Application Architect

AmeriHealth Caritas

Newtown Square, PA(remote)

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JOB DETAILS

SKILLS

Administrative Skills, Amazon Web Services (AWS), Analysis Skills, Application Integration, Behavioral Health, Biotech and Pharmaceutical, Broadband, Business Intelligence, Business Support, Cerner, Cloud Computing, Communication Skills, Compensation and Benefits, Computer Science, Content Management Systems (CMS), Cross-Functional, Data Analysis, Data Collection, Data Lake, Data Management, Data Modeling, Data Modeling Tools, Data Processing, Data Quality, Data Science, Data Storage, Data Warehousing, DataArchitect Data Modeling Tool, Dimensional Modeling, Diversity, Emerging Technology, Epic Systems, GCP (Good Clinical Practices), HIPAA (Health Insurance Portability and Accountability Act), HL7 (Health Level 7), Health Information Exchange (HIE), Healthcare, Healthcare Effectiveness Data and Information Set (HEDIS), Healthcare Software, IBM WebSphere DataStage, Informatica, Information/Data Security (InfoSec), Interoperability, Interpersonal Skills, Large-Scale Systems, Managed Care, Medical Record System, Medical Records, Microsoft Windows Azure, Multitasking, Needs Assessment, NoSQL, Pharmacy, Privacy Regulations, Problem Solving Skills, Product Management, Python Programming/Scripting Language, Regulations, Regulatory Compliance, SQL Databases, Security Compliance, Team Player, Training/Teaching, erwin Data Modeler

LOCATION

Newtown Square, PA

POSTED

1 day ago

For roles that are 100% remote or hybrid, you must have access to a reliable high-speed internet connection to support daily job responsibilities. A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement.

THIS IS A HYBRID, OFFICE BASED POSITION WORKING AT OUR ELLIS PRESERVE OFFICE LOCATED IN NEWTOWN SQUARE, PA.

WE WILL NOT CONSIDER REMOTE CANDIDATES!

Role Overview

The Data Architect is responsible for designing, building, and maintaining the data infrastructure and solutions that enable efficient and secure collection, storage, and analysis of healthcare data in different data platforms (Data Warehouse & Data Lake). This role involves working range of stakeholders including business and IT teams to ensure data architecture supports business needs while adhering to compliance and security standards. The ideal candidate will have experience in HEDIS, CMS Interoperability (FHIR).

Work Arrangement

+ This is a hybrid, office based position at our Ellis Preserve office in Newtown Square, PA. You will work 3 days per week in the office (Tuesday, Wednesday and Thursday), and 2 days remotely (Monday and Friday). WE WILL NOT CONSDIER REMOTE CANDIDATES!

Responsibilities

+ Design and implement integrated, scalable, efficient, and secure data systems for storing, processing, to support healthcare analytics and data driven decision making

+ Design and implement scalable, flexible, and secure interoperability solutions aligned to USCDI-US Core compliant

+ Develop and maintain data models (logical, physical and conceptual) that support healthcare-specific requirements (Clinical, Claims, Member, Provider, EHR etc.) and other data architecture artifacts

+ Evaluate and recommend data management technologies, platforms, frameworks, and methodologies that optimize data collection and integration for healthcare applications

+ Oversee the implementation of data governance policies to ensure data integrity, quality, security, and compliance and other relevant healthcare regulations to protect sensitive patient information with HIPAA standards

+ Ensure data architecture complies with healthcare regulations such as HIPAA, GDPR, and other privacy laws

+ Collaborate with Business data analysts, data scientists, IT Professionals and business leaders to understand their data needs and ensure architecture supports organizational goals

+ Optimize data storage solutions, reducing latency and ensuring quick access to real-time and historical data

+ Help to establish and enforce data governance frameworks, ensuing data consistency, quality, and standardization across systems

+ Stay updated on emerging technologies in healthcare data management

+ Propose innovative solutions to enhance data-driven decision-making

+ Provide training and guidance to other team members

Education and Experience

+ Bachelor’s degree in Computer Science or equivalent experience

+ At least ten (10)+ years of experience in Data Architecture, preferably in the healthcare industry

+ At least five (5)+ years of experience with managing large-scale data systems in healthcare

+ At least five (5)+ years of experience in designing and implementing interoperability solutions in healthcare

+ Must have previous experience work for a healthcare MCO / Payer, or on the Provider side

+ At least five (5)+ years of experience in solutioning cloud data platforms (Azure, AWS, GCP, Databricks, Snowflake etc.)

+ Expertise in Data Architecture, databases, and cloud platforms (Azure, GCP, AWS etc.)

+ In-depth knowledge of healthcare interoperability standards (HL7, FHIR, CCDs, HIE, USCDI-US Core etc.)

+ Proficiency in SQL and NoSQL databases, PySpark and Python

+ Experience with data modeling tools like Erwin; experience with dimensional data modeling

+ Experience with integration tools like Azure Data Factory, Databricks, Kafka, IBM Datastage, Informatica etc

+ Understanding of business intelligence (BI) and analytics platforms

+ Experience with major EHR systems like Epic, Cerner etc. is plus

+ Candidates need to be independent thought leaders and able to self-direct

+ Possess expertise and sound foundation in data management techniques & principles

+ Hands on experience in end-to-end data processing is a must

+ Strong analytical and problem-solving skills

+ Excellent communication and interpersonal skills to collaborate with cross-functional teams

+ Ability to work independently and manage multiple priorities

Our Comprehensive Benefits Package

Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com .
As a company, we support internal diversity through:

Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

About the Company

AmeriHealth Caritas

Leaders in health care solutions for those most in need

AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than 5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing innovative solutions that help improve health outcomes while reducing costs.

Our mission, our goal

Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.

COMPANY SIZE

5,000 to 9,999 employees

INDUSTRY

Healthcare Services

FOUNDED

1985

WEBSITE

http://www.amerihealthcaritas.com