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Lead Coordination of Benefits Solutions Architect

Brooksource -
Remote

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Job Details

Contract
$125 - $150 an hour

Benefits

Health savings account
Paid holidays
Health insurance
Dental insurance
Flexible spending account
Paid time off
Employee assistance program
Vision insurance
401(k) matching

Qualifications

Systems integration
Program design
Medicare
Requirements design
Managed care organization experience
IT transformation
Operations coordination
Operations transformation
Integration Architecture Design (Architecture design skills)
Enterprise solutions implementation
Scalable systems
Enterprise software systems development
Health insurance knowledge
Integration Platforms (Enterprise solutions)
Project management experience in healthcare
Scalability
Integration with Third-Party Services (system development)
Agile
Business requirements
Healthcare IT
Implementing IT solutions
Project stakeholder communication
Stakeholder relationship building
Cross-functional communication
Stakeholder management

Full Job Description

Lead COB Functional Solution Architect & Delivery Lead

Remote

Long Term Contract

$125-150/hr

Position Summary

We are seeking a highly experienced Lead COB Functional Solution Architect & Delivery Lead to drive the design, execution, and delivery of a critical Coordination of Benefits (COB) workstream within a large-scale healthcare payer transformation program. This role will serve as the functional owner and strategic leader responsible for delivering an integrated COB solution supporting both Commercial and Medicare lines of business.

The client, a major Blue Cross Blue Shield organization, is undergoing a core platform transformation, migrating from Highmark's enGen platform to an internally managed ecosystem centered around the Facets core administration platform. As part of this effort, the COB function is transitioning from an out-of-the-box product to a custom-designed solution leveraging Facets, Pega, and Salesforce.

This individual will be responsible for defining the end-to-end COB operating model, leading cross-functional teams, managing program risks and dependencies, and ensuring successful delivery of a highly integrated, enterprise-scale solution.

Required Qualifications

10+ years of experience within the healthcare payer industry.
Deep expertise in Coordination of Benefits (COB) processes, business rules, and operations across Commercial and Medicare plans.
5+ years of experience serving as a Functional Architect, Delivery Lead, Program Lead, or similar leadership role on large-scale transformation initiatives.
Hands-on experience with at least two of the following platforms:
Facets
Pega
Salesforce
Strong understanding of the third platform and its role within integrated enterprise solutions.
Proven success leading complex multi-platform implementations and enterprise transformation programs.
Experience translating business requirements into scalable functional and technical solutions.
Strong working knowledge of API-driven integrations, data exchange processes, and enterprise architecture principles.
Experience leading Agile delivery teams within complex, multi-vendor environments.
Exceptional communication, facilitation, stakeholder management, and executive presentation skills.

Preferred Qualifications

Experience working with or migrating from Highmark's enGen platform.
Prior experience designing and implementing custom COB solutions rather than solely deploying packaged products.
PMP, PgMP, SAFe, or similar project/program management certification.
Consulting or systems integration experience.
Experience supporting large-scale healthcare payer modernization initiatives.
Familiarity with healthcare data standards, claims processing, eligibility, enrollment, and care management workflows.

Disclaimer: Brooksource, Medasource, and Calculated Hire are part of the Eight Eleven Group family of companies and operate under Eight Eleven Group, LLC. All employees receive the same benefits, policies, and terms of employment.

EEO: We are committed to creating an inclusive environment for all employees and applicants. We do not discriminate on the basis of race, color, religion, creed, sex, sexual orientation, gender identity or expression, national origin, ancestry, age, disability, genetic information, marital status, military or veteran status, citizenship, pregnancy (including childbirth, lactation, and related conditions), or any other protected status in accordance with applicable federal, state, and local laws.

Benefits & Perks: Brooksource offers competitive medical, dental, vision, Health Savings Account, Dependent Care FSA, and supplemental coverage with plans that can fit each employee’s needs. We offer a 401k plan that includes a company match and is fully vested after you become eligible, paid time off, sick time, and paid company holidays. We also offer an Employee Assistance Program (EAP) that provides services like virtual counseling, financial services, legal services, life coaching, etc.

Pay Disclaimer: The pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to) responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Pay: $125.00 - $150.00 per hour

Application Question(s):

Where are you located?
Can you tell me about a Coordination of Benefits workstream you have designed or delivered on?
How many years of experience do you have within healthcare?
This role will start out at around 10-15 hours per week before transitioning to full time. Is that something you would be open to?

Work Location: Remote

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