Amerihealth Administrators

Application Architect

Amerihealth Administrators$100K — $130K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in Computer Science or related field
  • 5 years of experience in IT application architecture in healthcare
  • Proficiency in MS SQL Server for complex queries and performance tuning
  • Experience with GIT for version control
  • Familiarity with DevOps and Agile methodologies, specifically Scrum.
  • 2 years of experience with cloud technologies like Azure or AWS
  • 2 years of experience using Optum CES for product management and support.

Responsibilities

  • Manage claims pricing and editing software products
  • Service vendor software in testing environments
  • Participate in feasibility analysis and architecture reviews
  • Monitor and maintain operating efficiency of application systems
  • Conduct in-depth diagnosis of significant business problems
  • Facilitate design sessions to address business issues
  • Recommend tools and methodologies for projects.

Benefits

  • Remote work option 100% of the time
  • Opportunity to participate in training on new systems
  • Engage in strategic architecture development
  • Access to advanced technologies and tools
  • Involvement in process improvement initiatives.
Full Job Description
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

About Amerihealth Administrators

AmeriHealth Administrators is a health insurance company that provides coverage to individuals and businesses in the United States. The company offers a range of plans, including HMO, PPO, and POS, as well as dental and vision coverage. AmeriHealth Administrators is committed to providing high-quality care and works with healthcare providers to ensure that members receive the best possible treatment. The company was founded in 1995 and is headquartered in Philadelphia, Pennsylvania.
Learn more about Amerihealth Administrators
Size
1,000 employees
Industry

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