TPA Solutions and Services Architect

Personify Health • Tempe, AZ

2d

About The Position

Personify Health created the first and only personalized health platform, bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. They serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. The team is on a mission to empower people to lead healthier lives. As a Solutions and Services Architect at Personify Health, you will be an integral part of the TPA team. In partnership with the TPA leadership team, you’ll 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.

Requirements

• 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.

Responsibilities

• 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.

Benefits

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions
• Unlimited PTO
• Mental health support
• Retirement planning
• Financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed