See all roles

Principal Business Architect - Health Plan Operations (Remote)

Work from home Full-time role Hiring

Resp & Qualifications PURPOSE: Drives enterprise optimization by introducing capabilities (inclusive of all functions) for their domain of responsibility utilizing in-depth knowledge and expert skills to advance domain strategies. Translates business needs for the domain into architectural solutions that meet performance, reliability and security expectations. Applies enterprise roadmaps, principles, standards, and practices to drive their domain strategies and execution. ESSENTIAL FUNCTIONS:

  • Responsible for leading the transformation of a business and ensuring critical deliverables, such as business capability models, business capabilities, and platforms, are developed and implemented.
  • This individual interprets and develops the strategy for the operational needs of an organization and designs an effective platform strategy for business process management. They develop business capability maps and value streams to link strategy and execution and helps reorganize and restructure the business enablement process.
  • To develop or contribute to key deliverables like strategy summary, operating and business model analysis, business entities, organization mapping, systems mapping, system footprint analysis, etc.
  • To plan and design a business architecture strategy based on carefully scrutinizing various business scenarios and motivations
  • To illustrate the main business functions of the health plan operations and to identify functions that are member-facing or provider-related or pertaining to business execution and business management.
  • To identify strategic business goals that can be traced through the organization and be mapped for ongoing governance
  • To describe strategic, core and support processes that stretch beyond functional and organizational boundaries
  • To define external entities like members, providers, and external vendors related to the health plan ecosystem
  • To describe the workforce, resources and controls engaged in the processes
  • Business architect responsibilities also include defining data shared across the business and their interrelation

Education Level: Bachelor's Degree. In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 10 years' Experience Preferred Qualifications:

  • Advanced degree

Knowledge, Skills and Abilities (KSAs)

  • Ability to motivate and influence others so that project objectives are met in a timely manner.
  • Ability to collaborate with stakeholders to develop high quality solutions.
  • Ability to coach, delegate, and develop architects and engineers.
  • Ability to managing cross-domain architecture solutions and issues.
  • Expertise with domain related architecture frameworks, methods and tools.
  • Effective organizational, interpersonal/relationship management, analytical, communications (written and verbal) and collaboration.
  • Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $150,000 - $268,125 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Guiding Care Product Managemen Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship #LI-SS1 Apply Job!

You might like

Marketing Designer (Part-Time)

Work from home Full-time role

Care Admin Specialist (Part-Time)

Work from home Full-time role

Associate Service Desk Engineer - Contract/Part-time

Work from home Full-time role

Business Development Representative II

Work from home Full-time role

Sr. Systems Engineer, Salesforce

Work from home Full-time role

Senior Director, Data Analytics Consulting - Remote

Work from home Full-time role

Clinical Education Lead

Work from home Full-time role

Analyst, Data Governance

Work from home Full-time role

[Hiring] Senior Director of Product Management @Certifyos

Work from home Full-time role

Corporate Asset Protection Officer - 3rd shift

Work from home Full-time role

Experienced Customer Service Representative – Providing Exceptional Support and Driving Customer Satisfaction at blithequark

Work from home Full-time role

Senior Data Engineer - Remote Opportunity with DICK'S Sporting Goods: Transforming Sports through Data-Driven Insights

Work from home Full-time role

Part-Time Virtual Assistant (Remote) - American Express

Work from home Full-time role

Premium Support Advisor

Work from home Full-time role

Experienced Part-Time Remote Spotify Live Chat Support Specialist – Music Enthusiast Wanted

Work from home Full-time role

Experienced Remote Data Entry and Customer Service Representative – Thriving in a Dynamic arenaflex Environment

Work from home Full-time role

Call Center Supervisor- Remote, USA

Work from home Full-time role

Experienced Customer Experience Advisor (Part-Time) – Remote, Nashville

Work from home Full-time role

Experienced Data Entry Specialist – US-Based Remote Opportunity for Amazon Operations

Work from home Full-time role

Experienced Remote Customer Service Representative for Non-Profit Organization – Delivering Exceptional Support and Making a Difference in Northeast Ohio

Work from home Full-time role