M&R Enterprise Architect
Posted 1 week ago by 1751085446
Negotiable
Outside
Remote
USA
Summary: The M&R Enterprise Architect will provide architectural support for Project Bolt, focusing on impact analysis and alignment with M&R strategies. This role involves collaboration with business and engineering teams, as well as enterprise/application architects, to develop solutions and strategies for various projects. The position requires extensive experience in enterprise architecture, particularly within the healthcare domain. The role is remote and spans a duration of 6 months.
Key Responsibilities:
- Align business and IT strategies, assess business and other IT ideas, and create strategy for the program.
- Develop conceptual/reference architectures, and blueprints for alignment between M&R and enterprise strategies.
- Produce solution intent document for the individual projects under Bolt and how they all coexist in the broader scope of project bolt and review with all stakeholders for their approval.
- Help prepare materials for Capital Planning and present at Architecture Review Boards.
- Support M&R business initiatives including trial claims, provider selection migration, benefits consolidation, integration with CCAM, EPP implementation, externalizing data for real-time access, and connecting claim message center to COSMOS.
Key Skills:
- 8-10 years of enterprise architecture experience and well versed with enterprise architecture practices.
- Experience with Cobol, JCL, MF Cobol, API, Kafka, Azure cloud platform.
- Ability to work with multiple stakeholders in a matrixed organization.
- Deep understanding of application interactions and patterns.
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: IT
Position Title M&R Enterprise Architect
Domain EXP (Healthcare Domain)
Location Remote
Duration 6 Months
Must Have Architect - COSMOS to GCO Claims (ETL, Cloud, Microservices, Kafka, DevOps, Open Source, Spring Boot)
Job Description
Description of work and details on what requested resource(s) will be doing:
These resources will be providing architectural support for Project Bolt through impact analysis, solutions, alignment with M&R level strategies and works with Business, Engineering and collaborates with Enterprise/Application Architects from COSMOS to GCO Claims.
Deliverables
- Align business and IT strategies, assess business and other IT ideas, and create strategy for the program.
- Develop conceptual/reference architectures, and blueprints for alignment between M&R and enterprise strategies.
- Produce solution intent document for the individual projects under Bolt and how they allcoexist in the broader scope of project bolt and review with all stake holders for their approval
- Help prepare materials for Capital Planning and present at Architecture Review Boards
- These programs help M&R business with
- Trial Claims: Enable non-real-time trial claims for all claims platform
- Provider Pick: Migrate M&R provider selection from COSMOS to Enterprise Provider Selection (real-time); enhance EPS
- Benefits: Consolidate BenCheck with Pre-D
- Auth: Integration with CCAM,
- Pricing: EPP Implementation
- Accumulators: Externalize data to HCP for real-time access
- Claim Messaging: Connect claim message center to COSMOS; optimize remark codes; add new messages for trial claims/promises
- Payment & Presentment: Connect COSMOS to Payment Engine
Key Skills / Experience:
- 8-10 years of enterprise architecture experience and well versed with enterprise architecture practices
- Experience with Cobol, JCL, MF Cobol, API, Kakfa, Azure cloud platform
- Ability to work with multiple stake holders in a matrixed organization
- Deep understanding of application interactions and patterns