Solutions Architect

Job Title: Integration / Interoperability Solution Architect

Location: Remote (USA) (Need Independent consultants who can work on 1099)

Experience Required: 8–10+ years IT experience / 5+ years healthcare integration experience / 3+ years solution / integration architecture

Domain: Healthcare – Payer / Provider / Managed Care / Insurance

Must-Have Skills:

• Healthcare integration: HL7 (v2), FHIR, X12 (278, 834), CCDA, EDI
• Strong experience with Mirth Connect / NextGen Mirth Connect
• REST APIs, JSON/XML, SOAP (good to have)
• Strong SQL for data validation and troubleshooting
• Payer workflows: eligibility, enrollment, utilization management (prior auth)
• Integration architecture: end-to-end design, interface specs, data flows
• Production support: monitoring, debugging, and issue resolution
• Azure cloud exposure (preferred)

Summary: This role of an Integration / Interoperability Solution Architect is centered on designing and governing how healthcare systems exchange data across complex ecosystems such as payers, providers, EHR platforms, and external partners. The architect is responsible for creating end-to-end integration solutions that enable seamless, secure, and standards-based data flow using healthcare interoperability frameworks like HL7 (v2 messaging), FHIR (modern REST APIs), X12 (insurance transactions such as 278 for utilization management and 834 for enrollment), CCDA, and EDI . A key part of the role is hands-on work with integration engines like Mirth Connect / NextGen Mirth Connect , where the architect ensures that interfaces are correctly configured, data transformations are accurate, and communication between systems is reliable and scalable. They also design API-based architectures, define integration patterns, create system and data flow diagrams, and produce technical documentation that guides implementation teams.

In addition to architecture and design, the role carries strong production ownership and stakeholder collaboration responsibilities . The architect supports live environments by troubleshooting interface failures, monitoring integration performance, and resolving complex interoperability issues that impact healthcare workflows such as eligibility, enrollment, and prior authorization. They act as a bridge between business stakeholders and technical teams, translating healthcare requirements into scalable technical solutions while guiding developers, analysts, and QA teams through implementation. The role also involves participation in Agile processes, architectural governance, and continuous improvement of integration platforms. Increasingly, there is a focus on modernizing healthcare integrations using Azure cloud services and AI/GenAI tools , enabling smarter automation, improved data processing, and more efficient interoperability across healthcare networks.

Roles & Responsibilities (Integration / Interoperability Solution Architect)

• Lead end-to-end healthcare integration architecture design across payer, provider, and partner ecosystems.
• Design scalable interoperability solutions using HL7, FHIR, X12, CCDA, and EDI standards .
• Build and maintain integration architecture artifacts including system diagrams, data flow diagrams, interface specifications, and technical design documents.
• Design and support FHIR-based REST APIs and healthcare data exchange services .
• Configure, develop, and troubleshoot interfaces using Mirth Connect / NextGen Mirth Connect .
• Work with key healthcare transactions such as X12 278 (Utilization Management) and 834 (Enrollment) .
• Collaborate with business, product, engineering, and external partners to translate requirements into technical solutions.
• Provide architectural governance, review designs, and ensure adherence to integration standards.
• Support production environments , including monitoring, debugging, and resolving interface failures.
• Optimize integration performance, identify risks, and improve data exchange workflows.
• Work in Agile environments and participate in estimation, planning, and solution reviews.
• Leverage Azure cloud and AI/GenAI tools for modern integration enhancements.

Top 5 Must-Have Skills (with Experience)

1. Healthcare Integration Standards (5+ years) : HL7, FHIR, X12 (278, 834), CCDA, EDI
2. Mirth Connect / NextGen Mirth Connect (3–5 years) ; Interface development, configuration, troubleshooting
3. Healthcare Payer Domain Experience (5+ years): Enrollment, eligibility, utilization management workflows
4. Integration Architecture / Solution Design (3–5 years) : End-to-end architecture, APIs, system design, documentation
5. API, SQL & Production Support (4+ years): REST APIs, SQL troubleshooting, monitoring and incident resolution