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Leads end-to-end solution architecture for complex healthcare payer initiatives spanning claims, billing, enrollment, provider management, cloud modernization, and AI capabilities. Defines reusable architecture patterns, governs design decisions, translates designs into implementation artifacts, and mentors architects and engineering teams. The role partners with product, development, IT, and leadership teams to deliver cloud-native, event-driven, API-first, and AI-enabled solutions across enterprise platforms.
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.
Responsibilities- 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
- 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.
#LI-Hybrid
At Delta Dental, we’re behind millions of smiles and counting. For over 68 years, we’ve served our communities by increasing access to affordable, quality care – but that commitment to care extends beyond the people we serve, to the dedicated employees who make those smiles genuine. We've come this far by building fair programs that offer opportunities for advancement, create meaningful connections and improve the lives of our employees and their families. Because we know that when we take exceptional care of each other, we can make a positive impact for all.
We champion an inspirational workplace through our commitment to trust, service, excellence and innovation. Joining us means working for a company that offers stability and balance, opportunities for leadership at all levels, and a work environment focused on teamwork and camaraderie.
Discover the smiling faces behind Delta Dental and experience our values and culture in action by connecting with us on social media. Follow Delta Dental Ins. on Facebook and Instagram, #LifeatDDins on Facebook and Instagram, Delta Dental Ins. on Twitter and Delta Dental Ins. on LinkedIn. If you've got an appetite for innovation and want to be a part of a team that’s transforming the future of health care, join us!
Since 1955, we have offered comprehensive, high-quality oral health care benefits to millions of enrollees and built the strongest network of dental providers in the country. The Delta Dental of California network includes affiliates Delta Dental Insurance Company; Delta Dental of Pennsylvania; Delta Dental of New York, Inc.; Delta Dental of the District of Columbia; Delta Dental of Delaware, Inc.; and Delta Dental of West Virginia, providing dental benefits to more than 31 million people across 15 states, the District of Columbia, Puerto Rico and the Virgin Islands.
The company and its affiliates are part of Delta Dental Plans Association (DDPA), a not-for-profit national association based in Oak Brook, Illinois. Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. We offer vision coverage through DeltaVision in 15 states and the District of Columbia. Collectively, we deliver benefits to more Americans than any other dental insurance company.
Delta Dental Ins. is an equal opportunity employer and is committed to providing a professional work environment free from discrimination and harassment. Individuals seeking employment at Delta Dental are considered without regard to race, ethnicity, color, age, sex, religion, national origin, ancestry, pregnancy, sexual orientation, gender identity, gender expression, genetic information, actual or perceived physical or mental disability, registered domestic partner status, caregiver status, marital status, veteran or military status, citizenship status, or any other legally protected category. Delta Dental is committed to providing equal employment opportunities to all employees and applicants for employment. Accordingly, we have adopted and maintain an Equal Employment Opportunity Policy, Harassment-Free Work Environment Policy, and Respectful Workplace policies and will not tolerate violations of these policies.
Unfortunately, our Delta Dental Enterprise is unable to hire individuals residing in Alaska, North Dakota, Nebraska, Hawaii, Oklahoma, Vermont, Maine, West Virginia, New Hampshire, Wyoming, Puerto Rico, District of Columbia (Washington D.C.) or other US Territories at this time.
Proof of eligibility to work in the United States must be provided if selected for hire.
*Delta Dental includes: Delta Dental of California, Delta Dental Insurance Company, Delta Dental of Pennsylvania, and Delta Dental of New York
If You Are A Current Employee Click Here To Apply
Delta Dental Insurance Company San Francisco, California, USA Office
560 Mission St, San Francisco, California, United States, 94105 2907
Delta Dental Insurance Company Oakland, California, USA Office
1333 Broadway Ste. 800, Oakland, United States, 94612
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