Conduent Healthcare Solutions Architect in Raleigh, North Carolina

Healthcare Solutions Architect

Description

Conduent is the world's largest provider of diversified business process services with leading capabilities in transaction processing, automation, analytics and constituent experience. We work with both government and commercial customers in assisting them to deliver quality services to the people they serve.

We manage interactions with patients and the insured for a significant portion of the U.S. healthcare industry. We are the customer interface for large segments of the technology industry and the operational and processing partner of choice for public transportation systems around the world.

Whether it's digital payments, claims processing, benefit administration, automated tolling, customer care or distributed learning - Conduent manages and modernizes these interactions to create value for both our clients and their constituents. Learn more at www.conduent.com .

Gold Coast Healthcare Solutions Architect/Business Process Architect

Conduent is looking for an experienced HealthCare Solutions Architect to provide business and technical leadership for implementing a Medicaid Managed Care Organization’s replacement claims processing system. The ideal candidate will have experience in healthcare, large project implementations, integration and/or migrations, have a solid Information Technology (IT) background and keep up-to-date with advancements in the healthcare and IT industries. Apart from education and experience, the ideal candidate will have strong management, technical, and communication skills.

Responsibilities:

  • Provide business and technical subject matter expertise for implementing a new Healthcare/Managed Care system.

  • Design and implement the Systems and Application environment for replacement healthcare system.

  • Work with Business/Systems Analysts to understand the Business requirements, and create the corresponding blue print for implementing various components of a new system

  • Provide technical and business leadership, and be the point of contact for all technical/business questions

  • Analyzes, designs, and creates software enhancements and/or new products used in local, networked, or Internet-related computer programs

  • Develop solution strategy including identification of core components necessary to meet functional requirements, and facilitate solution validation review.

  • Manage the development and documentation of integrated technical, operational, and systems solutions.

  • Identify gaps between contract requirements and available products and services. Work with operational and technical teams to determine how to close the gaps.

  • Identify solutions required to meet functionality gaps, and collaborate with engagement owners to determine impact on pursuit and steps necessary to remediate.

  • Analyze potential solution components offered by third parties. Work with technical, operational, sales and management teams to determine what third party products and services should be included in the solution.

  • Coordinate all necessary modifications to teaming agreements and statements of work needed from solution vendors, subcontractors, and suppliers with contracts and legal teams.

  • Develop product/solution roadmaps and strategies

Education and Typical Years’ Experience

Required:

  • A Bachelor’s degree. In some circumstances, exceptional experience may be substituted for a bachelor’s degree.

  • 5 years of experience in the healthcare or human services industry in a senior capacity.

  • 3 years of experience working on .NET Application design, and SQL Database design/administration, related IT services.

  • Must-have implementation, integration and/or migration experience: Worked on either the implementation or migration of mid to large sized solutions (Application, IT systems, data).

  • A strong understanding of business processes related to government health care programs, especially Medicaid and/or MediCal.

  • Outstanding written and verbal communication skills are a must. Must be able to communicate effectively with staff at all levels, including senior executives.

  • Must have strong organization, presentation, and problem solving skills.

  • Must have excellent time management and organizational skills; project management experience is preferred. Must have the ability to work under tight deadlines and work extended hours when necessary.

Preferred:

  • A basic understanding of public health systems and operations, especially in the fields of eligibility, document management and processing and contact centers.

Conduent is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, creed, religion, ancestry, national origin, age, gender identity, gender expression, sex/gender, marital status, sexual orientation, physical or mental disability, medical condition, use of a guide dog or service animal, military/veteran status, citizenship status, basis of genetic information, or any other group protected by law. People with disabilities who need a reasonable accommodation to apply for or compete for employment with Conduent may request such accommodation(s) by clicking on the following link, completing the accommodation request form, and submitting the request by using the "Submit" button at the bottom of the form. For those using Google Chrome or Mozilla Firefox please download the form first: click here to access or download the form at https://downloads.conduent.com/content/usa/en/file/conduent-applicant-adaaa-referral-form.pdf .

Job IM Business Operations

Primary Location United States-North Carolina-Raleigh

Other Locations United States-Kentucky-Lexington

Organization Financial Service Healthcare

Unposting Date Ongoing

Req ID: 18012531