Accenture

State Healthcare Enterprise Architect

Accenture$132K — $302K *
Healthcare
11 - 15 years of experience
Job Overview by Ladders

Qualifications

  • 15+ years of enterprise architecture experience with Texas Medicaid systems
  • 15+ years with NSK/HP NonStop platforms and CAGen/Gen (Broadcom)
  • 8+ years of experience in Java application architecture
  • 6+ years of VB6-to-.NET modernization architecture
  • 6+ years of Oracle database architecture skills
  • 8+ years of cloud architecture experience with Microsoft Azure
  • Bachelor's Degree or equivalent work experience.

Responsibilities

  • Define and own enterprise architecture strategy for Texas Medicaid modernization
  • Provide non-CA Gen architecture strategy for NSK components
  • Develop and maintain architecture models and technical roadmaps
  • Evaluate current-state systems and produce gap analyses
  • Establish architecture standards and design patterns for teams
  • Lead architecture review boards and provide technical sign-offs
  • Provide guidance on migration strategies from legacy systems

Benefits

  • Medical, dental, and vision coverage
  • Life and long-term disability insurance
  • 401(k) plan and bonus opportunities
  • Paid holidays and paid time off
Full Job Description
You Are:

An experienced enterprise architect with a wide variety of experience in both legacy and modern technologies. You are driven by the desire to move our clients forward - from the old to the new - using advanced technologies paired with your deep expertise in cloud, modernization, and infrastructure optimization. You have a proven ability to work in a team environment and drive the best solutions for our clients.

The Work:
  • Define and own the enterprise architecture strategy for Texas Medicaid modernization efforts, including the migration of NSK/CAGen-based systems to Java on Linux with Oracle, and the conversion of VB6 desktop applications to .NET web applications
  • Provide an architecture strategy for non-CA Gen based components running on NSK. This includes TACL scripts, NetBatch jobs and hand-written C code.
  • Develop and maintain architecture reference models, solution blueprints, and technical roadmaps that align with HHSC and TMHP strategic objectives
  • Evaluate current-state system capabilities across legacy systems and produce gap analyses against target-state architecture
  • Establish and govern architecture standards, design patterns, and technical guardrails for development teams across all workstreams
  • Lead architecture review boards and provide technical sign-off on solution designs, integration patterns, and infrastructure decisions
  • Provide authoritative technical guidance on NSK/CAGen (Gen/Broadcom) to Java conversion strategies, including code generation approaches, runtime equivalency validation, and platform transition sequencing
  • Architect the migration path from VB6/COM desktop applications to modern .NET web applications, defining layered architecture, API contracts, and UI component strategies
  • Design data migration and ETL architectures for transitioning from NSK-based data stores to Oracle and SQL Server targets, including C-to-Java ETL conversion patterns
  • Identify and mitigate technical risks associated with legacy system dependencies, data integrity, platform performance parity, and trading partner integration continuity
  • Ensure architectural continuity between legacy systems remaining in operation and newly modernized components during transition periods
  • Identify and evaluate opportunities to apply AI and machine learning capabilities within Texas Medicaid operations, including AI-assisted code modernization, intelligent claims processing, anomaly detection, and automated testing
  • Architect AI/ML integration patterns that meet HHSC governance, data privacy, and explainability requirements for state Medicaid systems
  • Champion AI-assisted development tooling for modernization workstreams, including code translation, automated test generation, and documentation generation - ensuring appropriate approval and governance frameworks are in place


Travel may be required for this role. The amount of travel will vary from 0 to 100% depending on business need and client requirements

What You Need:
  • Minimum of 15 years of enterprise architecture experience with Texas Medicaid systems, with demonstrated depth in Compass21 (C21) claims processing, CMS (LTC), Vision21 (V21), Phoenix, and PSWin
  • Minimum of 15 years of hands-on experience with NSK/HP NonStop platforms and CAGen/Gen (Broadcom) code generation environments, including system analysis and issue resolution
  • Minimum of 8 years of experience in Java application architecture, including NSK-to-Java migration patterns, Spring-based enterprise frameworks, and Linux-based deployment environments
  • Minimum of 6 years of experience architecting VB6-to-.NET modernization efforts, including API layer design, web UI patterns, and COM component replacement strategies
  • Minimum of 6 years of Oracle database architecture skills, including schema design, performance tuning, ETL architecture, and migration from legacy data platforms
  • Minimum of 8 years of hands-on cloud architecture experience with Microsoft Azure, including IaaS, PaaS, Azure DevOps, and cloud security/compliance design for regulated workloads
  • Bachelor's Degree or equivalent (12 years) work experience (If an, Associate's Degree with 6 years of work experience)


Compensation at Accenture varies depending on a wide array of factors, which may include but are not limited to the specific office location, role, skill set, and level of experience. As required by local law, Accenture provides a reasonable range of compensation for roles that may be hired as set forth below.

We anticipate this job posting will be posted until 08/21/2026.

Accenture offers a market competitive suite of benefits including medical, dental, vision, life, and long-term disability coverage, a 401(k) plan, bonus opportunities, paid holidays, and paid time off. See more information on our benefits here:

U.S. Employee Benefits | Accenture

Role Location Annual Salary Range

California $132,500 to $302,400

Cleveland $122,700 to $241,900

Colorado $132,500 to $261,300

District of Columbia $141,100 to $278,200

Illinois $122,700 to $261,300

Maine $112,900 to $222,500

Maryland $132,500 to $261,300

Massachusetts $132,500 to $278,200

Minnesota $132,500 to $261,300

New York $122,700 to $302,400

New Jersey $141,100 to $302,400

Virginia $122,700 to $278,200

Washington $141,100 to $278,200

About Accenture

Accenture plc is a multinational professional services company that provides services in strategy, consulting, digital, technology, and operations. The company has more than 537,000 employees serving clients in more than 120 countries. Accenture operates across five business segments: Communications, Media & Technology; Financial Services; Health & Public Service; Products; and Resources. The company is headquartered in Dublin, Ireland, and has offices worldwide.
Learn more about Accenture
Size
624,000 employees
Market Cap
$173.8 billion
Industry
Net Income
$5.2 billion
Founded
1989
5 Year Trend
+11.2%
Revenue
$44.7 billion
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