Senior Solutions Architect

The Senior Solutions Architect owns the end-to-end architecture for complex, multi-domain, and higher-risk healthcare payer engagements, with a focus on core administration systems (Claims Processing, Billing, Enrollment, Provider Management) and modern platform enablement. This individual serves as the primary escalation point for design decisions during delivery and drives the creation of reusable enterprise solution patterns across cloud platforms, core systems (e.g., MetaVance), and AI-enabled solutions.

This role bridges traditional core health plan processing with modern paradigms—leveraging AI, intelligent automation, microservices, and cloud-native architectures to drive scalable digital transformation.

Defines solution architecture for programs/projects and key initiatives

Works closely with IT and the leadership team, to clarify requirements and define the solution that is consistent with the enterprise architecture

Works closely with the product and development teams to design and implement those solutions

Takes on a leadership role as necessary focusing on design and development execution

End-to-End Delivery Architecture: Leads solution architecture for enterprise initiatives across core healthcare payer domains (Claims, Billing, Enrollment), platform modernization, and AI-driven capabilities

Pattern Definition & Acceleration: Defines and codifies reusable architecture blueprints, design patterns, and accelerators to streamline discovery, design, and delivery timelines

Architecture Governance & Design: Interprets enterprise architecture standards, participates in Architecture Review Boards (ARB), and collaborates with Principal Architects on complex or precedent-setting decisions

Modernization Strategy: Drives cloud-native, event-driven, API-first, and Generative/Agentic AI capabilities into core platform delivery workflows

Technical Mentorship: Mentors architects, tech leads, and engineering teams on solution design, platform capabilities, AI adoption, and architecture best practices

4+ years of experience in Solution Architecture, Application Architecture, or Enterprise Architecture within Healthcare Payer domains or large-scale complex software delivery

Core Administration Depth: Hands-on architecture experience with healthcare core administration platforms (e.g., MetaVance or similar), with deep understanding of Claims Processing, Billing, Membership, Enrollment, Benefits Configuration, Provider Management, and Customer Service

Cross-Domain Delivery: Demonstrated ownership of enterprise-scale solution delivery from initial discovery through architecture, detailed design, implementation, and production rollout

Cloud-Native Design: Experience architecting cloud-native and event-driven architectures leveraging microservices, messaging patterns (Azure Service Bus, Event Grid), and modern integration frameworks

Architecture Artifacts: Experience translating high-level designs into structured implementation artifacts (API contracts, event schemas, Infrastructure-as-Code, and integration specifications)

AI/ML & Generative AI Solutioning: Proven experience evaluating, architecting, and implementing AI/ML, Large Language Models (LLMs), Retrieval-Augmented Generation (RAG), and Agentic AI frameworks using Azure AI Services

Responsible AI & Governance: Understanding of enterprise AI governance, security, compliance, and Responsible AI frameworks

AI-Assisted Engineering: Fluency with AI-assisted development and delivery tools (e.g., GitHub Copilot, Claude, ChatGPT Enterprise) as an integral part of the architecture and software development lifecycle

Agile Integration (Preferred): Experience embedded directly within active Agile/DevOps delivery teams, actively guiding execution rather than operating solely in an advisory capacity

Interoperability & Standards (Preferred): Knowledge of healthcare interoperability and regulatory standards (FHIR, HL7, X12, HIPAA)

Infrastructure-as-Code (Preferred): Direct experience with IaC frameworks (Terraform, Bicep) and automated CI/CD patterns

Vendor & Platform Selection (Preferred): Track record of leading enterprise-scale vendor evaluations, platform selections, and core system modernizations

Certifications (Preferred): Azure Solutions Architect, Azure AI Engineer, relevant healthcare/AI certifications

Base Pay Information

The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental’s assessment of the candidate’s knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 23. $106,400 - $230,600

Behind the smile! We are dedicated to safeguarding the health and financial stability of our employees and their loved ones. This commitment extends beyond the workplace to foster personal growth and holistic wellbeing. Our life-changing rewards package includes:

Competitive base and incentive pay

401(k) with robust matching and non-matching contributions

Rich medical & pharmacy benefits

100% employer-paid dental and vision benefits

Holistic wellbeing program with deep financial incentives

Generous paid time off plus 12 paid holidays and your birthday off

Culture of growth and learning: career development; tuition reimbursement; recognition program

Family support: adoption assistance, fertility treatment, child, elder & pet care assistance

Social responsibility and volunteer opportunities

Employee discount program

Fair Chance Ordinances and Criminal Background Considerations

This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.

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