Payer Systems & Integration Architect (Medtech)

TL;DR

Payer Systems & Integration Architect (Medtech): Designing and optimizing healthcare system integrations and data flows for US payers with an accent on interoperability and scalable solution design. Focus on resolving complex workflow gaps, implementing FHIR/HL7 standards, and establishing repeatable integration frameworks.

Location: Remote (USA)

Salary: $130,000 - $182,000

Company

hirify.global is a healthcare organization dedicated to delivering patient-focused care through evidence-based content and innovative products.

What you will do

• Act as the principal expert for payer workflows, interoperability, and integration architecture across customer implementations.
• Lead complex workflow discovery and advise on integration strategies within diverse payer environments.
• Partner with Product and Engineering to align solution designs and resolve interoperability risks.
• Develop scalable implementation frameworks, standards, and reusable assets to improve organizational efficiency.
• Provide expert consultation during customer strategy sessions to assess feasibility and align expectations.
• Utilize AI-enabled tools to enhance workflow analysis, documentation quality, and knowledge-sharing.

Requirements

• Must be based in the USA (implied by US healthcare focus and benefits).
• 8+ years of experience with health plan (payer) systems, workflows, and healthcare integrations.
• Proven expertise in healthcare interoperability standards including APIs, HL7, and FHIR.
• Experience leading complex healthcare implementations or workflow transformations.
• Bachelor’s degree in Computer Science, Information Systems, Healthcare Administration, or related field.
• Strong ability to translate operational requirements into technical implementation guidance.

Nice to have

• Knowledge of HL7 Da Vinci and X12 standards.
• Experience with utilization management and prior authorization operational workflows.
• Background in provider system workflows and payer-provider interoperability.
• Experience developing operational best practices or reusable implementation methodologies.

Culture & Benefits

• Remote work environment with occasional travel (1-3 trips per year) for company events.
• Comprehensive medical, dental, vision, life, and disability insurance.
• 401K retirement plan with flexible spending and health savings accounts.
• 15 days of PTO plus front-loaded personal days and 14 company holidays.
• Generous paid leave including up to 8 weeks parental and 10 weeks bonding leave.
• Inclusive benefits such as LGBTQ+ health services and pet insurance.