Enterprise Architect

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $118.7k - $223.6k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💻 IT Support

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Capital Blue Cross

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1938

⚕️ Healthcare Insurance

💸 Finance

👥 B2C

Healthcare Insurance • Finance • B2C

Capital Blue Cross is a health insurance company that offers a range of health plans for individuals, families, and employers. They serve customers in Central Pennsylvania and the Lehigh Valley, focusing on providing health coverage services such as Medicare plans, student health plans, and resources for managing medical care. Capital Blue Cross positions itself as a partner in health, emphasizing support for members' overall wellness and preventive health measures.

📋 Description

• Leads architecture for a specific business domain (e.g., Claims, Enrollment & Billing, Provider, UM/PA) • Guides Agile PODs to deliver secure, scalable solutions aligned to enterprise principles, HIPAA, and payer standards (EDI X12, FHIR) • Drives application rationalization and adoption of reference patterns in Azure • Translate business capabilities into target state, transition architectures, and architecture runway (epics, NFRs) • Produce solution blueprints (context/logical/data/integration diagrams) and support threat modeling, privacy, and resilience • Apply API-first and event-driven patterns (Azure API Management, Kafka), integrate with core platforms (e.g., Facets, TruCare, Salesforce, EHR interfaces) • Support application rationalization using APM tools (e.g., LeanIX, Ardooq); document TCO, redundancy, and disposition (tolerate, invest, migrate, retire) • Ensure designs meet privacy & security (HIPAA, least privilege, tokenization, encryption), resilience, observability, and cost objectives • Contribute to architecture governance (ARB), standards (naming, versioning, FHIR profiles), and DevSecOps best practices • Promote AI literacy—adopt approved patterns (prompt management, RAG, PHI redaction, human review) with Responsible AI controls • Partner with stakeholders to improve flow and reduce rework in sprints/PI planning

🎯 Requirements

• 5-10 years in IT • 2-5+ in solution/enterprise architecture • Bachelor's degree in Appropriate field • Strong with Azure (App Services, Functions, AKS, API Management, Event Grid), Kafka, REST/FHIR/GraphQL/SOAP; SQL Server/Oracle • Healthcare payer experience in at least one domain; familiarity with Facets or similar core admin systems • Working knowledge of HIPAA, EDI (270/271, 278, 835/837), CMS interoperability • Knowledge of TOGAF/ArchiMate preferred

🏖️ Benefits

• Medical, Dental & Vision coverage • Retirement Plan • Generous time off including Paid Time Off, Holidays, and Volunteer time off • Incentive Plan • Tuition Reimbursement • Extra mile promise for team and community