Payer Systems – Integration Architect

MCG Health

Serve as principal subject matter expert in payer systems and integration architecture at MCG Health. Leading implementations and addressing complex healthcare operational challenges.

Posted 5/21/2026full-timeRemote • Washington • 🇺🇸 United StatesSeniorLead💰 $130,000 - $182,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

healthcare interoperabilitysystem integrationsdata flowsAPIsHL7FHIRworkflow transformationsimplementation frameworksintegration strategiesoperational requirements

Soft Skills

communication skillsproblem-solvingcross-functional collaborationconsultationfacilitationanalytical skillsinfluencingguidancetranslating technical conceptsstakeholder engagement

Certifications & Qualifications

Bachelor’s degree in Healthcare AdministrationBachelor’s degree in Information SystemsBachelor’s degree in Computer ScienceBachelor’s degree in Business

Industry Keywords

payer workflowshealth plan systemshealthcare integrationsoperational efficiencyimplementation challengesscalable solutionsmatrixed environmentscustomer engagementsworkflow modelsbest practices

About the role

Key responsibilities & impact

Serve as MCG’s principal subject matter expert and escalation authority for payer workflows, interoperability, integration architecture, and healthcare data flows across customer implementations and internal initiatives
Lead complex workflow discovery and implementation advisory engagements to define integration strategies, clarify operational requirements, and guide solution design within diverse payer environments
Advise implementation teams and customers on how MCG solutions integrate into complex payer operational and technical ecosystems
Identify and resolve highly complex workflow, interoperability, and integration risks, gaps, dependencies, and implementation challenges, recommending scalable mitigation strategies and alternative approaches where standard solutions are insufficient
Partner cross-functionally with Product, Engineering, Implementation, Sales, and customer stakeholders to align solution design, integration strategy, technical dependencies, and implementation execution
Translate complex operational and technical concepts into clear, actionable guidance for technical teams, business stakeholders, and customers
Facilitate working sessions with internal teams and customers to align on workflows, integration points, data dependencies, interoperability considerations, and implementation approaches
Establish and evolve scalable implementation frameworks, standards, reusable assets, workflow models, and best practices
Analyze implementation trends and recurring workflow or interoperability challenges to identify opportunities for process improvement, scalability, and operational efficiency
Provide expert consultation and real-time workflow and integration guidance during customer engagements

Requirements

What you’ll need

Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, Business, or a related field, or equivalent combination of education and experience
At least 8 years of experience working with health plan (payer) systems, workflows, operations, and healthcare integrations
Demonstrated experience leading or advising complex healthcare implementations, workflow transformations, or integration initiatives within payer environments
Strong understanding of end-to-end healthcare workflows, particularly within payer operational settings
Demonstrated expertise with healthcare interoperability, system integrations, and data flows across multiple platforms and technologies, including APIs, HL7, FHIR, or related standards
Proven ability to analyze, interpret, and translate business, operational, and technical requirements into scalable implementation guidance and solution approaches
Demonstrated experience navigating highly complex or ambiguous payer operational and integration environments and developing effective solution strategies
Experience working cross-functionally with technical, operational, product, and business stakeholders in matrixed environments
Demonstrated ability to diagnose highly complex workflow and integration issues and recommend effective, scalable solutions
Experience influencing technical and operational decisions without direct authority
Strong communication skills, including the ability to engage effectively with both technical and non-technical audiences
Experience facilitating customer-facing discussions involving technical workflows, interoperability, and implementation strategy

Benefits

Comp & perks

💻 Remote work
✈️ Travel expected 3-4 times per year for company-sponsored events
🩺 Medical, dental, vision, life, and disability insurance
📈 401K retirement plan; flexible spending and health savings account
🏝️ 15 days of paid time off + additional front-loaded personal days
🏖️ 14 company-recognized holidays + paid volunteer days
👶 up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave
🌈 LGBTQ+ Health Services
🐶 Pet insurance