Process Architect - LH

Job Summary

At Luminare Health, our people are what set us apart. Our Process Architect role is critical in designing, standardizing, and governing end-to-end business processes across the organization. This role ensures processes are efficient, compliant, scalable, and aligned with enterprise optimization goals. The Process Architect translates optimization strategy into clear, executable, and measurable process designs and establishes standards that support consistent execution across teams and platforms.

About the Role

The Process Architect designs and documents end-to-end processes across claims, enrollment, customer service, utilization management, operations, and finance. They develop current-state and target-state process models using standard methodologies (e.g., BPMN), define process boundaries, handoffs, roles, controls, and decision points, establish enterprise process standards, modeling conventions, and documentation requirements, maintain a centralized process repository and architecture artifacts, ensure processes align with regulatory, contractual, and audit requirements, partner with Business Optimization Architects to translate optimization initiatives into process designs, support operational teams during implementation by clarifying process intent and design, provide guidance on process adoption, change impacts, and risk mitigation, identify process inefficiencies, bottlenecks, and control gaps, support process measurement by defining operational metrics and controls, incorporate feedback and performance results into ongoing process refinements, work closely with IT, data, compliance, and operations teams to ensure process designs are feasible and enforceable, and support technology enablement efforts by defining business process requirements.

Responsibilities

• Design and document end-to-end processes across claims, enrollment, customer service, utilization management, operations, and finance
• Develop current-state and target-state process models using standard methodologies (e.g., BPMN)
• Define process boundaries, handoffs, roles, controls, and decision points
• Establish enterprise process standards, modeling conventions, and documentation requirements
• Maintain a centralized process repository and architecture artifacts
• Ensure processes align with regulatory, contractual, and audit requirements
• Partner with Business Optimization Architects to translate optimization initiatives into process designs
• Support operational teams during implementation by clarifying process intent and design
• Provide guidance on process adoption, change impacts, and risk mitigation
• Identify process inefficiencies, bottlenecks, and control gaps
• Support process measurement by defining operational metrics and controls
• Incorporate feedback and performance results into ongoing process refinements
• Work closely with IT, data, compliance, and operations teams to ensure process designs are feasible and enforceable
• Support technology enablement efforts by defining business process requirements

Requirements

• Bachelor’s degree in Business, Healthcare Administration, Industrial Engineering, or related field
• 5–8+ years of experience in process design, process architecture, or operational excellence
• Experience working within healthcare, insurance, or TPA operations
• Proficiency with process modeling tools and methodologies (e.g., BPMN)
• Strong documentation and facilitation skills

Preferred Requirements

• Leverage Lean, Six Sigma, or process improvement certification
• Experience supporting system implementations or automation initiatives
• Familiarity with healthcare compliance and audit requirements

Location

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

Benefits

We offer a robust total rewards package including health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, and other incentives. The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan. Min To Max Range: $67,600.00 - $127,000.00 Exact compensation may vary based on skills, experience, and location.

Pay Transparency Statement

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and conditions of the plan. Min To Max Range: $67,600.00 - $127,000.00 Exact compensation may vary based on skills, experience, and location.