Payer Solutions Architect
HHAeXchange · United States
- Hybrid
- Full-time
- $110,000 / year
- United States
Tailored resume — keyword-matched to this role.
Hiring manager — we find who's hiring.
Intro email — drafted to reach them directly.
Job highlights
- Architect solutions for HHAeXchange's payer and provider platforms.
- Ensure timely, positive client implementations and experiences.
- Provide subject matter expertise on payer and provider workstreams.
- Improve internal processes for discovery, testing, and go-live.
- Collaborate with cross-functional teams for strategy and execution.
About the role
About HHAeXchange
HHAeXchange is the leading technology platform for home and community-based care. Founded in 2008, HHAeXchange was born out of an idea to create a fully comprehensive end-to-end homecare solution to help people who are aging or have disabilities thrive in their homes and communities. Our employees are passionate about transforming the healthcare space by building the only homecare ecosystem that fully connects patients, personal care providers, managed care organizations, and states.Payer Solutions Architect Role Overview
The Payer Solutions Architect will be responsible for the coordination, communication, definition, and completion of assigned projects, primarily related to the rollout of our State and Payer solutions, including both the State / Payer and the providers who access the solution as a part of the Payer’s network. Reporting to the Director, Payer Solutions, the Payer Solutions Architect will ensure consistency with company strategy, commitments, and goals. The Payer Solutions Architect will remove barriers for the implementation, customer success and sales teams, so we have timely implementations with positive client experience and engagement. This role requires impeccable attention to detail, exceptional technical skills, a deep understanding of how the solution should function for all customer stakeholders, strong written and verbal communication skills, and excellent project management skills.This is a hybrid position for members located in Minneapolis Metro or New York City Metro areas, with expectations to work onsite 3 days per week to support collaboration and engagement.
To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily with or without reasonable accommodations. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Job Duties
- Partners with internal and external teams before, during, and after implementation to provide subject matter expertise and best practice solutioning for Payer and Provider workstreams.
- Leads the process of setting standard configurations for Payer/State and Sponsored portals and determines when market variability is required.
- Partners with leadership to shape roadmap decisions by surfacing trends, risks, and opportunities from the field.
- Improves internal processes related to discovery, testing, and go-live for Payer/State implementations.
- Represents the technical perspective in cross-functional discussions and strategy sessions.
- Contributes to CMS and Federal Certification activities to support customer deliverables such as evidence gathering, presentation material, and system demonstrations.
- Proactively identifies challenges that could impact client go-live dates or delivery, mitigates where able, and/or develops and deploys an effective communication strategy to clients and key stakeholders.
- Drives new market diligence efforts to set standard environment configurations, document market best practices, and identify product gaps.
- Acts as a trusted partner to Sales, Product, Customer Success, Network Management, and Implementation leadership to ensure seamless handoffs and aligned execution.
- Supports pre-implementation activities including review of implementation requirements, contractual deliverables, and identifying risks and issues prior to the Sales to Implementation hand-off.
- Contributes to documentation, such as technical guides, SOPs, and workflows specific to Payer/State implementations.
- Drives client experience outcomes by partnering with sales, product management, customer success, project management, and integration teams to deliver flawless execution.
- Participates in client meetings to address technical questions and guide decision-making.
- Partners in the development of detailed project plans to track progress, ensure all requirements are met, and identify risks.
- Facilitates setting standard configuration settings for Payer/State and Sponsored portals and determines when market variability is required.
- Leads market diligence efforts to document best practices, identify gaps, and inform product and process improvements.
Other Job Duties
Other duties as assigned by supervisor or HHAeXchange leader.Travel Requirements
Travel up to 10%, including overnight travel.Required Education, Experience, Certifications And Skills
- Bachelor’s degree in Business, Information Technology, Healthcare Management, or a related field.
- 5+ years of experience in technology implementations, preferably in healthcare with a focus on solution configuration/design.
- Deep understanding of SaaS implementation models, preferably within home and community-based care, Medicaid, or payer-driven environments.
- Demonstrated success in building repeatable processes, managing risk, and driving operational excellence.
- Exceptional communication, judgment, and decision-making skills.
- Passion for improving healthcare delivery and outcomes through technology.
- Willingness to explore and adopt AI tools responsibly to enhance productivity and innovation in your role.
Compensation and Benefits
The base salary range for this US-based, full-time, and exempt position is $90,000 - $110,000, not including variable compensation. An employee’s exact starting salary will be based on various factors including but not limited to experience, education, training, merit, location, and the ability to exemplify the HHAeXchange core values.This is a benefits-eligible position. HHAeXchange offers competitive health plans, paid time-off, company paid holidays, 401K retirement program with a Company elected match, including other company sponsored programs.
Equal Opportunity Employer
HHAeXchange is an equal-opportunity employer. The Company offers employment opportunities to all applicants and employees without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, disability, medical condition, marital status, veteran status, citizenship, genetic information, hairstyles, or any other status protected by local or federal law.We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
Key skills/competency
- Payer Solutions Architect
- Healthcare Technology
- SaaS Implementation
- Home and Community-Based Care
- Medicaid
- Payer Networks
- Solution Configuration
- Project Management
- Client Relations
- Technical Expertise
Skills & topics
- Payer Solutions Architect
- Healthcare Technology
- SaaS Implementation
- Home Care Technology
- Medicaid Solutions
- Payer Networks
- Solution Design
- Implementation Management
- Technical Architecture
- Client Solutions
How to get hired
- Tailor your resume: Highlight your experience in technology implementations, healthcare, SaaS models, and Payer/Provider solutions. Quantify achievements where possible.
- Craft a compelling cover letter: Emphasize your passion for improving healthcare delivery and your understanding of home and community-based care.
- Prepare for technical questions: Be ready to discuss your experience with SaaS implementation models and solution configuration/design, especially in payer-driven environments.
- Showcase project management skills: Demonstrate your ability to manage multiple workstreams, mitigate risks, and ensure timely project completion.
- Understand company values: Align your application and interview responses with HHAeXchange's mission to transform healthcare delivery.
Technical preparation
Study SaaS implementation models.,Review home and community-based care tech.,Prepare to discuss payer and provider systems.,Understand solution configuration and design.
Behavioral questions
Describe a complex implementation you managed.,How do you handle conflicting stakeholder needs?,Tell me about a time you improved a process.,How do you ensure client satisfaction post-implementation?
Frequently asked questions
- What is the typical career path for a Payer Solutions Architect at HHAeXchange?
- The Payer Solutions Architect role at HHAeXchange offers growth opportunities. You can advance to senior architect positions, leadership roles within the Payer Solutions team, or transition into product management or customer success leadership. Your expertise in healthcare technology and payer solutions is highly valued for future opportunities.
- How does HHAeXchange utilize AI in its hiring process for the Payer Solutions Architect role?
- HHAeXchange may use AI tools to assist in reviewing applications and analyzing resumes for the Payer Solutions Architect position. These tools support the recruitment team but do not replace human judgment. Final hiring decisions are always made by human recruiters and hiring managers.
- What specific healthcare technology experience is most beneficial for this Payer Solutions Architect role?
- For this Payer Solutions Architect role, experience with SaaS implementation models in home and community-based care, Medicaid, or payer-driven environments is highly beneficial. A strong understanding of how technology can improve healthcare delivery and outcomes is also crucial.
- Can I apply for the Payer Solutions Architect role if I am not located in the Minneapolis or New York City Metro areas?
- The Payer Solutions Architect position is a hybrid role requiring 3 days onsite per week for those located in the Minneapolis Metro or New York City Metro areas. While remote work isn't the primary arrangement, specific circumstances might be discussed, but proximity to these metro areas is generally expected for this hybrid model.
- What are the key differences between the Payer and Provider workstreams mentioned for the Solutions Architect?
- The Payer workstream typically involves managing relationships and solutions for insurance companies or government payers. The Provider workstream focuses on the services and technology used by homecare agencies and direct caregivers. As a Payer Solutions Architect, you'll bridge these by ensuring the platform effectively serves both.
- What is the expected salary range for the Payer Solutions Architect at HHAeXchange?
- The base salary range for the Payer Solutions Architect position at HHAeXchange is $90,000 - $110,000 annually, not including variable compensation. The final salary will depend on factors like experience, education, location, and alignment with company values.
- Does HHAeXchange offer opportunities for professional development for a Payer Solutions Architect?
- Yes, HHAeXchange supports professional development, encouraging employees to explore and adopt AI tools. The company offers competitive benefits, including health plans and a 401K program, which contribute to overall employee growth and well-being.