Configuration Architect - GuidingCare

Reposted 15 Days Ago
Be an Early Applicant
Hiring Remotely in USA
Remote
94K-165K Annually
Senior level
Healthtech • Insurance
The Role
The Configuration Architect oversees the architecture for clinical system configurations, ensures alignment with business needs, evaluates solutions, and leads teams in implementing standards and guidelines while mentoring others in the department.
Summary Generated by Built In

Job Summary:

The Clinical Systems Configuration Architect is responsible for all architectural disciplines, decision making, drive communication, and collaboration for the enterprise. This role is also responsible for building and maintaining technology strategy for Operationalizing clinical system configuration at CareSource in accordance with evolving business needs in addition to defining ways of working, inclusive of technology standards and guidelines, etc.

What Configuration Architect should have:

Healthcare domain clinical systems experience with in depth configuration knowledge in Health Edge/Guiding Care application suite. 

Essential Functions:

  • Accountable for creating and maintaining the architecture disciplines that will guide the organization's technology decisions. This includes developing a comprehensive understanding of the organization's existing technological environment, identifying areas for improvement, and creating a roadmap for future technological initiatives.
  • Define and communicate clinical systems implementation standards, best practices, and guidelines.
  • Maintain a high level of expertise to guide leaders at CareSource.
  • Work closely with business leaders, technology teams, and other stakeholders to understand their needs and ensure that solutions align with business goals and objectives.
  • Maintain familiarity with a wide range of solutions and approaches clinical systems operationalization and be able to evaluate their suitability for the organization. Must be able to recommend appropriate solutions that meet business needs and align with the overall Health Edge Systems Configuration strategy.
  • Develop policies, standards and guidelines that direct the selection, development, implementation, and use of platforms within the enterprise.
  • Provide guidance, training, and mentorship to other team members in Configuration and leaders throughout our department.
  • Maintain a current understanding of modern practices and Software’s.
  • Establish and maintain professional working relationships between the teams and their customers and constituents.
  • Act as a liaison between corporate business areas and collaborate with appropriate business areas to implement proposed solutions and manage programs to evaluate effectiveness and results.
  • Troubleshoot existing clinical configuration to identify errors or deficiencies and develop innovative solutions.
  • Research, review, recommend, communicate, and implement solutions which identify problems/root cause of issues.
  • Evaluate existing Health Edge systems setup/solutions & applications and provide recommendations for improving the application by performing gap analysis and identifying feasible alternative solutions.
  • Provide technical support in analyzing content of clinical configuration in GC application patches, upgrades, and fixes to the production applications.
  • Develop prototypes and options for new system capabilities and work with leadership and business to identify value and opportunities to improve business capabilities.
  • Lead teams in obtaining and analyzing functional and system requirements for complex corporate initiatives and provide expert system consultation, analysis, and recommendations to ensure the development solutions support the business needs.
  • Oversee Health Edge/Guiding Care systems configuration activities performed by other team members, ensuring alignment to the project’s goals, budget and delivery schedule.
  • Work under limited supervision with considerable latitude for initiative and independent judgment.
  • Perform any other job duties as requested.

Education and Experience:

  • Bachelor of Science degree in information technology, business intelligence or related field, or equivalent years of relevant work experience is required.
  • Minimum of seven (7) years of Health Edge/Guiding Care experience in advanced clinical systems configuration, system/business solution analysis and development are required.
  • Minimum of five (5) years of health care domain experience is required.
  • Minimum of two (2) years of experience in project management/leadership role is preferred.
  • TriZetto/Cognizant Facets applications experience is preferred.
  • Implementing LTSS functionality in Health Edge/Guiding Care platform is preferred

Competencies, Knowledge, and Skills:

  • Strong interpersonal skills include excellent written and verbal communication skills; listening and critical thinking; presentation and facilitation skills.
  • Ability to establish effective working relationships with stake holds at all different levels within operations organization.
  • Expert knowledge in Health Edge/Guiding Care applications required.
  • Expert knowledge of Health Edge/Guiding Care data models, APIs, Real Time integration and proven understanding of database relationships required.
  • Ability to facilitate and lead Health Edge/Guiding Care solution design architectures.
  • Knowledge in creating and maintaining road maps for clinical systems functional area.
  • Solid understanding of Managed Care Organization business workflow Excellent communication, presentation, and written skills
  • Advanced computer skills with Microsoft Word, Excel, Access, Visio, and Facets applications
  • Knowledge of Business Intelligence tools and methodologies
  • Excellent understanding of industry standards and technology trends
  • Strong analytical, decision making, and problem-solving skills.
  • Ability to develop, prioritize and accomplish goals.
  • Ability to work independently and within a team environment.

Licensure and Certification:

  • None

Working Conditions:

  • General office environment; may be required to sit or stand for extended periods of time.
  • There may be minimal travel to attend vendor product conferences and QBRs

Compensation Range:

$94,100.00 - $164,800.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1

Skills Required

  • Bachelor of Science degree in information technology, business intelligence or related field
  • Minimum of seven (7) years of Health Edge/Guiding Care experience
  • Minimum of five (5) years of health care domain experience
  • Minimum of two (2) years of experience in project management/leadership role

CareSource Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about CareSource and has not been reviewed or approved by CareSource.

  • Strong & Reliable Incentives Bonuses are regularly available and serve as a meaningful part of total compensation. Annual performance-based awards are considered a strong component.
  • Leave & Time Off Breadth PTO starts around four weeks and increases with tenure, complemented by paid holidays and a floating day. Volunteer time expands the available leave options.
  • Affordable Benefits Health plan options are considered affordable, supported by wellness incentives that can reduce premiums. Coverage breadth includes medical, dental, vision, and cost‑lowering programs.

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The Company
HQ: Dayton, OH
3,668 Employees

What We Do

Health Care with Heart. It is more than a tagline; it’s how we do business. CareSource has been providing life-changing health care to people and communities for nearly 30 years and we will continue to be a transformative force in the industry by placing people over profits. CareSource is and will always be members first. Even as we grow, we remember the reason we are here – to make a difference in our members’ lives by improving their health and well-being. Today, CareSource offers a lifetime of health coverage to nearly 2 million members through plan offerings including Marketplace, Medicare Advantage and Medicaid. With our team of 4,000 employees located across the country, we continue to clear a path to better life for our members. Visit the "Life"​ section to see how we are living our mission in the states we serve. CareSource is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to race, color, religion, sex, age, national origin, disability, sexual orientation, gender identity, genetic information, protected veteran status or any other characteristic protected by applicable federal, state or local law. If you’d like more information about your EEO rights as an applicant under the law, please click here: https://www.eeoc.gov/employers/upload/poster_screen_reader_optimized.pdf and here: https://www.dol.gov/ofccp/regs/compliance/posters/pdf/OFCCP_EEO_Supplement_Final_JRF_QA_508c.pdf Si usted o alguien a quien ayuda tienen preguntas sobre CareSource, tiene derecho a recibir esta información y ayuda en su propio idioma sin costo. Para hablar con un intérprete, Por favor, llame al número de Servicios para Afiliados que figura en su tarjeta de identificación. 如果您或者您在帮助的人对 CareSource 存有疑问,您有权 免费获得以您的语言提供的帮助和信息。 如果您需要与一 位翻译交谈,请拨打您的会员 ID 卡上的会员服务电话号码

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