Health Insurance Business Architect
Remote With Possible Future Travel Full-time
Projé seeks a Business Architect to serve as a pivotal link between business and technology realms. This role involves crafting capability maps and various artifacts, aiding in the strategy's practical implementation, and facilitating the technological enhancement of essential capabilities and value streams. The perfect fit for this position will boast comprehensive expertise in both Health Plan Operations and Technology landscapes.
Responsibilities
- Drives and facilitates the right discussions with business leaders to identify business capabilities in relation to current and future business objectives.
- Creates and maintains business capability, data, process, and technology inventories in collaboration with Business and IT leaders, IT architects and other SME’s and business analysts.
- Collaborates with business and IT stakeholders across various business functions to collect and document the structure of the organization's business and technology landscape.
- Takes charge of developing, constructing, overseeing, and refining the business capability model in conjunction with a maturity optimization framework to advance the implementation of the long-range roadmap.
- Collaborates in the strategic planning process by offering enterprise insights and contributing to the scope of strategic initiatives. This involves leveraging capabilities, generating capability maturity heatmaps to illuminate impacts, dependencies, overlaps, and opportunities for standardization and consolidation, thereby enhancing operational efficiency and effectiveness while optimizing costs.
- Key deliverables include (but not limited to): Capability Model, Capability Heatmaps, Capability Maturity Assessments, Capability Impact Assessments, Capability Health Assessments & Capability Roadmaps and providing leadership in planning of programs and projects in support of the roadmaps.
- Works closely with business leaders and other business domain architects and leaders to develop organizational capability roadmaps.
- In support of the business capability roadmaps, works closely with solution/technical architects to document current and future tools and technologies in support of the current and future business capabilities and investment options needed to support those transitions.
- Works collaboratively with program and project managers, offering guidance and support for initiatives aimed at facilitating transitions in business capabilities.
- Participates in, collaborates with and provides advice to project managers and solution architects to ensure that business project scope, deliverables and investments are relevant and enable and support the business capability needs.
- Delivers recommendations in a clear and concise manner, emphasizing key points to effectively convey the intended message or purpose to diverse audiences. This includes business executives, IT leaders, Enterprise Architects (and/or domain architects), as well as program and project sponsors as required.
- Advocates for and drives adoption of "best practices" to ensure standardization of business architecture outputs across the enterprise.
- Takes an active role in enterprise portfolio investment strategies by assessing and rationalizing proposed enterprise capabilities and always trying to optimize and maximize the investments made across the enterprise.
- Demonstrates business thinking and is highly strategic to define practical solutions that align with corporate strategy.
- Effectively manage priorities, deliverables, and timelines with confidence with minimal supervision.
- Accountable for a specific Line of Business, or business pillar or multiple segments.
- Senior specialist providing advisory services to executives and business leaders and governs the requirements for own work.
- Integrates knowledge of the enterprise function's or business segment's overarching strategy in leading programs and projects within one or more areas of expertise.
- Anticipates emerging business trends and regulatory/risk issues as a basis for recommending large-scale product, technical, functional, or operational changes.
- Uses innovative thinking to propose and plan for new solutions.
- Engages stakeholders to take action; provides expert advice, influences change; frames information in a broader organizational context.
Key Qualifications
- Superb communication and presentation skills
- Strong executive presence
- Ability to translate business strategies into business capabilities required to implement those strategies.
- Recent experiences in building and maintaining business strategy driven business capability maturity maps and related capability roadmaps.
- Experience based, demonstratable experiences in recommending business programs and projects in support of the organization’s business capability roadmap.
- Deep understanding of core health plan functions alongside with capabilities, and processes in support of health plan functions, such as Product Development, Underwriting, Sales & Marketing, Provider and Network Management, Membership Management, Claims, Care Management and Utilization processing.
- Ability to build and nurture relationships at all levels, particularly with senior leaders of an organization.
- Strong analytical, problem solving, negotiation and collaboration skills.
- Proven ability to participate in and support several projects at the same time.
Perks
- Competitive pay and bonuses
- Excellent benefits (medical, dental, vision)
- 401K with percentage company match
- Paid holidays and vacation days
- Flexible schedule
Education & Experience
- Bachelor’s degree in Computer Science or a related field, or equivalent experience; four years of related experience can be used in lieu of a Bachelor's degree.
- Minimum of 5 years of health plan experience working within and across different functional areas of the business operations that demonstrates progression of end-to-end understanding of a health plan operations and core business processes.
Job Type: Full-time
Pay: $140,000.00 - $190,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Parental leave
- Vision insurance
Schedule:
Supplemental pay types:
Application Question(s):
- Are you willing to travel occasionally if/when requested by client?
- Do you require Visa Sponsorship?
- What is your requested salary and do you require benefits?
Experience:
- Health Plan Payer Industry: 5 years (Required)
Language:
Work Location: Remote