M&R Enterprise Architect

Description of work and details on what requested resource(s) will be doing: These resources will be providing architectural support for Project Bolt through impact analysis, solutions, alignment with M&R level strategies and works with Business, Engineering and collaborates with Enterprise/Application Architects from COSMOS to GCO Claims.

Deliverables

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 under Bolt and how they all coexist in the broader scope of project bolt and review with all stake holders for their approval

Help prepare materials for Capital Planning and present at Architecture Review Boards

These programs help M&R business with o Trial Claims: Enable non-real-time trial claims for all claims platform o Provider Pick: Migrate M&R provider selection from COSMOS to Enterprise Provider Selection (real-time); enhance EPS o Benefits: Consolidate BenCheck with Pre-D o Auth: Integration with CCAM, o Pricing: EPP Implementation o Accumulators: Externalize data to HCP for real-time access o Claim Messaging: Connect claim message center to COSMOS; optimize remark codes; add new messages for trial claims/promises o Payment & Presentment: Connect COSMOS to Payment Engine

Key Skills / Experience:

8-10 years of enterprise architecture experience and well versed with enterprise architecture practices

Experience with Cobol, JCL, MF Cobol, API, Kakfa, Azure cloud platform

Ability to work with multiple stake holders in a matrixed organization

Deep understanding of application interactions and patterns