Teams at Cambia Health Solutions

Lead architecture and technical strategy for production AI systems: prototype solutions, build reference implementations, define observability/evaluation/governance standards, bridge Applied AI and enterprise architecture, design integrations and cloud-native patterns, mentor engineers, and influence portfolio and partner decisions in a regulated healthcare environment.

Perform post-service claim reviews using nursing expertise to ensure appropriate clinical determinations, accurate coding, and correct reimbursement. Review medical records, apply medical and reimbursement policies, consult physician advisors, resolve provider/member claim issues, and maintain clinical competency and required licensure/certifications.

Design and document end-to-end digital architectures for customer acquisition, advise stakeholders, lead technology evaluations and integrations (cloud, APIs, SaaS), mentor teams, drive architecture governance, and estimate resources and timelines. Architect II adds enterprise-wide strategy, reference architectures, and cross-organization technical leadership.