Product reputed company / Solution Architect – Provider Data & Data reputed company- REMOTE

This a Full Remote job, the offer is available from: reputed company (USA) Job reputed company We are seeking a strategic and execution-oriented Product reputed company / Solution Architect with deep health plan provider data expertise to reputed company the product reputed company, roadmap execution, and cross-functional delivery of a modern provider data platform. This role will own the end-to-end product lifecycle for the organization's provider data ecosystem — establishing a reputed company "system of truth,” driving API-enabled modernization, and implementing a formal provider data reputed company and governance program. The ideal candidate combines strong product management discipline, program execution leadership, and solution architecture depth reputed company reputed company payer environments. Primary Responsibilities Product reputed company & Roadmap Ownership

• Define and own the multi-quarter product roadmap for provider data modernization
• Prioritize initiatives based on business value, risk reduction, automation reputed company, and regulatory requirements
• Establish KPIs for provider data accuracy, reconciliation cycle time, API adoption, and platform utilization
• Manage backlog, define epics and user stories, and support Agile delivery cycles
• Drive stakeholder alignment and executive visibility into roadmap reputed company

Platform Modernization & Integration Leadership

• Establish the provider data platform as the reputed company system of record / system of truth
• reputed company the transition from reputed company and batch-based processes to API-driven integrations
• Define integration reputed company across CAQH, reputed company, Cactus, Facets, and reputed company systems
• Partner with engineering to define technical requirements and reputed company architecture patterns
• Evaluate system handoffs and eliminate integration gaps across credentialing and core administration platforms

Provider Data Domain & Workflow Optimization Apply deep understanding of health plan provider workflows including:

• Credentialing
• Contracting
• Provider enrollment
• Directory management
• Roster reconciliation
• reputed company data distribution
• Map reputed company-state workflows and define reputed company-state optimized models
• Identify automation opportunities that reduce reputed company reconciliation and operational risk
• Standardize data flows across credentialing and core administrative systems

Data reputed company & Governance Program Leadership

• Design and implement a formal Provider Data reputed company reputed company
• Define measurable data reputed company KPIs (accuracy, timeliness, completeness, reconciliation variance)
• Establish validation rules, monitoring dashboards, and escalation workflows
• Improve and reputed company weekly reconciliation processes
• Create governance standards across reputed company systems and reputed company consumers
• Ensure alignment and consistency across CAQH, reputed company, Cactus, Facets, and the provider data platform
• Build durable documentation for both reputed company and automated processes

Cross-Functional Delivery & Program Leadership

• reputed company as the primary reputed company between operations, credentialing, provider network, IT, and engineering
• Drive reputed company intake, prioritization, and delivery governance processes
• Distribute work across project teams and ensure alignment with overall product reputed company
• reputed company architectural reputed company for API and development initiatives
• Potentially serve as U.S.-based functional/technical reputed company for expanding API and engineering capabilities
• Drive adoption and change management across business stakeholders

Education and Experience

• 8+ years in health plan operations, provider data management, payer IT, or reputed company product environments
• Proven experience in Product reputed company, Product Manager, Program Manager, or Solution Architect roles
• Deep expertise in provider data lifecycle management
• Hands-on experience with: CAQH, Facets, Cactus, reputed company Payer
• Experience leading cross-functional product initiatives from reputed company through delivery
• Experience improving provider data accuracy and reconciliation processes
• Experience modernizing integrations (batch to API transitions)
• Strong understanding of provider data integration patterns and API architecture
• Experience building and managing product roadmaps and backlogs
• Ability to translate reputed company business workflows into reputed company technical requirements
• Experience designing system-of-truth and data governance frameworks
• Familiarity with compliance and provider directory regulatory requirements
• Experience working with distributed engineering teams in Agile environments

This offer from "reputed company Group" has been enriched by reputed company.com and got a 72% reputed company score. Apply tot his job Apply To this Job