Application Architect

Amerihealth Caritas•Edgmont Township, PA

2d•Remote

About The Position

Manage OPTUM Claims Pricing and Editing software products including CES (Claims Editing Software), EZGroup, Rate Manager, and WebStrat. Service vendor software in lower environments and perform validation. Promote changes to quality assurance and production environments as well as work with business stakeholders to test changes and obtain approvals. Participate in feasibility analysis of new systems/applications as well as architectural review and strategy development (e.g. ARB). Monitor the operating efficiency of existing application systems, and provide proactive maintenance. Review, analyze, and modify systems, including coding, testing, configuring, and debugging large-scale systems. Responsible for providing guidance and arranging resources for technical support to address production issues. Participate in training as appropriate, on new or revised systems/applications. Contribute to the development of test plans and participate in post-implementation reviews. Participate in the technical design of projects that anticipate and proactively address roadblocks and obstacles. Responsible for conducting complete diagnosis of significant business problems, factoring in a strong understanding of the technical architecture. Facilitate design sessions by presenting logical statements of business problems and design. Recommend tools and methodologies for projects. Follow established and relevant SOPs and methodologies in performing work in order to provide recommendations to management on changing tools/methodologies/standard operating procedures, as appropriate. Use advanced understanding of the relevant programming languages, tools, and technologies for the area supported. Use advanced understanding of the software development life cycle (SDLC), including Agile methods, to act as a resource to others on the existing applications supporting a business area. Leverage understanding of architectural issues, and factor them into decisions and recommendations. Maintain awareness of when regulatory issues are applicable and who to engage to address any concerns. Remote work option 100% of the time.

Requirements

Bachelor’s degree (or foreign equivalent) in Computer Science, Information Technology, Management Information Systems, or a closely related field.
5 years of experience with IT application architecture in healthcare products.
5 years of experience using MS SQL server to write complex queries to pull data, analyze and generate reports, write stored procedures, functions, and triggers for new application development, and debug, review and apply performance tuning to existing code.
5 years of experience working with GIT source code version control.
5 years of experience using DevOps and Agile development methodologies to architect applications utilizing Scrum ceremony framework.
2 years of experience using cloud technologies such as Azure or AWS to design and develop cloud-based applications.
2 years of experience using Optum CES (Claims Edit System) to manage product upgrades, support regular LCD (Local Coverage Determinations), NCD (National Coverage Determinations) and KB (Knowledge Base) updates, and perform production support to identify points of failure in the product.

Responsibilities

Manage OPTUM Claims Pricing and Editing software products including CES (Claims Editing Software), EZGroup, Rate Manager, and WebStrat.
Service vendor software in lower environments and perform validation.
Promote changes to quality assurance and production environments as well as work with business stakeholders to test changes and obtain approvals.
Participate in feasibility analysis of new systems/applications as well as architectural review and strategy development (e.g. ARB).
Monitor the operating efficiency of existing application systems, and provide proactive maintenance.
Review, analyze, and modify systems, including coding, testing, configuring, and debugging large-scale systems.
Provide guidance and arrange resources for technical support to address production issues.
Participate in training as appropriate, on new or revised systems/applications.
Contribute to the development of test plans and participate in post-implementation reviews.
Participate in the technical design of projects that anticipate and proactively address roadblocks and obstacles.
Conduct complete diagnosis of significant business problems, factoring in a strong understanding of the technical architecture.
Facilitate design sessions by presenting logical statements of business problems and design.
Recommend tools and methodologies for projects.
Follow established and relevant SOPs and methodologies in performing work in order to provide recommendations to management on changing tools/methodologies/standard operating procedures, as appropriate.
Use advanced understanding of the relevant programming languages, tools, and technologies for the area supported.
Use advanced understanding of the software development life cycle (SDLC), including Agile methods, to act as a resource to others on the existing applications supporting a business area.
Leverage understanding of architectural issues, and factor them into decisions and recommendations.
Maintain awareness of when regulatory issues are applicable and who to engage to address any concerns.