Process Architect

This is a fully remote position, open to applicants in Alaska, +3 more states.

📋 Description

• Accountable for the design, standardization, and governance of comprehensive business processes throughout the organization.

• Ensures that processes are efficient, compliant, scalable, and aligned with enterprise optimization objectives.

• Converts optimization strategies into clear, executable, and measurable process designs.

• Establishes standards to facilitate consistent execution across various teams and platforms.

• Develops and documents end-to-end processes in areas such as claims, enrollment, customer service, utilization management, operations, and finance.

• Creates current-state and target-state process models using standard methodologies (e.g., BPMN).

• Defines process boundaries, handoffs, roles, controls, and decision points.

• Establishes enterprise process standards, modeling conventions, and documentation requirements.

• Maintains a centralized repository for processes and architectural artifacts.

• Ensures processes comply with regulatory, contractual, and audit requirements.

• Collaborates with Business Optimization Architects to translate optimization initiatives into actionable process designs.

• Aids operational teams during implementation by clarifying process intent and design.

• Provides counsel on process adoption, change impacts, and risk mitigation strategies.

• Identifies process inefficiencies, bottlenecks, and gaps in controls.

• Supports process measurement by establishing operational metrics and controls.

• Integrates feedback and performance results into continuous process improvement efforts.

• Works in close partnership with IT, data, compliance, and operations teams to ensure that process designs are practical and enforceable.

• Facilitates technology enablement efforts by defining business process requirements.

⛳️ Requirements

• Bachelor’s degree in Business, Healthcare Administration, Industrial Engineering, or a related discipline.

• 5–8+ years of experience in process design, process architecture, or operational excellence.

• Experience in healthcare, insurance, or TPA operations.

• Proficiency in process modeling tools and methodologies (e.g., BPMN).

• Excellent documentation and facilitation abilities.

• Lean, Six Sigma, or process improvement certification is preferred.

• Experience in supporting system implementations or automation initiatives is preferred.

• Familiarity with healthcare compliance and audit requirements is preferred.

🏝️ Benefits

• Health and wellness benefits

• 401(k) savings plan

• Pension plan

• Paid time off

• Paid parental leave

• Disability insurance

• Supplemental life insurance

• Employee assistance program

• Paid holidays

• Tuition reimbursement

• Other incentives