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Architect, Claims Systems
2 months ago
Job Title: Domain Architect – Healthcare Claims
Location: Remote – EST/CST ONLY (onsite required once per quarter / 4 times per year )
Role Type: 12+ months contract w/strong chance of extensions or perm rollover
PURPOSE:
Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their Healthcare Claims domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies. Translates business needs for the Claims domain into architectural solutions that meet performance, reliability and security expectations. Applies enterprise roadmaps, principles, standards, and practices to drive their domain strategies and execution.
QUALIFICATIONS
Experience:
10 + years’ experience in Architecture Domain – Must have experience in Claims domain – claims processing system – claims intake, payment of claims
Background in Cobol/Mainframe is REQUIRED. Candidate needed to be able to understand from a high level what a Cobol program does.
Healthcare background REQUIRED
Knowledge, Skills and Abilities (KSAs)
Ability to motivate and influence others so that project objectives are met in a timely manner.
Ability to collaborate with stakeholders to develop high quality solutions.
Ability to coach, delegate, and develop architects and engineers
Ability to managing cross-domain architecture solutions and issues.
Expertise with domain related architecture frameworks, methods and tools.
Effective organizational, interpersonal/relationship management, analytical, communications (written and verbal) and collaboration.
Education:
Education Level: Bachelor's Degree
Education Details: Computer Science, Information Technology, or related field
Preferred: Advanced degree
In Lieu of Education: In lieu of a bachelor’s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.
ESSENTIAL FUNCTIONS:
30% Leads preparation of Claims domain architecture viewpoints and models depicting current, target, and interim states. Use current state viewpoints to identify and analyze pain points and opportunities (PPOs). Lead advanced modeling and analysis to meet the strategic needs of the organization with respect to Claims system, information, functional/non-functional needs, performance and security/regulatory requirements. Create and utilize Claims architecture patterns and ensure alignment with IT strategies and reference architectures. Ensure target state alignment and integration across architecture domains. Ensure upstream alignment / traceability to business needs via business architecture and downstream alignment / traceability with solution building blocks. Leads the extension / enhancement of domain architecture strategies, standards, and guidelines. Identify and support development of reusable domain patterns.
20% Leads design, engineering and implementation of Claims assets for internal use in solutions to improve solution quality; collaborate through implementation phase. Leads peer reviews and represent the architecture domain in briefings to the Architecture Review Board. Oversees publishing and maintenance of viewpoints / work products in the architecture repository, ensuring they are organized, accurate, and accessible. Disposition stakeholder comments / feedback received via project and non-project channels. Ensures that regulatory and compliance issues are addressed in solutions.
15% Leads collaboration with other teams (business and technical), key stakeholders, and partners to understand needs to maximize architecture impact and address technical limitations. Leads the evaluation/selection of a solution / product design that aligns with IT / Domain strategies, standards, and guidelines.
10% Leads research emerging domain trends to determine their relevancy and fit for the organization.
10% Leads vendor evaluations and selection process broadly; leads vendor evaluation and selection for domain-specific tooling. Represent the architecture domain in the drafting of RFIs/RFPs and the evaluation / scoring of vendor proposals.
10% Leads the development / enhancement of architecture domain methods and tools. Ensure the alignment / integration of domain architecture processes / deliverables with those of other architecture domains and SDLC disciplines. Leads development of domain related communications / education materiel for use with stakeholders and architecture / SDLC partners.
5% Leads domain assessments for most complex new / proposed projects for architecture impacts in support of annual planning, resource estimation, and alignment with IT strategy and enterprise architecture. Provide input to project, product, and enterprise technology roadmaps. Provide regular reporting on progress, issues, and opportunities related to architecture domain.
