Must Have Technical/Functional SkillsThe requirement is for an experienced and highly skilled Medicare FIDE Architect to provide technical leadership and strategic guidance for their IT projects related to Medicare FIDE programs. This role will be pivotal in designing, developing, and implementing robust, scalable, and compliant solutions that address the unique requirements of integrated Medicare and Medicaid benefits management. Candidate should possess a deep understanding of Medicare FIDE regulations, data models, system integrations, and the broader healthcare payer landscape. As an Architect, candidate will collaborate closely with business stakeholders, development teams, and other architects to ensure technical solutions align with business objectives and regulatory mandates. Comprehensive knowledge of Medicare FIDE regulations, business processes, data requirements, and integration models. Proven experience within the healthcare payer domain, specifically with Medicare and Medicaid programs. Expertise in designing and implementing complex data models relevant to healthcare, including member enrollment, claims, eligibility, and provider data. Sound experience in designing and implementing integrations between various healthcare systems (e.g., enrollment platforms, claims processing systems, data warehouses, state Medicaid systems). Experience with cloud platforms (preferably AWS or Azure) and their relevant services for data storage, processing, and integration. Understanding of healthcare data security and privacy regulations, including HIPAA, and experience designing compliant solutions. Proven ability to define and document solution architectures, including diagrams, data flows, and technical specifications. Excellent verbal and written communication skills Familiarity with Agile development practices and the ability to work effectively in an iterative environment.Roles & ResponsibilitiesKey Responsibilities Provide technical leadership and architectural guidance for IT projects related to Medicare FIDE. Design and document end-to-end solution architectures that meet the business requirements for Medicare FIDE programs, ensuring scalability, performance, security, and compliance Define and maintain the data architecture for Medicare FIDE related data, ensuring data integrity, quality, and efficient data flow across systems. Develop and implement integration strategies between various internal and external systems involved in Medicare FIDE operations, including state Medicaid systems. Able to provide cloud-based solutions leveraging AWS or Azure services for Medicare FIDE applications and data. Collaborate effectively with business stakeholders, product owners, development teams, and other architects to understand requirements and translate them into technical solutions. Assist in troubleshooting and resolving complex technical issues related to Medicare FIDE applications.Generic Managerial Skills, If any Collaborate with Project stakeholders and Drive the team to complete the deliverables Proven success working in large Medicare FDE programs Expertise in solving complex business functional issues, and manage the stakeholders. Team management
Job Type: Full-time
Pay: $120,000.00 - $150,000.00 per year

Schedule:

• 8 hour shift

Experience:

• Healthcare Domain: 4 years (Required)
• Medicare FIDE: 10 years (Required)

Ability to Commute:

• Atlanta, GA 30308 (Required)

Ability to Relocate:

• Atlanta, GA 30308: Relocate before starting work (Required)

Work Location: In perso

Please refer the Job description for details