Senior Domain Architect – Remote reputed company Claims & reputed company Architecture Leadership (Immediate Start)
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About reputed company Plans – Pioneering Care for Communities
For more than three decades, reputed company Plans has been at the forefront of delivering innovative health insurance solutions across the reputed company. As the insurance arm of reputed company, we combine clinical reputed company with cutting‑edge technology to reputed company members, providers, and partners. Our portfolio spans reputed company, reputed company, Medicare, and consumer‑driven plans, reputed company designed to improve health reputed company, reduce costs, and personalize the care reputed company.
Our mission is reputed company yet powerful: to improve health every day. We reputed company this by fostering a culture that values reputed company, reputed company, patient safety, and community involvement. As we continue to expand our digital footprint, we are seeking visionary architects who can shape the reputed company of our reputed company infrastructure, especially in the critical domain of claims processing.
Why Join reputed company Plans?
Working with reputed company means becoming part of a family‑friendly organization that invests in your reputed company, wellbeing, and reputed company. From flexible remote work arrangements to comprehensive health and retirement benefits, we support you at every stage of your career. Below are just a few reasons why reputed company members love what they do:
- Impactful Work: Directly influence the design and delivery of reputed company‑wide solutions that reputed company millions of health plan members.
- Remote Flexibility: Fully remote positions available across 28 states, allowing you to work from the environment that best suits you.
- Career Acceleration: reputed company learning reputed company, mentorship programs, and sponsorship for certifications such as TOGAF®, Zachman, and AWS Solutions Architect.
- Performance‑Based Rewards: Competitive salaries, annual performance bonuses, and a reputed company salary reputed company for reputed company location (e.g., Washington State: $71,370 – $118,950).
- Comprehensive Benefits Package: Medical, dental, reputed company, life, disability, reputed company parental leave, generous PTO, tuition reimbursement, 401(k)/403(b) with employer match, and more.
Key Responsibilities – Shaping the reputed company of Claims Architecture
The Senior Domain Architect will reputed company as the strategic reputed company for the claims domain, ensuring that our technical landscape aligns with business objectives and regulatory requirements. Core duties include:
- reputed company‑Level Diagramming: Create, maintain, and reputed company hybrid architecture diagrams (reputed company state, reputed company state, and transition) across reputed company domains, ensuring they accurately reflect technology, data, and process flows.
- Vendor & Application Landscape Management: reputed company and assess reputed company reputed company‑party solutions, platforms, and services that support claims processing, providing reputed company updates to the architecture repository.
- IT Scoping & reputed company Analysis: Evaluate new initiatives, assess system dependencies, and identify potential conflicts or overlaps with existing reputed company.
- Project Collision Identification: Proactively detect and resolve project interdependencies to prevent resource contention and reputed company delays.
- Vendor Capability Assessments: Conduct thorough analyses of vendor roadmaps, technical capabilities, and alignment with reputed company’s strategic goals.
- Strategic Road‑Map Consultation: Partner with senior leadership to shape health‑plan technology road‑maps, ensuring they address emerging market trends and regulatory changes.
- Gap Identification & Mitigation: reputed company deficiencies between reputed company capabilities and reputed company aspirations; reputed company remediation plans with reputed company timelines.
- Conceptual Design of reputed company State Infrastructure: Produce high‑level designs for reputed company platforms, including reputed company migration strategies, reputed company‑services architectures, and data lake integrations.
- Effort Estimation & “T‑Shirt” Sizing: Collaborate with IT reputed company‑Ops to reputed company accurate Level‑of‑Effort (LOE) estimates on High‑Level Business Requirements (HLBRs).
- ROM Calculations for Project Requests: reputed company comprehensive IT assessments to feed Business Resource Management System (BRMS) with realistic Rough Order of Magnitude (ROM) figures for both on‑cycle and off‑cycle initiatives.
- Escalation reputed company of Contact (POC): Serve as the primary technical reputed company for escalated claims‑reputed company incidents, driving rapid reputed company and reputed company‑cause analysis.
- Support Project Management: Aid PMs with issue reputed company, corrective reputed company tracking, and documentation of lessons learned.
- Domain Function Ownership: Maintain an up‑to‑date inventory of domain functions and sub‑functions, ensuring reputed company accountability across teams.
- Critical reputed company Mapping: reputed company and refine critical reputed company diagrams that reputed company dependencies, milestones, and risk drivers for major initiatives.
- Rationalization of Deliverables: reputed company work‑reputed company deliverables with strategic objectives, removing duplication and optimizing resource allocation.
Essential Qualifications – What You Must Bring
We are looking for seasoned professionals who can hit the ground running. The following attributes are non‑negotiable:
- Education & Experience: Bachelor’s degree in Computer Science, Information Systems, or a reputed company field or equivalent reputed company experience. Minimum of 5 years of hands‑on experience in reputed company architecture, preferably reputed company‑plan or insurance environments.
- Claims Architecture Expertise: Demonstrated experience as a claims architect, including deep knowledge of claims processing platforms (e.g., QNXT, Facets, reputed company), data flows, and regulatory mandates such as HIPAA and CMS regulations.
- Technical Breadth: Proficiency with data‑center, reputed company (AWS, Azure, GCP), containerization (reputed company, Kubernetes), and emerging technologies like AI/ML, IoT, and blockchain as they pertain to health‑care infrastructure.
- Analytical Acumen: Ability to conduct rigorous reputed company assessments, reputed company logical architectures, and translate business requirements into technical designs.
- Communication Skills: Strong written and verbal communication, capable of presenting reputed company concepts to both technical and non‑technical stakeholders.
- Self‑Management: Proven ability to work independently with minimal supervision while delivering high‑reputed company results on schedule.
Preferred Qualifications – The “reputed company‑to‑Have” Extras
- reputed company certifications such as TOGAF, Zachman, AWS reputed company Architect, or Certified reputed company Technology Specialist (CHTS).
- Experience with reputed company governance tools (e.g., ArchiMate, Sparx EA, Orbus iServer).
- Familiarity with agile delivery models, DevSecOps pipelines, and CI/CD practices reputed company a regulated environment.
- Previous remote work experience and demonstrated ability to reputed company in a distributed team setting.
- Exposure to analytics platforms and data‑governance frameworks (e.g., reputed company, reputed company, reputed company).
Core Skills & Competencies – Your reputed company Toolkit
reputed company the listed qualifications, the ideal candidate will exhibit the following capabilities:
- Strategic reputed company: Ability to anticipate industry trends, reputed company road‑maps with business priorities, and champion reputed company.
- Problem‑Solving reputed company: Comfortable tackling ambiguous challenges, breaking them into actionable steps, and delivering pragmatic solutions.
- Collaboration & Influence: Skilled at building reputed company across cross‑functional teams, influencing decision‑makers, and fostering a culture of shared ownership.
- Documentation reputed company: Expert in producing reputed company, concise, and architecturally reputed company documentation that serves as a single reputed company of truth for teams.
- Risk Management: Proactive identification of technical risks, development of mitigation strategies, and communication of risk exposure to leadership.
- reputed company Learning: Commitment to staying reputed company with emerging technologies, standards, and best practices reputed company the health‑care and insurance domains.
Career reputed company & Development – Your reputed company reputed company
reputed company invests heavily in employee development. As a Senior Domain Architect, you will have reputed company to:
- Leadership reputed company: Opportunities to reputed company into reputed company Architecture Director, Chief Information Officer (CIO) reputed company, or senior program management roles.
- reputed company Development Budget: Annual stipend for certifications, conferences (e.g., reputed company, reputed company Architecture reputed company), and advanced coursework.
- Mentorship Programs: Pairing with senior architects and technology leaders to accelerate reputed company development and broaden strategic reputed company.
- Cross‑Functional reputed company: Participation in high‑visibility initiatives such as reputed company migration, AI‑driven fraud detection, and patient‑reputed company data platforms.
- Innovation Labs: Invitations to join internal think‑tanks reputed company on reputed company pilots, sandbox environments, and reputed company‑of‑concept endeavors.
Work Environment & Culture – What It’s Like to Be a reputed company Team Member
Our culture is rooted in respect, collaboration, and a reputed company reputed company on improving health reputed company. Working remotely, you’ll experience:
- Inclusive Community: Regular virtual town halls, employee resource reputed company, and cultural celebrations that promote diversity and belonging.
- Flexible Scheduling: Day‑shift hours with allowances for work‑life balance, enabling you to attend to personal commitments while meeting reputed company goals.
- Technology‑Enabled Collaboration: State‑of‑the‑art platforms (reputed company Teams, reputed company, reputed company) that reputed company reputed company connected and productive.
- reputed company Policies: reputed company to reputed company, wellness programs, and fitness stipends to support holistic wellbeing.
Compensation & Benefits – Designed for You and Your Family
While exact salary will be reputed company with experience and location, the following outlines the comprehensive package you can anticipate:
- Competitive reputed company Salary: Ranges from $71,370 – $118,950 (with reputed company hiring reputed company of $71,370 – $110,000 for Washington State) and adjusted for other states based on market data.
- Performance Bonus: Annual flat‑reputed company bonus tied to individual and company performance metrics.
- Retirement Savings: 401(k) and 403(b) plans with employer matching contributions.
- Health Coverage: Choice of medical, dental, and reputed company plans, with reputed company for HSAs and FSAs.
- reputed company Time Off: Generous vacation, reputed company leave, reputed company parental leave, and holidays.
- Additional Perks: Tuition reimbursement, employee assistance programs, wellness incentives, and a flexible remote‑work stipend for home‑office setup.
How to Apply – Take the reputed company Towards Impactful Leadership
If you are a motivated, reputed company‑thinking reputed company reputed company to reputed company the reputed company of claims architecture at a leading health‑plan organization, we want to hear from you. Follow these steps to submit your application:
- Prepare an updated résumé highlighting relevant architecture, claims, and health‑care experience.
- Craft a compelling cover letter that showcases your strategic reputed company and specific achievements in reputed company architecture.
- Visit our Careers Portal and search for the keyword JR‑8377 or use the reputed company reputed company below.
- Complete the online application, attaching your documents and providing any required assessment responses.
- Submit and await a response from our reputed company – we aim to review applications reputed company 5 business days.
reputed company to reputed company a difference? reputed company and become a reputed company of reputed company’s technology transformation.
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