Solution Architect

Job Type

Full-time

Description

The Solution Architect (SA) role within the Implementations team plays a critical role in ensuring effective end to end solutions of CareMetx products and services that not only meet client expectations but also align with CareMetx strategic goals and objectives. This role is responsible for translating client program needs into operationally feasible, compliant, and scalable hub workflows. Upon winning new CareMetx business, this role will perform critical program discovery activities to confirm and document final patient support solution to aid in the Implementation SOW creation and execution. Partnering with other internal stakeholders as appropriate, this role will serve as the primary decision maker for the detailed technical solution to be implemented. This role will be critical from Sales through Implementation go-live, ensuring the right solution is designed and implemented throughout.

Requirements

Primary Duties and Responsibilities:

• Accountable for defining the technical program solution, timeline and scope for standard CMTX offerings to align with client goals and CMTX organizational strategy
• Responsible for partnering with Product Management and Commercial team as appropriate to coordinate required cost/pricing inputs for pricing model during opportunity deal stage to ensure costs submitted consider solution scope, complexity, and staffing requirements
• Map client requirements to standard hub operational capabilities, technology platforms, and workflows.
• Design end-to-end operational workflows covering all medical, pharmacy, and adherence services, including but not limited to: patient enrollment, benefits verification, prior authorization, copay assistance, and ongoing patient engagement.
• Partner with Product Management to identify gaps between client expectations and standard CMTX offerings; document assumptions, constraints, out-of-scope items, and feasibility risks.
• Partner with Product Management to support proposal development, client presentations, and early solution demonstrations.
• Lead requirements intake and workflow design sessions with internal operational, technical, and compliance stakeholders.
• Produce and maintain configuration documents, workflow diagrams, etc. required for program configuration
• Facilitate program design reviews and obtain internal and external review and signature for Program Rules Document.
• Serve as solution SME and consultant throughout Sales and completion of Implementation
• Supports client escalations during implementation, as it relates to solution and scope management
• Travel may be required for client-related meetings
• Other duties as deemed required
  
  

Education and Experience Qualifications:

• Minimum of seven years’ experience managing software development and/or IT technology projects, or equivalent
• Minimum of seven years’ experience in pharmaceutical, medical device, biotech or healthcare hub services industries
• Bachelor’s degree in a business-related field or technology
  
  

Minimum Skills, Knowledge, and Ability Requirements:

• Experience in healthcare operations, patient support hubs, reimbursement services, or healthcare solution design.
• Strong knowledge of hub, pharmacy, and/or adherence services
• Systems thinking mindset with the ability to see how products, services, and other attributes fit together and impact the overall design, with the aptitude to coach and navigate other internal stakeholders on best practices.
• Ability to translate client and patient needs into structured operational and system requirements.
• Experience documenting workflows, business requirements, and system configurations.
• Strong stakeholder facilitation and cross-functional collaboration skills.
• Experience supporting RFPs, proposals, or client solution demos preferred.
• Ability to communicate at all levels with clarity and precision, both written and verbally