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Fallon Health Senior Solutions Architect - Growing Healthcare Organization in Worcester, Massachusetts

Overview

About Fallon Health

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org

The position will be accountable for defining and setting the technology vision for designated business domains within Fallon Community Health Plan. Reporting to the Vice President of Portfolio Architecture and Governance, this role will engage both senior leaders and individual contributors within the organization to understand the business strategy and determine what technology plan needs to be in place in support of the business strategy. The Senior Solution Architect will collaborate heavily with their business partners to understand the business areas’ current capabilities and future capabilities that they want to enable. He/She will need to be able to provide guidance to the business and offer solutions that may be business process changes that do not require technology enhancements, solutions that are tactical and minimally enhance the existing systems, or solutions that are strategic and require larger projects/programs.

The Senior Solution Architect will be considered the architect lead for Fallon’s servicing value chain. This will encompass the business processes of care services, customer service and claims adjudication. He/She will establish the domain technology strategy and ensure existing and future projects align to the overall business strategy. As projects and solutions are identified, the Enterprise Architect will be defining the solution architecture visions and the specific architecture design that will be implemented by technology project.

Fallon is a roll up your sleeves organization and this individual will operate at several levels within the organization. One will be at the business strategic level, working with department heads to understand their need. The other end will be working with technical development teams and translate the specific solution architecture that is to be developed. This individual will cover multiple projects at a single time and will be required to ensure each architecture solution implemented transitions Fallon towards its desired mature state.

Ability to function well in fast-paced work environment and the ability to work on multiple time-sensitive projects concurrently are critical. Excellent written and verbal communication skills, as well as detailed-oriented organizational skills are also required.

Responsibilities

  • Work across business and IT teams to understand the current business and system capabilities and determine the desired state to define the overall technology strategy roadmap

  • Provide business solutions that can be either business process enhancement recommendations or new technology solutions

  • Collaborate with other architects and business areas to reduce technology and solution redundancy

  • Drive the technology maturity for Fallon and partner with the development teams

  • Facilitate POCs/POTs (proof of concept/proof of technology) exercises to demonstrate solution feasibility in order to refine the system solution when required

  • Participate in technology/vendor evaluations and ensure proper alignment with the business needs and overall technology strategy plans

  • Define the solution architecture visions for designated components that describe the long term goals as well as near term goals

  • Author the project architecture design documents that will drive the technical implementation of the solutions

  • Review of business requirements and design/definition of sequence diagrams, component diagrams and data flows to ensure for proper architecture design

  • Assist in the planning of work streams and tasks as defined by the solution architecture. Be able to identify specific work components and interdependencies that can be communicated to the project manager and development team

  • Develop and collaborate in the delivery of cost/benefit estimates

  • Govern project solution architectures to ensure technology strategy is being driven forward

  • Collaborate and provide solution ideas/input into other projects and efforts when not assigned as the primary architect

  • Mentor existing developers, business analysts and project managers in the defining of the architects responsibility within the SDLC

  • Standardize and govern the architecture review process andarchitecture artifacts for the organization.

Qualifications

  • 12+ years of solution implementation experience with vendor packages or custom solutions

  • 5+ years working within an architect role capacity

  • 3+ years defining business technology strategies and roadmaps

  • Broad experience in providing solutions across both transactional and analytical solutions

  • Strong experience translating business needs into technology solution visions

  • Strong experience in communicating technology visions to senior business management

  • Experience within the healthcare payer industry preferred

  • Experience with claims adjudication platforms a plus

  • Experience with care management platforms a plus

  • Experience with call center solutions a plus

  • Thorough understanding of analysis and design practices, application architecture principles and methodologies, object oriented concepts and SOA

  • Experience working directly with business resources in facilitation of business decisions as they relate to technology solutions and plans

Job ID 5696

# Positions 1

Category Information Technology

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