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Tata Consultancy Services · 2 days ago

Healthcare Payer Architect

Canton, MA

Full-time

Hybrid

Senior Level

$100K/yr - $140K/yr

Tata Consultancy Services is seeking a Healthcare Payer Architect who will leverage in-depth knowledge of payer-side healthcare operations. The role involves collaborating with stakeholders to translate business and technical requirements into solutions, and creating architectural specifications that align with business processes.

Business Information SystemsConsultingInformation TechnologyIT Management

H1B Sponsor Likely

Responsibilities

Demonstrate in-depth knowledge around payer-side healthcare operations, with expertise in provider enrollment and services solutions with an understanding of costs and provider needs

Collaborate with key stakeholders to translate business and technical requirements/ issues into implementable products and solutions with necessary technical interfaces and integrations

Create high-level architectural and design specifications with a focus on system integration and alignment with business processes

Partner with customers to present business and technical solutions for complex functionalities/ cross functional issues

Work closely with product and project teams to review and analyze requirements, identify gaps to present operational solutions and surface client needs to product teams

Lead business transformation initiatives by aligning business capability models with value streams

Integrate strategic business needs, process management, operations, and systems to deliver comprehensive solutions

Qualification

PDLC & SDLC methodologiesData migration processesJiraCustomer relationship skillsPresentation skills

Required

Experience leading design sessions and presenting complex business requirements to clients

Strong understanding of PDLC & SDLC methodologies (e.g., Waterfall, Hybrid Agile, Agile/Scrum), with the ability to collaborate effectively with business units and technology teams on major initiatives

Excellent understanding of configuration data management and data migration processes with knowledge on technical tools

Proficient in version control and defect management tools such as Jira

Self-motivated with the ability to manage multiple projects independently and with minimal supervision

Proven customer relationship skills, including effective presentation and meeting facilitation

Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy and Federal, State, and local regulations

Demonstrate in-depth knowledge around payer-side healthcare operations, with expertise in provider enrollment and services solutions with an understanding of costs and provider needs

Collaborate with key stakeholders to translate business and technical requirements/ issues into implementable products and solutions with necessary technical interfaces and integrations

Create high-level architectural and design specifications with a focus on system integration and alignment with business processes

Partner with customers to present business and technical solutions for complex functionalities/ cross functional issues

Work closely with product and project teams to review and analyze requirements, identify gaps to present operational solutions and surface client needs to product teams

Lead business transformation initiatives by aligning business capability models with value streams

Integrate strategic business needs, process management, operations, and systems to deliver comprehensive solutions

BACHELOR OF COMPUTER SCIENCE

Benefits

Discretionary Annual Incentive.

Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.

Family Support: Maternal & Parental Leaves.

Insurance Options: Auto & Home Insurance, Identity Theft Protection.

Convenience & Professional Growth: Commuter Benefits & Certification & Training Reimbursement.

Time Off: Vacation, Time Off, Sick Leave & Holidays.

Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.

Company

Tata Consultancy Services

Glassdoor3.8

Tata Consultancy Services is a business solutions company that specializes on information technology services and consulting.

Founded in 1968

Mumbai, Maharashtra, IND

10001+ employees

http://www.tcs.com

H1B Sponsorship

Tata Consultancy Services has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

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2022 (11159)

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2020 (11984)