InterQual Technical Solutions Architect - Remote

Optum Insight is improving the flow of health data and information to create a more connected system. We remove friction and drive alignment between care providers and payers, and ultimately consumers. Our deep expertise in the industry and innovative technology empower us to help organizations reduce costs while improving risk management, quality and revenue growth. Ready to help us deliver results that improve lives? Join us to start Caring. Connecting. Growing together.  

The InterQual Technical Solutions Architect will serve as the technical subject matter expert during the pre-sales process. This role focuses on guiding payer and provider organizations through solution design for InterQual technology products, ensuring [seamless/successful] implementations of InterQual's integration and interoperability products and solutions. You will communicate existing product capabilities with clarity, help customers understand integration options, and confidently present solutions to both technical teams and C-suite executives. In addition, you will identify new use cases and integration opportunities based on customer needs and collaborate with the product team to explore enhancements and provide voice-of-the-customer feedback. Success in this role requires solid technical foundations, deep knowledge of healthcare technology ecosystems related to prior authorization and utilization management, familiarity with FHIR and interoperability standards, the ability to partner closely with Sales and Product teams to drive strategic outcomes, and solid client presentation skills.

You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:  

• Lead technical discovery by conducting assessments with payer and provider teams as well as strategic partners to capture requirements and design future-state architectures
• Own solution design by creating integration blueprints for InterQual products that ensure secure and scalable interoperability for both customers and partners
• Deliver demos and proof-of-concepts by building tailored presentations that showcase InterQual technical product capabilities in real-world workflows for customer and partner audiences
• Communicate and explain existing API specifications clearly to customers and partners, ensuring they understand integration options and technical details
• Explore enhancements and identify new use cases or needs from customers and partners, then bring those ideas to the product team for discussion and potential roadmap consideration
• Develop and maintain a security questionnaire knowledge base and coordinate security assessments with internal teams and external stakeholders to streamline diligence processes
• Partner with Sales and Product by collaborating on RFP responses, technical win strategies, and roadmap alignment to support successful deal closure and partner enablement
• Engage executive stakeholders by presenting complex technical solutions clearly and confidently to C-suite audiences and decision-makers at customer and partner organizations
• Support implementation readiness by providing integration playbooks and validation guidance to ensure smooth hand-off to delivery teams and partner onboarding

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications: 

• 10+ years of experience with technical foundation with experience in healthcare technology ecosystems related to prior authorization and utilization management
• 5+ years of experience with communicating and explaining API specifications and integration patterns to technical, clinical, and business audiences
• Proven working knowledge of HL7/FHIR standards and experience with prior authorization interoperability concepts (e.g., CRD, DTR, PAS)
• Proven excellent communication and presentation skills, including comfort engaging C-suite executives
• Demonstrated active listening and ability to identify customer and partner needs and translate them into actionable solution designs
• 25% of travel for customer and partner engagements

Preferred Qualifications: 

• Experience in a pre-sales or solutions architect role within healthcare B2B SaaS
• Experience with analyzing, implementing, and communicating around Healthcare data exchange standards (FHIR, CCD, etc.)
• Knowledge of clinical decision support technology products and their integration workflows
• Understanding of security and compliance frameworks (HIPAA, HITRUST) and experience coordinating security assessments
• Experience working in a matrix environment and skills to work with multiple stakeholders across sales, clinical teams, client management  as well as other technical product teams

*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $112,700 to $193,200 annually based on full-time employment. We comply with all minimum wage laws as applicable.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.