TPA Solutions and Services Architect (Remote from US)

Jobgether

3d • $100,000 - $120,000 • Remote

About The Position

In this role, you will act as the strategic bridge between client needs, product capabilities, and operational execution across the TPA ecosystem. You will design end-to-end solution architectures that streamline complex workflows in claims, billing, eligibility, reporting, and member services, ensuring scalable, compliant, and user-centered solutions. Your work will assess current processes, identify gaps, and define future-state architectures that enable operational teams to deliver exceptional service. Collaboration with cross-functional teams will be critical to ensure seamless solution delivery. This position requires a mix of strategic thinking, operational insight, and technical design expertise, making a direct impact on client success and internal efficiency. The role offers an environment that values innovation, accountability, and continuous improvement.

Requirements

• 7+ years of experience in healthcare, TPA operations, product, systems architecture, implementation, or related fields
• Proven ability to map complex processes and design end-to-end workflows
• Strong analytical skills with ability to translate ambiguous business needs into actionable solution designs
• Excellent communication skills, including facilitation and documentation, with experience influencing without formal authority
• Strategic thinking with demonstrated ability to bridge client needs, product capabilities, and operational execution
• Collaborative mindset with experience working closely across functional teams
• Commitment to designing user-centered solutions that streamline operations and enhance the client experience

Responsibilities

• Design comprehensive, end-to-end solution architectures for health plan administration across TPA platforms, keeping the end user experience central to all designs
• Map and evaluate current operational processes, tools, and data flows to identify fragmentation, redundancies, and opportunities for improvement
• Develop future-state integrated workflows that unify claims, eligibility, billing, reporting, customer service, and product teams for optimal efficiency
• Enable operational teams by providing the resources, knowledge, and support needed to maintain solutions post-implementation
• Collaborate cross-functionally with Account Management, Product, Implementation, and System Configuration teams to ensure smooth solution delivery
• Identify risks and propose scalable, compliant solutions to operational and system challenges
• Serve as a subject-matter expert, guiding stakeholders on best practices and solution design

Benefits

• Competitive base salary within the range of $100,000 to $120,000 annually, with eligibility for 10% target bonus/variable compensation
• Comprehensive health, dental, vision, and mental health benefits effective from day one
• Flexible work arrangements to support work-life balance
• Unlimited PTO policy for rest and recharge
• Retirement planning support and additional voluntary benefits
• Professional development opportunities, mentorship, and learning budget
• Inclusive, collaborative culture with recognition programs, team events, and a focus on DEIB initiatives

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 11-50 employees