira.
• Self-motivated with the ability to manage multiple projects independently and with minimal supervision.
• Proven customer relationship skills, including effective presentation and meeting facilitation.
• Possible 10% travel within the U.S.

Preferred Qualifications/Experience:

• Demonstrated expertise in delivering healthcare business and technical solutions, including guidance on tools and methodologies across multiple subject matter areas.
• Provide industry insights, monitor market trends, and apply best practices to drive continuous improvement initiatives in collaboration with senior management.
• Stay current with evolving business policies, technologies, and market developments-including federal regulations-and recommend the adoption of new tools and technologies to enhance the quality and effectiveness of business solutions and deliverables.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."