Enterprise Architect - Claims

Company: BlueSnap, Inc
Location: Atlanta
Posted on: April 7, 2025

Job Description:

These resources will be providing architectural support for enterprise programs through impact analysis, solutions, alignment with M&R level strategies and works with Business, Engineering and collaborates with Enterprise/Application Architects from claims systems.Responsibilities

• Align business and IT strategies, assess business and other IT ideas, and create strategy for the program.
• Develop conceptual/reference architectures, and blueprints for alignment between M&R and enterprise strategies.
• Produce solution intent document for the individual projects and how they all coexist in the broader scope of project bolt and review with all stakeholders for their approval.
• Help prepare materials for Capital Planning and present at Architecture Review Boards.
• These programs help M&R business with Trial Claims: Enable non-real-time trial claims for all claims platform.Requirements
• Provider Pick: Migrate M&R provider selection from COSMOS to Enterprise Provider Selection (real-time); enhance EPS.
• Benefits: Consolidate BenCheck with Pre-D.
• Auth: Integration with CCAM.
• Accumulators: Externalize data to HCP for real-time access.
• Claim Messaging: Connect claim message center to COSMOS; optimize remark codes; add new messages for trial claims/promises.
• Payment & Presentment: Connect COSMOS to Payment Engine.Key Skills / Experience
• 6-8 years of enterprise architecture experience and well versed with enterprise architecture practices.
• Experience with Cobol, JCL, MF Cobol, API, Kafka, Azure cloud platform.
• Ability to work with multiple stakeholders in a matrixed organization.
• Deep understanding of application interactions and patterns.
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Keywords: BlueSnap, Inc, Alpharetta , Enterprise Architect - Claims, Professions , Atlanta, Georgia