Director, Business Architecture

🕒 June 6

🇺🇸 United States – Remote

💵 $165k - $195k / year

⏰ Full Time

🔴 Lead

🏛️ Architect

🦅 H1B Visa Sponsor

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Logo of Cotiviti

Cotiviti

5001 - 10000 employees

⚕️ Healthcare Insurance

💳 Fintech

🤖 Artificial Intelligence

Healthcare Insurance • Fintech • Artificial Intelligence

Cotiviti is a healthcare technology and analytics company that specializes in improving payment accuracy and performance through advanced data analytics solutions. They partner with health plans, government agencies, and healthcare providers to deliver insights that enhance quality and efficiency in care delivery. With solutions such as risk adjustment, payment policy management, and member engagement, Cotiviti aims to optimize financial and clinical outcomes for the healthcare ecosystem.

📋 Description

• Build and lead the Business Architecture capability for the Payments business unit • Define and maintain business capabilities, value streams, ownership models, decision paths, and operating model views • Lead analysis of business processes, handoffs, pain points, fragmentation, and decision gaps • Design target-state operating models and business flows that support scale, efficiency, and stronger execution • Strengthen business-to-technology translation so business priorities are reflected clearly in architecture, solution design, and delivery execution • Partner across Business, Operations, Product, PMO, and Technology to improve alignment and reduce friction • Identify and prioritize redesign opportunities that support automation, AI enablement, innovation, and scale • Facilitate workshops and decision forums to align stakeholders on current-state issues, future-state design, and transformation priorities • Establish and standardize business architecture methods, templates, and artifacts across Payments, including value stream maps, capability maps, process flows, ownership matrices, decision rights, and target-state operating model documentation • Support executive decision-making through clear analysis, recommendations, and architecture outputs • Build talent and team capability to understand the business deeply, challenge the status quo, and innovate • Ensure business architecture work improves execution, reduces rework, and supports scalable change • Hire, develop, coach, lead and retain top-tier talent, with a focus on building and improving a team and culture that is able to assist in employing best in class practices to support and drive high levels of internal and external customer satisfaction

🎯 Requirements

• Bachelor’s degree required • 10+ years of experience in Business Architecture, Enterprise Architecture, operating model design, business transformation, process excellence, strategy execution, or related disciplines • Demonstrated experience in both Business Architecture and Enterprise Architecture • Proven experience defining business capabilities, value streams, ownership models, decision paths, and target-state operating models • Strong experience translating business strategy into business architecture, operating model, and delivery decisions • Experience partnering across Business, Operations, Product, PMO, and Technology in a complex, matrixed environment • Proven ability to identify and drive innovation opportunities that improve efficiency, scalability, and business performance • Experience leading or supporting process redesign, automation, AI enablement, and scalable transformation initiatives • Strong facilitation, stakeholder management, and executive communication skills • Experience building alignment across senior stakeholders and influencing decisions without direct authority • Experience working in regulated, operationally complex, or highly structured environments

🏖️ Benefits

• medical, dental, and vision insurance coverage • disability and life insurance coverage • 401(k) savings plans • paid family leave • 9 paid holidays per year • 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service

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