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Health Plan Enterprise Architect

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Date: Feb 10, 2021

Location: Louisville, KY, US

Company: NTT DATA Services

Req ID: 104535 

NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a Health Plan Enterprise Architect to join our team in Louisville, Kentucky (US-KY), United States (US).  This is a position that is eligible for management incentive compensation on an annual basis.

 

For us, work is not only for technological innovation, it is about connecting people to create better solutions for everyday life. Through our long-term perspective, we hope to make a big difference in this world by getting the small things right. This pedigree yields a characteristic unique to NTT DATA​: the opportunity for a global brand with the creative energy and enthusiasm of an entrepreneur.

  • Provide strategic leadership for planning, designing, and implementing an enterprise architecture strategy, and implementation approach
  • Maintain an ongoing partnership with customer’s business and technical teams to apply in-depth knowledge of their operations, strategies, priorities, and information requirements to establish a technical direction with an enterprise view
  • Evaluate emerging technologies, prototype solutions, and evaluate processes for inclusion in the technology road map e.g. microservices, cloud-native solutions
  • Establish and manage enterprise architecture development and governance processes
  • Act as a visionary, championing content, storytelling, and leading digital innovation
  • Ensure appropriate technical standards and procedures are defined. Chair architecture-related review boards (enterprise/technical/solution/infrastructure)
  • Provide strategic guidance and research across all health plan domains such as Products, Benefits, Enrollment, Claims, Sales & Marketing, Provider, Customer Contact, etc.,
  • Ensure architecture principles and best practices are adhered to in the adoption of new technologies
  • Anticipate and react to major technology changes to ensure customer maintains leadership in the competitive landscape
  • Provide architectural vision to appropriately align IT to strategic business needs
  • Responsible for streamlining technology and ensuring projects are executed to meet business strategies
  • Proactively recommend actions to maintain cost-effectiveness and competitiveness 

 

We are looking for candidates with strong technical expertise and experience of having worked within a health plan. They need to have knowledge of at least some of the following topics but need not be an expert.

  • Do you have knowledge about health plan claims processing? Are you familiar with pricing, and adjudication of claims?
  • Are you familiar with member enrollment in a health plan?
  • Are you familiar with premium billing?
  • Do you have knowledge of benefits configuration?
  • Do you know what an 834 Enrollment transaction is?  
  • Do you know what an 837 Claim transaction is?
  • Do you know what a 270/271 Eligibility Inquiry transaction is?
  • Do you know what a 278 Authorization Request is?
  • Do you know what a 276/277 Claims Status Request is?
  • Do you have experience with Medicare?
  • Do you have experience or knowledge of ACA line of business?
  • Have you worked with or have knowledge of Medicaid or Commercial lines of business?

 

Basic Qualifications:

  • Minimum of 10 years of experience in health plan technical projects
  • Minimum of 5 years of experience architecture and implementing Health Plan solutions
  • Minimum of 5 years of demonstrated experience in translating business strategies across several business units into effective technical solutions
  • Bachelor’s or Master’s Degree in Computer Science, Math or related field.

 

Preferred Qualifications:

  • Self-directed and capable of working in a fast-paced, ambiguous environment
  • Strong technical leadership and expert consultative and communications skills
  • Significant enterprise expertise in developing and architecture solutions in a collaborative environment
  • Substantial demonstrated experience in health plan technology and modernization of existing legacy solutions

 

About NTT DATA Services

NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

NTT DATA Services is an equal opportunity employer and will consider all qualified applicants for employment without regard to race, gender, disability, age, veteran-status, sexual orientation, gender identity, or any other class protected by law.

 

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