Payer Systems & Integration Architect

🏢 Mcghealth · 📍 Remote · 💼 remote us 💰 $130,000 - $182,000 / yr

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Position Summary & Responsibilities

At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you are driven to enhance the US healthcare system, MCG is eager to have you join our team. We cultivate a work environment that nurtures personal and professional growth, and this is a thrilling time to become a part of our organization. With dynamic roles that offer meaningful impact, you'll be able to fully realize your potential. Plus, you'll enjoy world-class benefits and the security, stability, and resources of our parent company, Hearst, with over 100 years of experience.

The Payer Systems & Integration Architect serves as MCG’s principal subject matter expert in payer-side healthcare workflows, system integrations, and data flows, providing strategic advisory guidance during customer implementations and complex solution design efforts. This role partners closely with Implementation, Product, Engineering, and customer stakeholders to address highly complex workflow and integration challenges, define scalable approaches, and guide implementation strategies within diverse payer environments.

Operating with a high degree of independence, this individual applies deep expertise in health plan operations, interoperability, and system interactions to identify risks, resolve ambiguity, and improve implementation effectiveness across customer engagements. The role is also responsible for helping establish and mature this emerging capability at MCG by developing repeatable frameworks, standards, best practices, and reusable implementation approaches that strengthen organizational scalability and reduce dependency on limited subject matter expertise.

You Will:

• Serve as MCG’s principal subject matter expert and escalation authority for payer workflows, interoperability, integration architecture, and healthcare data flows across customer implementations and internal initiatives.

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🎯 Candidate Preparation Guide For Mcghealth Applicants

Key Role Competencies & Evaluation Highlights

Key Role Focus:

Clinical accuracy, evidence-based decision-making rigor, and the ability to bridge complex healthcare data into actionable software solutions.

📋 Preparation Priorities (Key Areas to Clarify):

1. Handwaving compliance, HIPAA, or rigorous clinical validation processes
2. Proposing moves that increase administrative burden on clinical staff
3. Lack of structured methodology when evaluating medical evidence

✨ Recommended Role Alignment Hook:

I build scalable clinical decision support tools that reduce administrative friction while strictly adhering to evidence-based medical guidelines.

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