Overview
Skills
Job Details
Title: Pega Lead System Architect (Healthcare Contact Center)
Location: Alpharetta GA Onsite Role
Job Description:
Skill Matrix
Skills | Years of Exp | Year Last Used | Rating (Out of 10) |
Pega PRPC / Pega 8.x Development | |||
Pega Lead System Architect (CLSA) | |||
Pega Customer Service for Healthcare | |||
Healthcare Domain (Payer/Provider) | |||
Integration (REST/SOAP, CRM, CTI, EHR/EMR, DB) |
Job Summary:
We are seeking an experienced Pega Lead System Architect (LSA) to lead the design and implementation of Pega-based solutions for our Healthcare Contact Center initiatives. This role will focus on building scalable, patient/member-centric solutions that enhance customer experience, improve agent efficiency, and streamline healthcare operations. The LSA will set architectural standards, enforce best practices, and ensure high-quality, maintainable delivery.
Key Responsibilities:
- Lead the architecture, design, and implementation of Pega solutions tailored for Healthcare Contact Center platforms.
- Define and enforce enterprise-level standards and best practices for Pega development.
- Collaborate with business stakeholders, product owners, and technical teams to design solutions that support member services, claims, eligibility, and care management interactions.
- Mentor and guide Pega developers; conduct code/design reviews and ensure adherence to best practices.
- Analyze and resolve performance issues, ensuring scalability and high availability.
- Stay updated with the latest Pega Customer Service for Healthcare framework and Contact Center capabilities.
Requirements:
- Pega Certified Lead System Architect (CLSA) certification is mandatory.
- 8+ years of experience in Pega PRPC development, including at least 2+ years as a Pega LSA.
- Strong expertise in Pega 8.x or later, with deep knowledge of Pega Customer Service for Healthcare.
- Experience implementing Healthcare Contact Center workflows (member inquiries, benefits, prior authorization, claims, appeals, provider interactions, etc.).
- Strong knowledge of Case Management, BPM, and Integration frameworks.
- Hands-on integration experience with REST/SOAP services, EHR/EMR systems, CRM, CTI (telephony), and healthcare data sources.
- Excellent communication, leadership, and stakeholder management skills.
Preferred Qualifications:
- Experience with US Healthcare Payer/Provider domain (Medicare, Medicaid, Commercial plans).
- Exposure to cloud platforms (AWS, Azure, Google Cloud Platform) and modern data/analytics integration in Contact Centers.
- Knowledge of regulatory compliance (HIPAA, PHI handling).
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