Managing Director leading Digital Strategy and Business Architecture at Ankura. Driving growth strategy, operational improvements, and business model evolution.
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
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Tech skills
Location requirements
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