Beacon Hill was founded to set a new standard in search, career placement and flexible staffing. We are seeking an elite Senior Healthcare Payer Solutions Architect & Strategy Consultant to define our technology vision, select best-in-class tools, and create multi-year roadmaps that drive operational excellence, data integration, and regulatory compliance across the healthcare payer ecosystem. This role combines strategic consulting with deep architectural expertise, ensuring that technology investments align with business objectives, industry regulations, and emerging market trends. Key Responsibilities: * Lead the evaluation and selection of technical tools, platforms, and vendors across core payer domains: claims processing, provider network management, care management, member engagement, and analytics. * Develop comprehensive technology roadmaps that balance innovation, scalability, cost efficiency, and compliance with payer-specific regulations (HIPAA, CMS, NCQA). * Architect end-to-end solutions that integrate core administration systems (e.g., Facets, QNXT, HealthEdge) with data warehouses, analytics platforms, and digital engagement tools. * Design interoperability frameworks leveraging industry standards (FHIR, HL7, EDI X12) to enable seamless data exchange across payers, providers, and regulatory agencies. * Assess existing technology environments, identify modernization opportunities, and recommend cloud migration, API-first, and microservices-based approaches where applicable. * Partner with executives and business leaders to translate business strategy into scalable, secure, and compliant architectures. * Ensure architecture governance, technical best practices, and performance benchmarks are met across projects. * Provide thought leadership on emerging technologies such as AI-driven claims adjudication, predictive analytics for population health, and automation in provider and member workflows. Required Skills: * 3+ years in healthcare payer technology roles, including architect-level design and strategic consulting experience. * Strong understanding of Medicaid/Medicaid terminology * Proven success in tool/vendor selection, roadmap creation, and solution architecture for payer organizations. * Deep knowledge of payer operations, regulatory requirements, and healthcare data standards. * Hands-on experience with core administration platforms (e.g., Facets, QNXT, HealthEdge), enterprise integration tools, and cloud technologies (AWS, Azure, GCP). * Strong understanding of enterprise architecture frameworks (TOGAF, Zachman) and modern architectural patterns (microservices, event-driven, API-first). * Excellent leadership, communication, and stakeholder engagement skills. Beacon Hill is an equal opportunity employer and individuals with disabilities and/or protected veterans are encouraged to apply. California residents: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act. If you would like to complete our voluntary self-identification form, please click here or copy and paste the following link into an open window in your browser: https://jobs.beaconhillstaffing.com/eeoc/ Completion of this form is voluntary and will not affect your opportunity for employment, or the terms or conditions of your employment. This form will be used for reporting purposes only and will be kept separate from all other records. Company Profile: Beacon Hill Technologies, a premier National Information Technology Staffing Group, provides world class technology talent across all industries utilizing a complete suite of staffing services. Beacon Hill Technologies' dedicated team of recruiting and staffing experts consistently delivers quality IT professionals to solve our customers' technical and business needs. Beacon Hill Technologies covers a broad spectrum of IT positions, including Project Management and Business Analysis, Programming/Development, Database, Infrastructure, Quality Assurance, Production/Support and ERP roles. Learn more about Beacon Hill and our specialty divisions, Beacon Hill Associates, Beacon Hill Financial, Beacon Hill HR, Beacon Hill Legal, Beacon Hill Life Sciences and Beacon Hill Technologies by visiting www.bhsg.com . Benefits Information: Beacon Hill offers a robust benefit package including, but not limited to, medical, dental, vision, and federal and state leave programs as required by applicable agency regulations to those that meet eligibility. Upon successfully being hired, details will be provided related to our benefit offerings. We look forward to working with you. Beacon Hill. Employing the Future™
To view the full job description, click here
