At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.

We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.

Job Summary

Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

The Business Optimization Architect is responsible for identifying, prioritizing, and architecting enterprise-level optimization opportunities across the organization. This role focuses on value realization, operational efficiency, and strategic alignment by connecting business strategy to measurable outcomes.

The architect partners with executive leadership, operations, finance, IT, and performance reporting teams to define optimization roadmaps, quantify benefits, and ensure initiatives deliver sustainable business value.

Identify cross-functional optimization opportunities across claims, enrollment, customer service, utilization management, operations, and finance.
Translate business strategy into an enterprise optimization roadmap aligned to cost, quality, service, and compliance objectives.

Define optimization hypotheses, success measures, and expected business outcomes.

Develop business cases, value models, and ROI estimates for optimization initiatives.
Define benefit tracking frameworks and performance indicators in partnership with performance reporting teams.

Monitor realization of benefits and escalate value leakage risks.
Assess current-state operating models, organizational capabilities, and constraints.

Recommend target-state changes to roles, governance, decision rights, and workflows.

Ensure optimization initiatives align with regulatory, contractual, and client commitments.

Support intake, triage, and prioritization of optimization initiatives.
Balance near-term efficiency gains with long-term transformation goals.

Provide executive-level insights and recommendations to guide investment decisions.

Act as a trusted advisor to senior leaders on operational performance and optimization strategy.

Facilitate executive workshops to align on outcomes, tradeoffs, and priorities.
Partner with Process Architects to translate optimization intent into executable process designs.

Minimum Requirements:

Bachelor’s degree in Business, Healthcare Administration, Operations Management, or related field.
7-10+ years of experience in business optimization, strategy, transformation, or operational excellence.
Experience within healthcare, insurance, or a health insurance TPA environment.
Strong experience developing business cases and value realization frameworks.
Excellent executive communication and facilitation skills.


Preferred Requirements:
Experience with Lean, Six Sigma, or enterprise transformation frameworks.
Experience working with performance reporting and analytics teams.

Minimum Requirements:

• Bachelor’s degree in Business, Healthcare Administration, Operations Management, or related field.
• 7-10+ years of experience in business optimization, strategy, transformation, or operational excellence.
• Experience within healthcare, insurance, or a health insurance TPA environment.
• Strong experience developing business cases and value realization frameworks.
• Excellent executive communication and facilitation skills.

Preferred Requirements:

• Experience with Lean, Six Sigma, or enterprise transformation frameworks.

• Experience working with performance reporting and analytics teams.

Location: This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

EEO Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Pay Transparency Statement:

At Luminare, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for associates. 

  

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

Min to Max Range:

$77,800.00 - $146,100.00

Exact compensation may vary based on skills, experience, and location.