Business Architect Senior - Government Claims at Elevance Health

Atlanta, Georgia, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Government ClaimsIndustries

Requirements

BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 7 years experience in business analysis and strategic planning, IT operations, IT planning, IT leadership, or strategic and technical architecture; or any combination of education and experience, which would provide an equivalent background
Must be within a reasonable commuting distance from the posting location(s) (in-office 1 day per week required, unless accommodation granted as required by law)

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
Based on system root-cause findings, recommend process and system enhancements to permanently solve identified issues, converting business requirements into technical requirements and managing the handoff to technology implementation teams
Provide linkages to other Enterprise Architecture groups and models, coordinate and align activities to achieve the future state capabilities with Business Relationship Management (BRM) skills, and confirm solutions work as intended
Lead Reference architectures, Strategic Business Architecture (SBA) and Operational Business Architecture (OBA) that articulate a future state direction to optimize the value chain
Lead Business Architecture portion of business blueprints, including establishing guiding principles, defining capabilities, performing functional analysis/definition, analyzing and documenting the value chain, and assessing organizational impacts
Create initiatives to perform enterprise wide functional analysis to identify areas for efficiencies or rationalization opportunities, and conduct ongoing analysis of business capabilities and how improvements to architecture components can best support capabilities
Review a common process for how projects are assessed against business architecture artifacts and blueprints; incorporate into overall architecture governance process
Translate strategic decisions into operational and process-focused plans for a market segment
Analyze and apply emerging organizational paradigms aligned to strategic needs
Communicate and build consensus equally effectively with many constituents, including business executives, technologists, end users, and operations

Skills

Business Architecture

Root-Cause Analysis

Data Analytics

Provider Systems

Business Process Knowledge

System Configuration

E2E Inventory Lifecycle

Process Enhancements

Business Requirements

Technical Requirements

Stakeholder Management

Enterprise Architecture

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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