Business Architect

About the role

The Business Architect role is critical for aligning strategic objectives with operational execution for the Integrated Specialty business.

Responsibilities

• Support the maturation of the business architecture practice.
• Partner directly with business owners and stakeholders to translate needs into conceptual models.
• Develop and apply capability models and architecture frameworks.
• Support strategic planning efforts, including future planning initiatives.
• Determine the future state for fully integrated care management.
• Operate effectively in an evolving and ambiguous environment.
• Collaborate with the Business Product Team, which will drive much of this role's work.
• Engage with senior leadership to define and align business strategies with operational plans.

Requirements

• Experience: 5-10 years of experience in PBM, preferably working with integrating Pharmacy and Medical Claims data.
• Strong understanding of PBM (Pharmacy Benefit Management) and Medical Pharmacy operations.
• Experience with healthcare technology solutions and healthcare data domains.
• Knowledge of when drugs are billed under pharmacy versus medical benefits.
• Familiarity with Prior Authorization, claims processing, eligibility data, and provider data.
• Understanding of compliance and regulatory requirements impacting PBM and Medical Pharmacy operations.
• Ability to engage confidently with business leaders and strategic stakeholders.
• Bachelor's degree in a relevant field such as Business Administration or MIS with 5+ years in business analysis, or 7+ years in business, solution, or enterprise architecture.

Preferred Qualifications

• Experience working within a business architecture framework or capability model (e.g., BACOE, ArchiMate, TOGAF).
• Experience in highly regulated industries such as healthcare, finance, or government.
• Healthcare claims experience.
• Product management exposure.
• Proficiency with Microsoft tools and platforms like ServiceNow and SharePoint.
• Experience with SAFe Agile, MITA, ITIL, and SDLC methodologies.

Benefits

• Medical, dental, vision, life, disability, and other insurance plans.
• ESPP (employee stock purchase program).
• 401K program with company match.
• HSA (Health Savings Account on the HDHP plan).
• SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions.
• Corporate discount savings program and other discounts.
• On-demand training program, certification prep, and access to technical and leadership courses/books/seminars.
• Certification discounts and other perks to associations like CompTIA and IIBA.
• A dedicated customer service team for benefits and resources.
• A certified Career Coach.

Pay

The pay for this role is competitive and commensurate with experience.

Schedule

The role is part-time, Monday to Friday, anytime between 7 AM and 7 PM CST. It is a remote position.