Process Architect

🔥 0 minutes ago

🐻 Alaska, California, +2 more states – Remote

🐻 Alaska – Remote 🏄 California – Remote 🌺 Hawaii – Remote 🗽 New York – Remote

💵 $67.6k - $127k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏛️ Architect

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Luminare Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

Healthcare Insurance

Luminare Health is a leading provider of self-funded health plan administration services with over 50 years of industry experience. The company specializes in offering flexible and innovative solutions for hospitals, health systems, and direct-to-employer initiatives, focusing on administration, cost management, and digital reporting tools. Luminare Health is dedicated to being a reliable partner in managing healthcare costs and supporting strategic growth for its clients. The company emphasizes a member-centered approach to healthcare while delivering significant savings through expert claim analysis and management of high-cost claims.

📋 Description

• Responsible for designing, standardizing, and governing end-to-end business processes across the organization. • Ensures processes are efficient, compliant, scalable, and aligned to enterprise optimization goals. • Translates optimization strategy into clear, executable, and measurable process designs. • Establishes standards that support consistent execution across teams and platforms. • Designs and documents end-to-end processes across claims, enrollment, customer service, utilization management, operations, and finance. • Develops current-state and target-state process models using standard methodologies (e.g., BPMN). • Defines process boundaries, handoffs, roles, controls, and decision points. • Establishes enterprise process standards, modeling conventions, and documentation requirements. • Maintains a centralized process repository and architecture artifacts. • Ensures processes align with regulatory, contractual, and audit requirements. • Partners with Business Optimization Architects to translate optimization initiatives into process designs. • Supports operational teams during implementation by clarifying process intent and design. • Provides guidance on process adoption, change impacts, and risk mitigation. • Identifies process inefficiencies, bottlenecks, and control gaps. • Supports process measurement by defining operational metrics and controls. • Incorporates feedback and performance results into ongoing process refinements. • Works closely with IT, data, compliance, and operations teams to ensure process designs are feasible and enforceable. • Supports technology enablement efforts by defining business process requirements.

🎯 Requirements

• Bachelor’s degree in Business, Healthcare Administration, Industrial Engineering, or related field. • 5–8+ years of experience in process design, process architecture, or operational excellence. • Experience working within healthcare, insurance, or TPA operations. • Proficiency with process modeling tools and methodologies (e.g., BPMN). • Strong documentation and facilitation skills. • Lean, Six Sigma, or process improvement certification (preferred). • Experience supporting system implementations or automation initiatives (preferred). • Familiarity with healthcare compliance and audit requirements (preferred).

🏖️ Benefits

• health and wellness benefits • 401(k) savings plan • pension plan • paid time off • paid parental leave • disability insurance • supplemental life insurance • employee assistance program • paid holidays • tuition reimbursement • other incentives