Covered California Claims and Billing Architect; Architect III

Covered California Claims and Billing Architect (ITS Architect III)

Cal Optima

We are a mission driven community-based organization that serves member health with excellence and dignity, respecting the value and needs of each person. If you are ready to advance your career while making a difference, we encourage you to review and apply today and help us build healthier communities for all.

We are hoping you will join us as a Covered California Claims and Billing Architect (ITS Architect III) and help shape the future of healthcare where you'll be an integral part of our IT - Applications Management team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders.

This position has been approved to be Full Telework.

• If telework is approved, you are required to work within the State of California only and if Partial Telework, also come in to the Main Office in Orange, CA, at least two (2) days per week minimum.

The ITS Architect III (Claims and Billing Architect) will serve as a subject matter expert, providing strategic and tactical technical expertise to architect, design, lead and deliver solutions for Cal Optima Health. You will collaborate with leadership to define enterprise technology blueprint, trends and insights, and will partner with internal and external stakeholders to architect and build solutions that support members, providers and staff.

You will work closely with leadership to ensure open communication and collaboration regarding tactical and strategic initiatives, changes, projects, planning and overall accomplishments. Together, we are building a stronger, more equitable health system.

• Participates in a mission-driven culture of high-quality performance, with a member focus on customer service, consistency, dignity and accountability.
• Assists the team in carrying out department responsibilities and collaborates with others to support short- and long-term goals/priorities for the department.
• Architects, designs, facilitates, leads and coordinates cloud initiatives on multiple fronts across a variety of disparate areas within the organization, including application development, data management, analytics, external information technology hosting, identity and access management, infrastructure, network, security, privacy and compliance and user experience.
• Provides architecture oversight to ensure services are implemented in line with business objectives, security and consistently improve solutions of all implementations.
• Leads the architecture of robust and scalable enterprise solutions that support Cal Optima Health's digital transformation.
• Expands upon cloud strategy and coordinates the adoption of cloud architecture and framework.
• Provides input into the development of a 3-5-year target architecture based on business roadmaps, current state assessment, industry trends and research agenda.
• Works directly with cross-functional Information Technology (IT) teams and business partners on technology solutions, solving business challenges.
• Measures quality, cost and performance of platform solutions.
• Defines and publishes architecture guidelines and documentation to support the commitment to best practices.
• Defines governing frameworks, maturity models and process-based controls.
• Leads efforts of internal stakeholders and third-party vendors, as well as assures that integrated solutions are provided to meet the organization's needs.
• Works with leadership to lead the assessment and presents findings of new technologies and enhancements to provide recommendations around implementation and the benefits to the organization.
• Assists in ongoing modernization and migration efforts.
• Supports leadership with the creation of a robust implementation roadmap with a focus on maximizing business value and minimizing disruption risks.
• Creates and maintains an intuitive and easily consumable knowledge hub for development teams.