Enterprise Architect, Health Care Payer Domain

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

Role Overview

The Enterprise Architect is responsible for designing, building, and maintaining the data infrastructure and solutions that enable efficient and secure collection, storage, and analysis of healthcare data in different data platforms (Data Warehouse & Data Lake). This role involves working with a range of stakeholders including Business and IT teams to ensure data architecture supports business needs while adhering to compliance and security standards. The ideal candidate will have experience in HEDIS, CMS Interoperability (FHIR).

Work Arrangement

• This is a 100% Remote position 

Responsibilities

• Design and implement Integrated, scalable, efficient, and secure data systems for storing, processing, to support healthcare analytics and data driven decision making
• Design and implement scalable, flexible, and secure interoperability solutions aligned to USCDI-US Core compliant
• Develop and maintain data models (logical, physical and conceptual) that support healthcare-specific requirements (Clinical, Claims, Member, Provider, EHR etc.) and other data architecture artifacts
• Evaluate and recommend data management technologies, platforms, frameworks, and methodologies that optimize data collection and integration for healthcare application
• Oversee the implementation of data governance policies to ensure data integrity, quality, security, and compliance and other relevant healthcare regulations to protect sensitive patient information with HIPAA standards
• Ensure data architecture complies with healthcare regulations such as HIPAA, GDPR, and other privacy laws
• Candidates need to be independent thought leaders and able to self-direct
• Possess expertise and sound foundation in data management techniques & principles
• Hands on experience in end-to-end data processing is a must
• Collaborate with Business data analysts, data scientists, IT Professionals and business leaders to understand their data needs and ensure architecture supports organizational goals
• Optimize data storage solutions, reducing latency and ensuring quick access to real-time and historical data
• Help to establish and enforce data governance frameworks, ensuing data consistency, quality, and standardization across systems
• Stay updated on emerging technologies in healthcare data management
• Propose innovative solutions to enhance data-driven decision-making
• Provide training and guidance to other team members
   

Education and Experience

• BA/BS degree or equivalent experience; or 10+ years relevant experience and MS degree
• At least ten (10)+ years of experience in Data Architecture, preferably in the healthcare industry
• At least five (5)+ years of experience with managing large-scale data systems in healthcare
• At least five (5)+ years of experience in designing and implementing interoperability solutions in healthcare
• At least five (5)+ years of experience in solutioning cloud data platforms (Azure, AWS, GCP, Databricks, Snowflake etc.
• Expertise in Data Architecture, databases, and cloud platforms (Azure, GCP, AWS etc.)
• In-depth knowledge of healthcare interoperability standards (HL7, FHIR, CCDs, HIE, USCDI-US Core etc.)
• Proficiency in SQL and NoSQL databases, PySpark and Python
• Experience with data modeling tools like Erwin
• Experience with integration tools like Azure Data Factory, Databricks, Kafka, IBM Datastage, Informatica etc..
• Understanding of business intelligence (BI) and analytics platforms
• Strong analytical and problem-solving skills
• Excellent communication and interpersonal skills to collaborate with cross-functional teams
• Ability to work independently and manage multiple priorities
• Experience with major EHR systems like Epic, Cerner etc. is plus
  
  Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.