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Looking for Solution Architect with healthcare payer West Coast PST only REMOTE at West, Texas, USA
Email: [email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2269070&uid=

From:

Sushmita Soni,

Sonitalent

[email protected]

Reply to: [email protected]

Hi

Hope you are doing well

We are looking for Senior Process Engineer , if you are interested kindly send me your updated resume.

Job Title: Solution Architect/ Pharmacy Benefits Manager (PBM) with healthcare payer

Location: Candidates on the
West Coast (PST Hours) 100% REMOTE

Duration: 6+ months

Interview: Phone/ Skype-2Rounds

Visa: only

LinkedIn Must have

Job Description:

I need two professional references for ALL CANDIDATES- and I will be checking them.

Need the following:

Reference Name

Reference Current Company Name

Reference Company Name where both worked together

Reference Job Title at said Company

Relationship between candidate and reference

Reference phone #

Reference WORK EMAIL ONLY

Reference LinkedIn- they MUST have a LINKEDIN

We are looking for a Solution Architect/Pharmacy Benefits Manager (PBM) with CMS Interoperability that has healthcare payer experience.

Job Title: Solution Architect/Pharmacy Benefits Manager (PBM) with CMS Interoperability Expertise

Job Description: We are seeking a highly skilled and experienced Solution Architect/Pharmacy Benefits Manager (PBM) with a strong background in CMS Interoperability and healthcare payer operations. The ideal candidate will have a proven ability to design and implement innovative solutions that align with regulatory requirements, imize business processes, and enhance the interoperability of healthcare data systems.

Key Responsibilities:

Solution Architecture: Design and implement scalable, secure, and compliant solutions to address CMS Interoperability requirements, ensuring alignment with organizational goals and industry standards.

CMS Interoperability Expertise: Lead the development and implementation of strategies to enhance healthcare data exchange and interoperability, including working with HL7 FHIR standards, API development, and data mapping.

Healthcare Payer Insights: Leverage in-depth knowledge of healthcare payer systems to analyze, design, and imize processes for managing pharmacy benefits.

Regulatory Compliance: Ensure that all solutions adhere to CMS guidelines, HIPAA regulations, and other relevant compliance frameworks.

Collaboration: Work closely with cross-functional teams, including business analysts, developers, and stakeholders, to gather requirements, provide technical guidance, and deliver effective solutions.

Technical Leadership: Stay up to date with the latest advancements in healthcare interoperability and pharmacy benefit management, and provide strategic input to drive innovation and efficiency.

Testing & Implementation: Oversee testing, deployment, and post-implementation support of interoperability solutions and PBM systems.

Qualifications:

Bachelor's degree in computer science, healthcare administration, or a related field (masters preferred).

Proven experience as a Solution Architect and PBM professional in the healthcare payer space.

Experience with CMS Interoperability guidelines, including FHIR standards and API integration.

Expertise in healthcare payer processes, including claims processing, formulary management, and benefit design.

Familiarity with healthcare IT systems such as EHRs, HIEs, and payer platforms.

Strong communication and collaboration skills, with the ability to work effectively in a team environment.

Certifications in healthcare IT standards (e.g., HL7, FHIR) are a plus.

Thanks & Regards

Sushmita Soni

Sr. Technical Recruiter
| SoniTalent Corp.
Desk | 859-659-1004 EXT 201

[email protected]

Address
-
5404 Merribrook Lane, Prospect, KY, USA

Keywords: information technology Kentucky
Looking for Solution Architect with healthcare payer West Coast PST only REMOTE
[email protected]
http://bit.ly/4ey8w48
https://jobs.nvoids.com/job_details.jsp?id=2269070&uid=
[email protected]
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09:47 PM 19-Mar-25


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