Healthcare Payer Enterprise Architect

My name is Sudher Vurakaranam, and I represent Synchrony Systems Inc. We are currently supporting an implementation partner on a full-time opportunity. Based on your background, your experience may align well with this role.

Position Details:

Healthcare Payer Enterprise Architect

Newark, NJ

Full-Time (W2 only)

5days a week onsite

$110,000-$150,000 per year, plus benefits

Min 8+ Years and Max 25 Years

Who can work on a full-time W2 basis without sponsorship

Note:

• This role is not open for C2C/C2H/1099 or any contract arrangements
• This opportunity is available for candidates who can work on a full-time W2 basis without sponsorship.

Job Description

Must Have Technical/Functional Skills:

12+ years in IT with 5+ years in enterprise/solution architecture

Strong experience in U.S Healthcare Payer domain

Hands-on knowledge of:

o Claims systems, eligibility, benefits, provider workflows

o Integration frameworks and healthcare data standards

Proven expertise in TOGAF or equivalent EA framework

Experience in cloud (AWS/Azure/GCP), APIs, microservices, and data architecture

Strong stakeholder management and communication skills

Experience with AI-driven utilization management / prior authorization

Knowledge of payer cost-of-care optimization and analytics

Exposure to GenAI-based SDLC / automation frameworks

Roles & Responsibilities

Enterprise & Solution Architecture

Define and govern enterprise architecture using TOGAF principles and frameworks

Develop current-state, target-state, and transformation roadmaps across payer systems

Lead architecture design across core payer domains:

o Claims adjudication

o Enrollment & eligibility

o Provider network & contracting

o Care management & utilization

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2. Payer Domain Transformation

Architect end-to-end solutions integrating core admin platforms (Facets, QNXT, HealthEdge) and digital ecosystems

Ensure compliance with payer regulations (HIPAA, CMS, NCQA)

Drive interoperability using HL7, FHIR, EDI X12 standards

Evaluate modernization opportunities including API-first, microservices, and cloud adoption

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3. AI & Digital Innovation (Preferred / Differentiator)

Identify and implement AI/ML/GenAI use cases across payer operations such as:

o Claims automation and adjudication

o Fraud, waste & abuse detection

o Member engagement and care insights

Define AI architecture patterns including:

o Data pipelines, MLOps, and model governance

Partner with business stakeholders to translate AI opportunities into scalable solutions

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4. Architecture Governance & Leadership

Establish architecture standa rds, patterns, and governance frameworks

Lead architecture review boards and ensure design compliance

Collaborate with business, engineering, and product teams for aligned delivery

Act as trusted advisor to C-level / client leadership on technology strategy

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5. Strategy, Roadmap & Stakeholder Engagement

Translate business strategy into technology architecture blueprints

Define multi-year digital transformation and AI adoption roadmap

Engage cross-functional stakeholders across IT, operations, and vendor ecosystem

Generic Managerial Skills, If any

Strategic thinker with strong business-to-technology alignment capability

Ability to drive large-scale transformation programs

Strong consulting mindset with stakeholder influence

Mentoring and leading cross-functional architecture teams

TCS Employee Benefits Summary:

Discretionary Annual Incentive.

Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.

Family Support: Maternal & Parental Leaves.

Insurance Options: Auto & Home Insurance, Identity Theft Protection.

Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.

Time Off: Vacation, Time Off, Sick Leave & Holidays.

Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.

If you are interested in learning more, please reply with your updated resume and preferred time for a brief discussion. If this opportunity is not a match, feel free to disregard this message.

Thank you for your time and consideration.

Sudher Vurakaranam

Desk: View phone number on us.fitly.work( Ext:3280)

Email: View email address on us.fitly.work

Synchrony Systems Inc, 3 Ethel Rd Ste 313, Edison NJ 08817.

SYNCHRONY CORP

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