TPA Solutions and Services Architect jobs in United States
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Personify Health · 12 hours ago

TPA Solutions and Services Architect

Personify Health is on a mission to simplify and personalize the health experience. As a Solutions and Services Architect, you'll connect client needs with product capabilities and operational execution, designing comprehensive solutions for health plans administered through the TPA ecosystem.

ConsultingConsumerElectronic Health Record (EHR)Health CareLifestyleMedicalSoftware
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H1B Sponsor Likelynote

Responsibilities

Design comprehensive solutions: Develop end-to-end solution architecture for health plans administered through TPA platform, keeping end user experience top of mind throughout design process
Assess current operations: Map and evaluate current-state systems, tools, data flows, and operational processes across TPA organization to identify fragmentation, gaps, redundancies, and streamlining opportunities
Create future-state vision: Design integrated architecture that unifies workflows across claims, eligibility, billing, reporting, customer service, platform, and product teams for optimal efficiency
Enable operational teams: Ensure operational teams including member services, billing, and claims have resources and knowledge needed to support solutions after go-live
Partner cross-functionally: Collaborate closely with Account Management, Product, Implementation, and System Configuration teams to ensure smooth delivery of promised services and seamless execution

Qualification

Healthcare experienceTPA operationsSystems architectureEnd-to-end workflow designAnalytical skillsUser experience focusCommunicationStrategic thinkingCross-functional collaboration

Required

7+ years experience in healthcare, TPA operations, product, systems architecture, implementation, or related fields
Experience mapping complex processes and building end-to-end workflow designs
Strong ability to translate ambiguous internal needs into structured, actionable solution designs
Proven success influencing without authority in matrixed environment
Excellent communication skills including facilitation and documentation abilities
Strategic thinking with ability to bridge client needs, product capabilities, and operational execution
Strong cross-functional collaboration and partnership abilities with Account Management, Product, Implementation, and System Configuration teams
Analytical and assessment skills for identifying fragmentation, gaps, and optimization opportunities across complex TPA systems
User experience focus with commitment to keeping end user perspective central to all solution designs
Ability to unify fragmented workflows and create integrated architectures that streamline operations

Benefits

Comprehensive medical and dental coverage through our own health solutions (yes, we use what we build!)
Mental health support and wellness programs designed by experts who get it
Flexible work arrangements that fit your life, not the other way around
Retirement planning support to help you build real wealth for the future
Basic Life and AD&D Insurance plus Short-Term and Long-Term Disability protection
Employee savings programs and voluntary benefits like Critical Illness and Hospital Indemnity coverage
Professional development opportunities and clear career progression paths
Mentorship from industry leaders who want to see you succeed
Learning budget to invest in skills that matter to your future
Unlimited PTO policy because rest and recharge time is non-negotiable
Benefits effective day one—because you shouldn’t have to wait to be taken care of

Company

Personify Health

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Personify Health is a software that provides health plan administration, comprehensive health navigation, and holistic well-being solutions.

H1B Sponsorship

Personify Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2024 (9)

Funding

Current Stage
Late Stage
Total Funding
$92M
Key Investors
Insight Partners
2018-05-21Acquired
2018-01-01Private Equity
2015-05-27Series B· $92M

Leadership Team

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Kristen Larson
SVP Client Growth
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Andrew Jacobus
Vice President - Global Insights and Data Science Leader
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Company data provided by crunchbase