Healthcare Solution Architect
Concord - Minneapolis, MN

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Concord is a senior-level IT consulting firm providing business value and technology solutions to our national client base. Through proven methodologies, deep expertise and a seasoned team of nationwide consultants, we deliver ‘world class’ solutions centered on the following practices:

  • Enterprise and Integration Architecture
  • Data Architecture, Warehousing and Management
  • Center of Excellence Development, Quality Assurance & Testing Solutions
  • Security and Compliance
  • Infrastructure and Capacity Management
  • Process and Program Management

Concord will work with consultants on a W2 basis or a Corp-to-Corp basis. We have a host of benefits that can be available for W2 consultants.

We are currently recruiting for the Healthcare Solution Architect position for our direct client:

Candidates only local to Minneapolis, St. Paul at this time

Skills Required:

  • Claims Platforms (HealthRules/Trizetto or Metvance): 2-4 Yrs
  • Clearinghouse Technical Understanding: 1-2 Yrs
  • Configuration Management: 4-6 Yrs
  • EDI (837,270,276,278,835): 1-2 Yrs
  • Healthcare: 4-6 Yrs
  • HL7: 4-6 Yrs
  • TIBCO: 4-6 Yrs
  • XML: 4-6 Yrs
  • XSL

Work Streams this SA will be involved with; Claims.

1) Take responsibility for detailed solution architecture and accompanying documentation in alignment with the established future state vision of our clients claims platform, architectural best practices and technology standards/policies
2) Maintain in depth knowledge of Industry software capabilities, standards and best practices
3) Hands on engagement in pilot, prototyping and performance tuning activities as required by assigned projects
4) Champion and evangelize defined technology engineering processes
5) Work across team, group and business boundaries to drive commonality and reusability in solution to real-world problems around claims processing and adjudication
6) Deliver project deliverables on scope, time and on budget

Bachelor's Degree or equivalent experience
Minimum of 12 years of full-lifecycle application development experience
Minimum of 5 years of software/solution architecture experience
Strong working knowledge of the following: Knowledge of data architecture principles, SOA and EDI, as well as multiple types of database technology (document, relational, XML)
Understanding of how benefits, provider contracts, rate sheets, groupers, pricers in relation to claims processing are all linked together to adjudicate claims and pay them.
Thorough understanding of web application architecture, including application servers
Thorough understanding of SOA and ESB concepts, particularly those related to web services
Thorough understanding of fundamental software engineering and computer science principles: object-oriented design, structured design, algorithms, data structures, usability and configuration management

Experience with Healthcare payor claims solutions Preferably HealthRules or (Trizetto Facets, QNXT or Metavance)
Understanding of claims processing business processes and CPT/ICD9 code sets
Understanding of EDI transaction types, 837,270,276 transactions
Understanding of EDI Clearinghouse vendors & technology
Experience creating architectures for claims processing/adjudication in alignment with the following: Design patterns, reference architecture, corporate security policies and regulations
Agile development
Experience prototyping and performance tuning applications deployed across multiple operating systems, languages and computing platforms
Healthcare Industry experience, specifically transaction processing with HL7, X12, EDI, HIE and other interfaces

Tools, Technology and Framework:
TIBCO, Informatica, XML, XSD, IWay Framework is a plus

Indeed - 18 months ago - save job - block
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