Lead Enterprise Architect (FEP Medicare Advantage)
Core
Lead enterprise architecture for BCBSA's Medicare Advantage business, defining multi-year technology roadmaps, reference architectures, and standards to enable scalable, compliant capabilities while integrating AI-first approaches.
Role type
Senior IC Enterprise Architect (Medicare Advantage)
Builds
Multi-year technology roadmaps, reference architectures, and standards for Medicare Advantage ecosystems
Domain
Health Insurance / Medicare Advantage / Enterprise Architecture
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure
Required skills
Enterprise architecture, Medicare Advantage technology ecosystems, AI/ML and generative AI integration, CMS interoperability, cost-benefit analysis, architectural trade-off analysis, multi-year roadmap planning, architecture assurance processes
Preferred skills
Federal Employee Program (FEP) ecosystem experience, OPM oversight requirements, intelligent provider navigation, real-time prior authorization, risk adjustment expertise
Technologies
CMS interoperability standards, TriZetto Facets, ADT/clinical data exchange, prior authorization platforms, payment integrity systems, real-time claims adjudication architectures
Responsibilities
Develop reference architectures and models for business, information, technical, and system domains; Analyze business strategy to define IT strategy and enterprise architecture; Serve as expert advisor to business and IT management on architectural topics; Establish Architecture Assurance processes and operate the Architecture Review Board; Define architectural and technology standards; Review and approve architectural documents
Seniority
Senior, hands-on IC with strategic leadership