Understand the healthcare payer business relationships among: Membership and enrollment, Premium billing, Claims processing, Provider payments, Member payments and refunds, Capitation, Risk adjustment, Government programs, Medicare, Medicaid, DSNP, Commercial business, Employer groups, Pharmacy benefits, Provider networks, Financial accounting, Regulatory reporting. Architect solutions involving capabilities such as: General Ledger, Accounts Payable, Accounts Receivable, Cash Management, Fixed Assets, Expenses, Tax, Subledger Accounting, Budgets, Refunds, 1099, Accounting Hub, OCI, and Financial Reporting/Analytics.