Healthcare Systems Architect

2 weeks ago


Edison, New Jersey, United States Diverse Lynx Full time
Job Title: Healthcare Technical Architect

We are seeking a skilled Healthcare Technical Architect to join our team at Diverse Lynx LLC. As a key member of our organization, you will play a critical role in designing and implementing innovative IT solutions tailored to the healthcare industry.

Key Responsibilities:
  • Collaborate with cross-functional teams to understand healthcare business requirements and translate them into technical specifications.
  • Provide domain expertise to inform the design, development, and implementation of IT solutions.
  • Conduct thorough analysis of existing healthcare workflows and systems to identify areas for improvement and optimization.
  • Act as a liaison between healthcare stakeholders and IT teams to facilitate effective communication and alignment of objectives.
  • Stay updated on industry trends, regulations, and best practices within the healthcare domain to inform strategic decision-making.
  • Lead training sessions and workshops to educate stakeholders on new IT solutions and ensure successful adoption within the healthcare environment.
Qualifications:
  • Experience in cross-functional solution architecture and development, focused on delivering high-quality IT solutions for health insurance players.
  • In-depth knowledge of healthcare insurance and systems, including familiarity with various types of insurance plans and their respective requirements.
  • Proficiency in healthcare insurance concepts like member enrollment, claims processing, denial management, care management, medical management, and clinical support.
  • Understanding of healthcare regulations such as HIPAA, ACA, and state-specific insurance regulations.
  • Experience with clinical concepts, such as SNOMED-CT, ICD10, CPT, and RXNORM.
  • Stakeholder management: strong interpersonal skills and the ability to communicate effectively with internal teams, external partners, and policyholders.
  • Ability to address complex challenges and make data-driven decisions to optimize healthcare insurance operations.

We are an Equal Employment Opportunity employer and welcome applications from diverse candidates. All qualified applicants will receive due consideration for employment without any discrimination. We promote and support a diverse workforce across all levels in the company.


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