Vice President, Provider Solutions – DDI Business Architecture

🕒 vor 1 Monat

🤠 Texas – Remote

infoinfo

💵 $200.000 - $250.000 / Jahr

⏰ Vollzeit

🔴 Experte

👔 Vizepräsident

🗣️🇺🇸🇬🇧 Englisch erforderlich

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Logo of Gainwell Technologies

Gainwell Technologies

10.000+ Mitarbeiter

💼 Beratung

📦 Logistik

⚕️ Krankenversicherung

💰 Grant im 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies ist der führende Anbieter von digitalen und cloud-fähigen Lösungen im Bereich der Human Services und der öffentlichen Gesundheit in den USA. Mit einem zielorientierten Ansatz bedient Gainwell Kunden in allen 50 US-Bundesstaaten und konzentriert sich darauf, Gesundheitsergebnisse zu verbessern und intuitive, menschzentrierte Erfahrungen zu bieten. Ihr umfassendes Lösungsspektrum umfasst die Modernisierung von Medicaid Enterprise, Datenanalysen, Anbieter-Dienstleistungen und Apothekenlösungen, die alle darauf ausgelegt sind, die Zukunft des Gesundheitswesens voranzutreiben und das Wohl der Gemeinschaft zu verbessern.

Beschreibung

• Own end-to-end baseline Provider business architecture across enrollment, screening, credentialing, provider data management, portals, interfaces, correspondence, and related capabilities • Establish reusable process models, capability maps, roles, information flows, business rules, and reference designs for Provider solutions • Lead application design and configuration standards, ensuring requirements, product capabilities, gaps, extensions, and configuration decisions are traceable and executable • Govern design decisions and exceptions through stage gates, decision rights, owners, deadlines, and escalation paths • Ensure business requirements include how-met responses, acceptance and testing criteria, dependencies, and alignment to approved architecture and contractual commitments • Partner with Solutioning, Product, Engineering, and Implementation to translate proposals, contracts, and statements of work into governed designs • Provide business-architecture leadership across Provider DDIs, including configuration readiness, product-gap resolution, client decisions, and transition of approved designs into implementation • Act as a hands-on and servant leader helping teams solve complex client solution challenges • Monitor federal and state regulatory changes and maintain alignment of Provider processes, business rules, and application designs • Coordinate with executives across engineering, product management, solutioning, and implementation to resolve cross-functional problems • Drive DDI transformation through standardization, reusable assets, automation, AI-enabled design and configuration, and implementation-lesson adoption • Measure and improve design reuse, configuration efficiency, quality, cycle time, and cost; communicate investment needs, tradeoffs, and decisions to Provider Solutions leadership • Manage a growing team of 50+ professionals supporting Provider DDIs

🎯 Anforderungen

• Bachelor's degree in business, information technology, healthcare administration, engineering, or a related field, or equivalent experience; advanced degree preferred • Fifteen or more years of progressively responsible business architecture, solution architecture, application design, product design, or enterprise healthcare technology experience • Ten or more years leading matrixed teams • Five or more years at the senior director, vice president, or equivalent level • Ten or more years supporting Medicaid, public-sector healthcare, or similarly regulated programs • Five or more years in Medicaid Provider solutions or implementations • Leadership of business architecture and application design for at least two large-scale, multi-workstream implementations or enterprise solution transformations • Experience defining reusable process, requirements, configuration, and governance standards across multiple products, clients, or implementations • Experience resolving complex solutioning challenges with clients while implementing • Proven ability to lead and scale a large-scale team with defined goals and objectives aligned to the broader organization • Demonstrated ownership of at least three core areas: business-process architecture, requirements quality and traceability, application design, configuration governance, or product-gap governance • Proven ability to align Product, Enterprise Architecture, Engineering, Solutioning, Implementation, Customer Experience, and client executives to approved designs, owners, decisions, and target dates • Demonstrated experience translating proposals, contracts, statements of work, and regulatory requirements into executable business and application designs • Quantified improvement in at least two outcomes, such as design reuse, configuration efficiency, cycle time, quality, delivery cost, or reduction of product gaps and custom development

🏖️ Vorteile

• 100% remote work flexibility • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Career development opportunities • Travel based on client, program, and leadership needs

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