Principal Business Architect

5 days ago

🌽 Illinois – Remote

Although this job is listed in Illinois, this company may be open to hiring remote in other states.

💵 $108.5k - $155k / year

⏰ Full Time

🔴 Lead

🏛️ Architect

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Gainwell Technologies

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Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

📋 Description

• Defines and manages the architectural roadmap for one or more platforms, products or services. • Provides subject matter expertise in how business capabilities interact with technical capabilities to address client business problems and achieve client goals. • Provides direction for project and program design activities to ensure that both customer and company business objectives are met. • Collaborates and/or partners with business and technical architects to ensure initiatives align with business and information technology improvement strategies. • Conducts and/or participates in customer's process analysis in order to understand business complexities and constraints and recommends technical improvements. • Evaluates existing process, and recommends and implements improvements. • Enables cross-functional teams to work in parallel by providing guidance and direction in support of business solution architecture. • Supports, resolves and documents issues that arise in the architecture. • Reviews designs and recommends improvements to the architecture. • Works with the customer to eliminate gaps and inconsistencies in the business solution architectural design and to ensure that none develop over time. • Reduces client risk by ensuring that recommended business solutions meet customer's price, scope, and time requirements. • Uses professional concepts in developing resolution to critical issues and broad design matters. • Maintains awareness of trends, best practices and standards for the industry and related technology fields. • Introduces new technology processes as appropriate. • Provides leadship and work guidance to less experienced personnel.

🎯 Requirements

• Eight or more years of business analysis, business re-engineering, business transformation, financial analysis, business architecture or related experience • Highly skilled in eliciting User Demands, managing User Requirements and translating them into functional and design specifications. • Experience working with business process, information modeling tools and techniques, company products, operating systems and client business processes • Experience working with requirements elicitation techniques including conducting user interviews, document analysis and JAD sessions. • Extensive knowledge in the following areas Claims management including inpatient, outpatient, long term, professional, dental and pharmacy claims • Understanding X12 and X12 manipulation of all above claim types. • Electronic visit verification (EVV) • Inpatient acute care claims processing with APR DRG • Prior Authorization subsystem • State sponsored social services (waiver programs) • MAR reporting to CMS

🏖️ Benefits

• generous, flexible vacation policy • educational assistance • comprehensive health benefits • 401(k) employer match • leadership and technical development academies