Payer Systems & Integration Architect

Mcghealth

Remote, US
Not specified; not specified; world-class benefits...
Remote
Payer-side healthcare workflows expertise
Healthcare interoperability and integration architecture
Utilization management workflow knowledge
The role serves as the principal subject matter expert for payer-side healthcare workflows, system integrations, and data flows

Job Summary

  • The role serves as the principal subject matter expert for payer-side healthcare workflows, system integrations, and data flows.
  • This position partners closely with Implementation, Product, Engineering, and customer stakeholders to resolve complex integration challenges.
  • Candidates will help establish scalable frameworks and best practices to strengthen organizational capability in payer environments.

Matching Summary

The role serves as the principal subject matter expert for payer-side healthcare workflows, system integrations, and data flows.

Salary

Not specified; Not specified; World-class benefits mentioned

Skills & Requirements

Must-have

  • Payer-side healthcare workflows expertise
  • Healthcare interoperability and integration architecture
  • Utilization management workflow knowledge
  • Prior authorization process understanding
  • Complex system implementation advisory

Nice-to-have

  • Scalable framework development experience
  • Cross-functional stakeholder collaboration
  • Mentorship of implementation teams
  • Strategic customer engagement skills

Key Requirements

  • Deep expertise in health plan operations
  • Experience with utilization management workflows
  • Proven track record in system integration design

Work Rights

Not specified

Tailored Resume

Cover Letter