QNXT Architect

MUST HAVE

RECENT QNXT EXPERIENCE

ARCHITECTURE EXPERIENCE

SQL

Experience with Capitation models – how payments are made

Job Responsibilities

• Responsible for overseeing in the establishment of an IT Application Architecture practice for Core Administrative Platform – Pricing and Payment, and the adoption of standardization and repeatable processes for Provider Payments, Capitation, and Value Based Payment methodologies.
• Works closely with the Chief Strategist and Claim and Finance Architect to develop repeatable processes for configuration for new business.
• Analyze and recommend configuration standards and changes for optimization of capitation calculation module for existing health plans.
• Conceptualize and design custom components for capitation calculation gaps that will integrate and work seamlessly with QNXT.
• Leads activities that take place during solution ideation, solution design, and solution implementation for the applicable business area.
• Reviews business context for solutions to company challenges as well as defining the vision and requirements for the solution, recommending potential options, (which may include RFIs, RFPs or prototype development), selecting the most optimal option, and the development of a roadmap for the selected solution.
• Communicates the application architecture to the stakeholders and collaborates and coordinates with existing domain architects in the formalization and adoption of IT standards and procedures.
• Champions a structured approach to business application solutions.
• Supports the development of the application solutions architecture program including departmental roadmaps and project portfolios.
• Assures solutions not only are a fit for the specific purpose but also closely align with the standards guidelines of technology solutions.
• Influences changes to standards and application configuration when necessary.
• Directs the identification and recommendation of appropriate solutions, upgrades, replacements, or decommissioning options incorporating business and technology productivity, usability, and total cost of ownership.
• Develops and executes solutions which further reduce the percentage of time spent on reactive work