Hybrid Senior Business Architect – Government Claims

at Elevance Health

• Job title: Senior Business Architect – Government Claims
• Job type: Full Time
• Experience level: Senior
• Salary: Not specified
• Degree requirement: Bachelor's Degree
• Tech skills: SQL
• Location requirements: Hybrid, Atlanta, United States

About the role

• Business Architect Senior optimizing healthcare claims processes at Elevance Health. Collaborating on system enhancements, investigating root causes, and contributing to enterprise architecture.

Responsibilities

• Support Cost of Care and other provider-based root-cause investigations leveraging intimate provider system and business process knowledge to audit system configuration and E2E inventory lifecycle for potential errors
• Conduct sophisticated data & analytics reports and synthesize findings on root-cause contributors and organizational and/or stakeholder experience impact
• Recommend process and system enhancements based on system root-cause findings
• Provide linkages to other Enterprise Architecture groups and models, coordinate and align activities to achieve the future state capabilities with Business Relationship Management (BRM)
• Contributes to providing linkage to other Enterprise Architecture groups and models
• Leads Reference architectures, Strategic Business Architecture (SBA) and Operational Business Architecture (OBA) that articulate a future state direction to optimize the value chain
• Creates initiatives to perform enterprise wide functional analysis to identify areas for efficiencies or rationalization opportunities
• Reviews a common process for how projects are assessed against business architecture artifacts and blueprints
• Translates strategic decisions into operational and process-focused plans for a market segment

Requirements

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study
• minimum of 7 years experience in business analysis and strategic planning, IT operations, IT planning, IT leadership, or strategic and technical architecture
• Prior Elevance Health experience strongly preferred
• Prefer knowledge of the following systems: EDI/EDINET; SQL; JIRA; FACETS (CENTRAL/GBD); BlueSquare, WEBSTRAT; Authorization Overwrite Tool (AO Tool) .Net UI; Claims Workstation Pega UI
• Strongly prefer knowledge in claims processes and data
• Experience in health care industry strongly preferred
• Enterprise Architecture related certifications strongly preferred

Benefits

• merit increases
• paid holidays
• Paid Time Off
• incentive bonus programs (unless covered by a collective bargaining agreement)
• medical
• dental
• vision
• short and long term disability benefits
• 401(k) +match
• stock purchase plan
• life insurance
• wellness programs
• financial education resources