Application Architect

AmeriHealth Caritas

Newtown Square, PA

JOB DETAILS
SKILLS
Agile Programming Methodologies, Amazon Web Services (AWS), Architectural Services, Business Support, Claims Management, Cloud Applications, Cloud Computing, Computer Science, Data Analysis, Debugging Skills, Diversity, Editing, Feasibility Analysis, Git, Healthcare Software, Information Technology & Information Systems, Knowledge Base, LCD (Liquid Crystal Display), Large-Scale Systems, Management of Information Systems/Technology (MIS), Microsoft SQL Server, Microsoft Windows Azure, People Management, Performance Tuning/Optimization, Pricing, Problem Solving Skills, Procedure Development, Product Management, Product Support, Production Support, Production Systems, Programming Languages, Quality Assurance, Regulations, Reporting Skills, Software Development, Software Development Lifecycle (SDLC), Source Code/Configuration Management (SCM), Standard Operating Procedures (SOP), Stored Procedures, Strategic Planning, Systems Administration/Management, Systems Analysis, Technical Support, Technical/Engineering Design, Test Plan/Schedule, Testing, Work From Home
LOCATION
Newtown Square, PA
POSTED
7 days ago
TITLE: Application Architect (Job ID 434835)


LOCATION: Newtown Square, PA (remote work option 100% of the time)


DUTIES:


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.


EDUCATION/REQUIREMENTS:


Bachelor’s degree (or foreign equivalent) in Computer Science, Information Technology, Management Information Systems, or a closely related field. Must have 5 years of experience with the following: Working with IT application architecture in healthcare products; 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; Working with GIT source code version control; and Using DevOps and Agile development methodologies to architect applications utilizing Scrum ceremony framework. Must have 2 years of experience with the following: Using cloud technologies such as Azure or AWS to design and develop cloud-based applications; and 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. Remote work option 100% of the time
As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

About the Company

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AmeriHealth Caritas

Leaders in health care solutions for those most in need

AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.

Our mission, our goal

Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.

COMPANY SIZE
5,000 to 9,999 employees
INDUSTRY
Healthcare Services
FOUNDED
1985
WEBSITE
http://www.amerihealthcaritas.com