Company Description
Lumen Solutions Group Inc. is a technology consulting Services company based in Florida. We provide a wide array of experienced business and IT professionals supporting clients from solution design to implementation and support. We specialize in professional IT consulting services, IT Staffing, Business/IT Strategy, Business Process Blueprints, Enterprise Architecture, and Enterprise Transformation.
Role: Healthcare Solution Architect
Location: Baltimore, MD (Remote – Required Once in a Quarter)
Job Type: 6 Months Contract-To-Hire
Job Summary:
We are seeking a Healthcare Solution Architect with strong healthcare payer, claims/adjudication, and Facets expertise. The ideal candidate will have recent Solution Architecture experience combined with hands-on technical/engineering experience.
Key Responsibilities
• Design and support end-to-end Facets-based healthcare solutions.
• Define application, integration, and data-flow architecture.
• Optimize claims editing, batch sequencing, and adjudication workflows.
• Collaborate with business, engineering, and technical teams on architecture decisions.
• Develop architecture documentation, integration designs, and data-flow diagrams.
• Identify opportunities to modernize/refactor existing healthcare platforms.
Required Skills & Qualifications
• 8–10 years of healthcare payer experience, with strong knowledge of claims and adjudication processes.
• Strong hands-on Facets G6 experience is highly preferred.
• Deep understanding of Facets architecture, modules, data flows, integrations, and claims processing.
• Candidates with 5+ years of strong Facets Legacy experience may also be considered.
• Recent experience as a Solution Architect; engineering/development + architecture backgrounds are welcome.
• Strong experience with Facets integration frameworks, data-flow architecture, refactoring, and integration patterns.
• Experience designing batch processes and sequencing to optimize claims adjudication performance.
• Experience integrating claims editing tools/vendors and determining the optimal sequence for claims editor calls.
• Ability to evaluate architecture and integration approaches to improve claims processing efficiency and performance.
• Experience with government programs and commercial healthcare is preferred. A 50/50 split is not required.
Lumen Solutions Group Inc is an equal opportunity employer. All qualified applicants will be considered for employment without regard to any legally protected status.