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Principal Architect-Capitation/Value Based Care experience. - NS-PACVS-NS_46528583812_11-4658
Principal Architect-Capitation/Value Based Care experience. - NS-PACVS-NS_46528583812_11-4658-April 2024
Boise
Apr 1, 2026
About Principal Architect-Capitation/Value Based Care experience. - NS-PACVS-NS_46528583812_11-4658

  This job was posted by https://idahoworks.gov : For more information,please see: https://idahoworks.gov/jobs/2155076 NOTE: This is a 100 %remote position Candidates will be working on EST Hours

  One of our clients in Norfolk, Virginia is looking for a PrincipalArchitect with Capitation/Value Based Care experience.

  Job Responsibilities

  Responsible for overseeing in the establishment of an IT ApplicationArchitecture practice for Core Administrative Platform - Pricing andPayment, and the adoption of standardization and repeatableprocesses for Provider Payments, Capitation, and Value Based Paymentmethodologies.Works closely with the Chief Strategist and Claim and FinanceArchitect to develop repeatable processes for configuration for newbusiness.Analyze and recommend configuration standards and changes foroptimization of capitation calculation module for existing healthplans.Conceptualize and design custom components for capitationcalculation gaps that will integrate and work seamlessly with QNXT.Leads activities that take place during solution ideation, solutiondesign, and solution implementation for the applicable businessarea.Reviews business context for solutions to company challenges as wellas defining the vision and requirements for the solution,recommending potential options, (which may include RFIs, RFPs orprototype development), selecting the most optimal option, and thedevelopment of a roadmap for the selected solution.Communicates the application architecture to the stakeholders andcollaborates and coordinates with existing domain architects in theformalization and adoption of IT standards and procedures.Champions a structured approach to business application solutions.Supports the development of the application solutions architectureprogram including departmental roadmaps and project portfolios.Assures solutions not only are a fit for the specific purpose butalso closely align with the standards guidelines of technologysolutions.Influences changes to standards and application configuration whennecessary.Directs the identification and recommendation of appropriatesolutions, upgrades, replacements, or decommissioning optionsincorporating business and technology productivity, usability, andtotal cost of ownership.Develops and executes solutions which further reduce the percentageof time spent on reactive work.Qualifications / Skills

  Excellent oral and written communicationAnalytical and problem-solving skillsHigh attention to detail regarding integration of capitationcalculationsFosters collaboration across IT and operationsAbility to work under indirect supervision.Broad understanding of information technology topicsEffective interpersonal skills and collaborative management style toinclude teamwork and team building ability.Comfortable with ambiguity and time spent outside of comfort zoneacquiring new skills.{=html}<>- Ability to assess custom processes for optimization and redesign.

  {=html}<>- Flexible in a fast-paced dynamic environment with shifting roles and responsibilities- Technically creative and open-minded

  Education, Experience, and Licensing Requirements

  Bachelor\'s degree in computer science, Information Systems, orequivalent education or work experienceMinimum of 10 - 12 years of experience related to IT Management orother information technology solutions architecture role.Minimum of 5 years of experience with QNXT or QNXT basedapplication.Managed Care Organization, Medicare and Medicaid, Commercial HealthPlan operational knowledge and experienceImplementation of large-s ale payment solutions preferred.Demonstrated ability to communicate the complexities of technicalprograms.Proficiency with information technologies in a secure networkenvironment{=html}<>- SQL proficiency required

  - - Ability to read custom SQL stored procedures. - Ability to write SQL queries for data validations and design confirmation.

  {=html}<>- Expertise with personal computers in a secure network environment and Microsoft applications (Outlook, Word, Excel, Access, PowerPoint and SharePoint) or similar software

  Interested candidates may submit their resumes online or call at310-906-4780 for further information regarding the position.

  Beacon Hill is an Equal Opportunity Employer that values the strengthdiversity brings to the workplace. Individuals with Disabilities andProtected Veterans are encouraged to apply.

  If you would like to complete our voluntary self-identification form,please click here or copy and paste the following link into an openwindow in your browser: https://jobs.beaconhillstaffing.com/eeoc/

  Completion of this form is voluntary and will not affect youropportunity for employment, or the terms or conditions of youremployment. This form will be used for reporting purposes only

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