55 минут назад
Application Architect (Healthcare Payment Integrity)
92 700 - 167 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Application Architect (Healthcare Payment Integrity): Designing scalable enterprise solutions that improve claims accuracy, prevent inaccurate payments, and optimize payment adjudication across integrated healthcare platforms with an accent on application architecture, cloud technologies, and enterprise integration. Focus on architecting end-to-end payment integrity solutions, integrating claims and audit platforms, and aligning product, clinical, operations, and technology stakeholders around secure, cloud-native systems.
Location: Remote within the continental United States, excluding California, New York, Alaska, and Hawaii. The role is also associated with Chicago, Illinois.
Base pay: $92,700–$167,500 annually, with eligibility for an annual incentive bonus.
Company
is a healthcare organization focused on affordability, claims accuracy, member experience, and payment integrity.
What you will do
- Define and execute application architecture strategies aligned with business objectives and enterprise roadmaps.
- Design scalable enterprise solutions that prevent inaccurate payments, optimize claims adjudication, and improve operational efficiency.
- Architect integrations across applications, databases, middleware, APIs, and healthcare platforms.
- Guide payment integrity solutions covering claims editing, audit recovery, fraud, waste, and abuse capabilities.
- Partner with Product, Business, Clinical, Operations, and Technology stakeholders to align on architectural direction.
- Support architecture governance, vendor evaluations, and strategic technology roadmap development.
Requirements
- Bachelor's degree with 4 years of Information Technology experience, technical certification and/or college coursework with 6 years of experience, or 8 years of Information Technology experience.
- Experience in application architecture, solution design, or product architecture.
- Experience with application development platforms, modern programming technologies, cloud computing, DevOps, CI/CD, and Agile delivery.
- Experience with enterprise integration technologies and API-based architecture.
- Strong analytical, problem-solving, communication, and collaboration skills.
- Visa sponsorship is not available, including for candidates currently on OPT.
Nice to have
- Experience in healthcare payer, payment integrity, claims processing, revenue management, or related healthcare domains.
- Knowledge of payment editing, coding validation, reimbursement methodologies, provider billing compliance, and claims adjudication workflows.
- Experience with cloud-native architectures, microservices, APIs, event-driven systems, application security, healthcare compliance, and data privacy.
- Experience leading architecture governance, vendor evaluations, and technology roadmap development.
Culture & Benefits
- Purpose-driven environment focused on healthcare affordability, claims accuracy, and meaningful customer and member outcomes.
- Curated development plans and professional growth opportunities.
- Remote work arrangement within the stated United States geographic limits.
- Health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, and supplemental life insurance.
- Tuition reimbursement, employee assistance program, paid holidays, and other incentives.
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