Implementation Architect

Veradigm®

. Lead end-to-end solution architecture and technical design for enterprise implementations of Veradigm Payer Analytics and Risk Adjustment solutions .

Posted 9/23/2026full-timeRemote • United States, CanadaSeniorLead💰 $113,254 - $164,785 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in health plan risk adjustment methodologies and quality analytics, with a strong ability to architect scalable technical solutions and lead complex implementations. Proficient in data integration strategies and client engagement, ensuring high-quality outcomes in healthcare data management.

Highest-signal resume keywords

Health Plan Risk AdjustmentHL7 FHIRSQL Database ExpertiseETL/ELT ProcessesClient-Facing Communication

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Risk Adjustment MethodologiesData Integration StrategiesData Quality FrameworksData MappingHealthcare Data Pipeline ArchitectureTechnical DesignImplementation RoadmapsRoot Cause AnalysisValidation ProcessesConfiguration Standards

Soft Skills

Project LeadershipConsulting SkillsMentoringIndependent OperationCollaboration

Tools & Technologies

EHR PlatformsVeradigm NetworkAnalytics EnginesCoding WorkflowsData Integration Tools

Industry Keywords

MedicaidMedicareACA MarketplaceHEDISStar RatingsQRSPQACMS-HCCHHS-HCCClinical Data Exchange

Tech Stack

Tools & technologies

ETLSQL

About the role

Key responsibilities & impact

Lead end-to-end solution architecture and technical design for enterprise implementations of Veradigm Payer Analytics and Risk Adjustment solutions
Partner with health plan and at-risk provider clients to gather and translate business, regulatory, and data requirements into technical implementation plans
Advise clients on risk adjustment methodologies, submission timelines, and data requirements across Medicaid, Medicare, and ACA marketplace programs
Design and oversee data integration strategies across source systems, EHRs, and the Veradigm Network using HL7 FHIR, CCDA, EDI, and eChart Integration and Analytics
Architect client data onboarding strategies for claims, eligibility, provider, clinical, encounter, and supplemental healthcare data
Design data mappings, transformation requirements, and integration approaches across client and third-party data sources
Own data quality frameworks, including validation, reconciliation, and exception-handling processes
Lead root cause analysis and remediation of data issues during onboarding, configuration, and validation
Architect configuration of quality and risk adjustment analytics engines, coding workflows, and Provider Engagement Solutions
Serve as escalation point and technical authority for complex implementation issues
Provide implementation roadmaps, risk assessments, and mitigation strategies
Mentor Implementation Architects and Consultants
Collaborate with Product Management, Engineering, and Data teams on roadmap decisions, technical designs, and testing strategies
Evaluate implementation tradeoffs and technical risks throughout the development lifecycle
Develop implementation documentation, configuration standards, and reusable assets
Support pre-sales and scoping activities with technical feasibility, effort, and implementation guidance

Requirements

What you’ll need

Bachelor's degree or equivalent technical/business experience required
10+ years relevant work experience
Deep functional and technical expertise in health plan risk adjustment (CMS-HCC, HHS-HCC) and quality analytics (HEDIS, Star Ratings, QRS, PQA) methodologies and regulatory requirements
Demonstrated experience with Medicaid, Medicare (including Medicare Advantage), and ACA marketplace lines of business
Advanced knowledge of HL7 FHIR, CCDA, EDI transactions, and clinical data exchange across EHR platforms
Ability to architect complex, scalable technical solutions across multiple concurrent client engagements
Advanced SQL and database expertise
Extensive hands-on experience with healthcare claims, eligibility, provider, encounter, clinical, and supplemental datasets
Experience designing or overseeing ETL/ELT processes and healthcare data pipeline architecture
Excellent client-facing communication and consulting skills
Demonstrated project and program leadership skills
Ability to operate independently in ambiguous, high-complexity situations
Experience mentoring and developing junior implementation staff
Must be legally authorized to work in the United States or Canada
Visa sponsorship is not offered

Benefits

Comp & perks

Holidays
Vacation
Medical insurance
Dental insurance
Vision insurance
Company-paid life insurance
Retirement savings
Professional development
Flexible work arrangements
Remote work