TPA Solutions and Services Architect

Who We Are

Because health is personal. Thats why Personify Health created the first and only personalized health platformbringing health plan administration holistic wellbeing solutions and comprehensive care navigation together in one place. We serve employers health plans and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together our team is on a mission to empower people to lead healthier lives.

Learn even more about the work that drives us at .

Ready to deliver end-to-end TPA solutionsaligning client needs product and operations across eligibility claims and billing

Why This Role Matters

As a Solutions and Services Architect at Personify Health you will be an integral part of the TPA partnership with the TPA leadership team youll be responsible for end-to-end benefit administration solutions. This includes eligibility claims billing and more ensuring the solutions are compliant scalable and aligned with client and market needs. You will be the bridge between client needs product capabilities and operational execution from beginning of the process to the end.

What Youll Actually Do

• Develop end-to-end solution architecture for health plans administered through the TPA platform always keeping the end user experience top of mind.
• Map and assess current-state systems tools data flows and operational processes across the TPA organization to identify fragmentation gaps redundancies and opportunities to streamline.
• Design future-state architecture that unifies workflows across claims eligibility billing reporting customer service platform and product teams.
• Ensure that operational teams (member services billing claims) have the resources and knowledge they need to support the solution after go-live.
• Partner closely with Account Management Product Implementation and System Configuration teams to ensure smooth delivery of promised services.

What You Bring to Our Team

• 7 or more years of 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 a matrixed environment.
• Excellent communication skills including facilitation and documentation.

Benefits

The Highlights:

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes we use what we build)
• Unlimited PTOrest and recharge time is non-negotiable
• Mental health support retirement planning and financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on peoples health

Want the full pictureVisit explore our complete benefits package wellness programs and other employee perks.

Compensation: This position offers a base salary range of $100000 - $120000 depending on location skills and experience. Youre eligible for our full benefits package starting day one.

Our Commitment:Personify Health is an equal opportunity employer committed to diversity equity inclusion and belonging. We cultivate a work environment where differences are celebrated and employees of all backgrounds are empowered to thrivebecause diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe:Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests Report them to. View all legitimate openings at Experience:

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