Conduct comprehensive gap analyses: Assess differences between current-state and future-state service and digital experiences at the group level to identify solution requirements and migration challenges.
Design migration solutions: Create solutions that address claims administration, eligibility, benefits configuration, data ingestion, reporting and analytics, and digital experience needs for transitioning clients.
Lead solution demonstrations: Present client-facing demonstrations focused on digital portals, tools, and workflows, highlighting impact on client and member service delivery.
Translate design into requirements: Partner with Business Analysts to convert solution designs into clear client requirements documentation for implementation teams.
Ensure accurate execution: Collaborate with Business Analysts and Project Managers to verify solution designs are implemented accurately and meet client expectations.
Identify and mitigate risks: Proactively flag risks, dependencies, and constraints within proposed solutions while recommending mitigation strategies to keep projects on track.
Serve as subject matter expert: Provide expertise on claims ecosystem and digital platform capabilities while aligning solutions with product roadmap direction.

Bachelor's degree in business, healthcare administration, information systems, or related field, or equivalent experience
5+ years experience in solution design, implementation, or configuration within healthcare, insurance, or TPA environment
Experience in TPA or payor environments strongly preferred
Background supporting claims platforms and digital member/employer solutions
Strong understanding of employer benefits administration systems and digital engagement platforms
Ability to conduct and document detailed gap analyses and solution designs
Proficiency in presenting and demonstrating solutions in client-facing engagements
Ability to translate technical capabilities into client-friendly language and actionable solutions
Strong analytical, problem-solving, and documentation abilities

Comprehensive medical and dental through our own health solutions (yes, we use what we build)
Unlimited PTO—rest and recharge time is non-negotiable
Mental health support, retirement planning, and financial protection
Professional development with clear career progression and learning budgets
Mission-driven culture where diverse perspectives drive real impact on people's health

Solution Architect, Claims Platform Migration

Key skills