Healthcare Payer Architect

Required Technical/Functional Skills

• Experience leading design sessions and presenting complex business requirements to clients.
• Strong understanding of PDLC & SDLC methodologies (e.g., Waterfall, Hybrid Agile, Agile/Scrum), with the ability to collaborate effectively with business units and technology teams on major initiatives.
• Excellent understanding of configuration data management and data migration processes with knowledge on technical tools.
• Proficient in version control and defect management tools such as Jira.
• Self‑motivated with the ability to manage multiple projects independently and with minimal supervision.
• Proven customer relationship skills, including effective presentation and meeting facilitation.
• Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy and Federal, State, and local regulations.

• Demonstrate in-depth knowledge around payer‑side healthcare operations, with expertise in provider enrollment and services solutions with an understanding of costs and provider needs.
• Collaborate with key stakeholders to translate business and technical requirements/issues into implementable products and solutions with necessary technical interfaces and integrations.
• Create high‑level architectural and design specifications with a focus on system integration and alignment with business processes.
• Partner with customers to present business and technical solutions for complex functionalities / cross‑functional issues.
• Work closely with product and project teams to review and analyze requirements, identify gaps to present operational solutions and surface client needs to product teams.
• Lead business transformation initiatives by aligning business capability models with value streams.
• Integrate strategic business needs, process management, operations, and systems to deliver comprehensive solutions.

• BACHELOR OF COMPUTER SCIENCE

Salary Range: $100,000 - $140,000 a Year

• Discretionary Annual Incentive.
• Comprehensive Medical Coverage:
  Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
• Family Support:
  Maternal & Parental Leaves.
• Insurance Options:
  Auto & Home Insurance, Identity Theft Protection.
• Convenience & Professional Growth:
  Commuter Benefits & Certification & Training Reimbursement.
• Time Off:
  Vacation, Time Off, Sick Leave & Holidays.
• Legal & Financial Assistance:
  Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.

• Seniority level:
  Entry level
• Employment type:
  
  Full‑time
• Job function:
  Design, Art/Creative, and Information Technology
• Industry: IT Services and IT Consulting