Enterprise Architect

3 weeks ago

New York, United States JS Consulting Full time
Job DescriptionJob Description

Job Title: Enterprise Architect - Core Admin & Med Management Platform Migration
Location: (Remote)
Duration: 12+ Months Contract
Interview: Webex

Key Responsibilities:

  • Develop detailed understanding of the MetroPlus' program vision, requirements, architectures, and migration plans.
  • Develop detailed understanding of HRP, GuidingCare, MetroPlus and Third-party solutions, capabilities, configurations, and limitations with the support of technical product experts and business users.
  • Apply domain knowledge to fully understand and identify how solutions can be configured and delivered to best meet MetroPlus requirements/business processes.
  • Identify, document, and communicate issues and/or gaps within HRP, GuidingCare and other third-party solutions.
  • Define how the components of all the applications relate to each other, and how the facilities (new or existing) will support the capability or business area.
  • Identify, document, and communicate issues and/or gaps between HRP, GuidingCare and other third-party solutions.
  • Complete analysis to determine relative program risk of identified risks and/or gaps.
  • Identify and prioritize solution alternatives which mitigate identified issues and/or gaps.
  • Work with other architects to explore and define how the proposed solutions will fit into the overall enterprise architecture.
  • Work across all impacted parties to develop detailed designs and plans for prioritized solution alternatives.
  • Validate the design with the stakeholders to ensure that the design satisfies the requirements.
  • Fully evaluate solution alternatives and provide recommended on course of action for the program.
  • Where approved, coordinate with impacted stakeholders to pivot delivery teams and resources to implement the alternative solution.

Required Experience:

  • Enterprise Architecture with focus on end-to-end application integration
  • require a senior enterprise architect or senior solution architect who can drive strategic solution architecture decisions with the client's IT and business teams as well as with the technology vendors that meet both technical and business strategic objectives.
  • Any knowledge HealthEdge's HealthRulesPayer, GuidingCare and Market Prominence products would be a definite asset
  • must have prior experience with these business domains as they need to understand the business requirements for these areas.
  • The core relevant experience will be with health insurance technology platforms for enrollment, billing, claims, provider management, and medical management (like HealthRulesPayer, Guiding Care and Market Prominence the technologies we are implementing). Experience with EDI transactions, correspondence software like SmartComm, with health providers/hospital technologies like Epic, with Pharmacy Benefit Management (PMB) software, with credentialing platforms like Cactus, or with member/provider portals like Availity or Salesforce would be tangentially relevant to our project but will not be sufficient for this role.
  • Health Insurance platforms required
  • prioritize candidates with HealthEdge product certifications (HRP and GuidingCare) as well as architecture certifications like TOGAF or Zachman.
  • This position is 100% remote and requires working 9-5 Eastern Time. We are assessing onshore, nearshore and offshore candidates as long as they can work this shift. With candidate strength, we will favor candidates who are able to travel to NYC about once every 2 months, but this is optional and not at all mandatory for this role.
  • Ability to drive and document decisions across business and technical in complex, multi-vendor environments
  • Health Plan core-admin. and medicinal management functional awareness
  • Prior experience planning the implementation of core admin and/or medical management platforms.

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