OpEx Optimization Business Architect I/II/III

Job Description: Summary: This position will partner with both the business area and the technical teams to develop high quality deliverables across all phases of a project and/or complex process implementation, from identifying and defining process flows and use cases, through to user acceptance testing and deployment. This position will mentor, train, and drive the use of technology across business functions. In addition, it will provide technical training and user support to business groups. Essential Accountabilities: Level I u2022 Partners with business leaders to understand the goals of the department/division and defines preferred process aligned with executing the strategy to achieve goals and objectives of the organization. Closely follows the strategic direction set by management when establishing near term goals and driving process change. u2022 Evaluates operational trend data for process improvement opportunities. Explores various industry standard methodologies and identifies opportunities to integrate changes into current initiatives. Facilitates completion of process improvement work through standard tools, such as Planview, Service Requests, and project proposals. u2022 Defines, prioritizes, and manages scope, small-large-medium sized teams and work efforts. Plans, schedules, monitors, and reports on activities related to process improvement initiatives. u2022 Leads initiatives to accelerate business results through application of process improvement thinking, tools and techniques. Assesses and monitors projects, including problem identification, developing potential solutions, implementing them and evaluating outcomes involving various staff as needed. u2022 Identifies, assesses and solves complex business problems for area of responsibility, where analysis of situations or data requires an in-depth evaluation of variable factors. Responsible for troubleshooting and using all resources to find needed answers, and for root cause analysis on findings identified; this includes assessing when to elevate issues and doing so as needed. u2022 Responsible for enhancing communication within and outside the department/division on key priorities and other impacts of findings. Fosters a positive environment of continuous process improvement. Constantly exploring ways to increase efficiencies and productivity, reducing waste, and reducing costs. u2022 Meets with management, sponsors, and project teams to review project scope/progress and resolve project issues. Ensures that departmental practices comply with State and Federal laws. u2022 Selects and applies appropriate tools to accurately estimate and plan the work of teams or project groups within agreed policies. Produces work plans according to required standards. Works with colleagues to produce/recommend/develop long-term plans. u2022 Monitors and reports on the progress of the resolution of high impact problems according to established standards. Handles those exceptions that have been referred from below relating to schedules, working methods, resources, staff matters, or technical difficulties. Passes decisions clearly outside scope upward, including proposed solutions whenever appropriate. u2022 Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companiesu2019 mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs. u2022 Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures. u2022 Regular and reliable attendance is expected and required. u2022 Performs other functions as assigned by management. Level II (in addition to Level I Accountabilities) u2022 Defines, prioritizes, and manages scope, large-medium sized teams and work efforts. u2022 Acts independently to assess and monitor projects, including problem identification, developing potential solutions, implementing them and evaluating outcomes involving various staff as needed. u2022 Acts as lead and as contact Health Plan-wide for projects. Responsible for answering questions regarding project and education for project internally and externally. Level III (in addition to Level II Accountabilities) u2022 Engineers solutions that optimize business processes and utilize design best practices, provides Pega requirement capture, elaboration and confirmation of system and business process optimization from contract/proposal initiation to final operational stage. u2022 Develops, proposes, and completes project proposals/business case. Establishes appropriate metrics for measuring key project criteria. Leads and guides the development of various elements of the identified solutions. Solicits input from IT and the business as a part of solutions development and collaborates Data Analytics to ensure implementation of Health Plan data model within designed solutions. u2022 Maintains currency on emerging technologies and process / project management techniques. Researches and identifies areas of innovation with the intent to advance business capabilities by the use of IT and system configuration. u2022 Coaches others to progress cross-functional skill development and fosters relationships between business teams and technical teams. Provides input to organizational training initiatives based on identified knowledge and skill gaps. u2022 Helps to define and evolve functional roles and responsibilities in order to ensure a greater understanding of best practices. Disseminates knowledge on design principles and implementation techniques via published papers and/or presentations. u2022 Oversees the creation, development and ratification of business architect standards. Mentors and assists staff in doing so. Minimum Qualifications: NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities. All Levels u2022 Six (6) or more years of cumulative years of related experience required or a Bacheloru2019s degree in a related field. Experience in the Health Plan or healthcare industry especially as it relates to overall health insurance value chain and processes preferred. u2022 Prior professional, co-op or internship experience in analysis, requirements gathering, design and development of enterprise application systems or relevant college coursework preferred. u2022 Experience within an Agile environment, software architecture, service-oriented architecture implementation, and experience designing and developing process-based solutions preferred. u2022 Experience writing requirements and/or user stories that are clear, concise and well organized. u2022 Demonstrated analytical and problem-solving skills. u2022 Demonstrated ability to approach technical challenges with determination and optimism. u2022 Demonstrated ability to quickly understand new concepts and to come up with original solutions. u2022 Ability to work in a team environment and communicate effectively to management and peers, both written and verbal. Level II (in addition to Level I Qualifications) u2022 Two (2) additional years of cumulative years of related experience required Eight (8) total and a minimum of two (2) years of progressive experience in analysis, requirements gathering, design and development of enterprise application systems. u2022 Experience working with specific Pega products, framework and functional design required. u2022 Possess one of the following certifications: CSA (Certified System Architect), CSSA (Certified Senior System Architect), LSA (Lead System Architect) CPBA (Certified Pega Business Architect) preferred. u2022 Advanced experience with operational and technical analysis and interpretation. u2022 Experience designing and developing process-based solutions. u2022 Excellent time management and organization skills, with the ability to manage multiple competing priorities. u2022 Demonstrates aptitude to learn quickly, with a superb attention to detail and process orientation. u2022 Ability to think creatively and strategically with a focus on achieving outcomes. Level III (in addition to Level II Qualifications) u2022 Two additional years of cumulative years of related experience required. Ten (10) total and a minimum of five (5) years of progressive experience in analysis, requirements gathering, design and development of enterprise application systems. u2022 Possess one of the following certifications: CSA (Certified System Architect), CSSA (Certified Senior System Architect), LSA (Lead System Architect) CPBA (Certified Pega Business Architect) required. u2022 Demonstrable experience with project and resource planning. u2022 Advanced understanding of the differences between integrated, interdependent, and interfaced systems and their impacts on each other. u2022 Ability to judge severity of problems and the need to escalate to management. Physical Requirements: u2022 Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer. u2022 Ability to travel across the Health Plan service region for meetings and/or trainings as needed. u2022 Ability to work in a home office for continuous periods of time for business continuity. In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position. Equal Opportunity Employer Compensation Range(s): Level I: Grade E3: Minimum: $60,410 - Maximum: $106,929 Level II: Grade E6: Minimum: $79,068 - Maximum: $142,322 Level III: Grade E8: Minimum: $98,297 - Maximum: $176,935 The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the positionu2019s minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays. Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Created: 2026-01-19