Technology Consultant

Departmental Summary

• Individual will work alongside architecture to define future state and translate the outcomes to tactical activity with support from analysts, technical leads and delivery.
• Our department is emphasizing the need for strategic thinkers. The world of PI is changing rapidly and will continue to do so for many years to come.

• Demonstrated experience leading or contributing to the strategic vision and future state definition of a significant claims processing solution
• Ability to define and clearly communicate a path from current state to the future state solution, bridging strategic vision to tactical execution
• Experience and knowledge of IT infrastructure, architecture and application development
• 7-8 years claims processing experience on a payer health insurance platform, preferably NASCO or Facets
• 2-4 years of experience with vendor integration to payer platforms
• Understanding of the Claim payment continuum including Clinical Editing and Payment Integrity
• Demonstrated experience with leading problem‑solving exercises and presenting out‑of‑the‑box alternatives
• Experience in Visio/other process flow software

Maintain the broadest range and depth of knowledge in their respective area of expertise within the IT organization. Stay abreast of emerging technologies and influence strategic decisions regarding technical direction of the business. Consult on multiple projects/programs as a subject matter expert of existing technology; on and helps drive new technology direction; on cross‑divisional technology solutions; and on highly complex tasks, projects/programs or support issues that involve a high degree of risk or impact to business unit performance and has a high level of knowledge within one or more areas of specialty.

Interface with users and IT teams to evaluate possible implementation of new or enhanced technology in the organization, consistent with the goal of improving existing systems and technologies and in meeting the needs of the business. Provide technical expertise across business and IT functions.

Partner with leadership to define and communicate long‑term technology strategy and planning for a specific area. Participate with business relationship managers and business leads to understand business requirements and help them understand how technology tradeoffs influence strategy. Drive technology improvements.

Make recommendations and influence long‑term technology decisions and planning for multiple business units. Assist in the definition of the architecture and technology needs of the organization based on new and emerging technologies, and establish priorities and strategies consistent with business goals and economic viability. Consult in the development and analysis of source selection strategies. Recommend and incorporate technology with long‑term business plans.

Consult in the development of responses to customer requests and proposals as needed. Consult on the technical aspects of strategic projects/programs. Provide technical guidance to customers and internal IT staff in the design and development of fully integrated technology solutions. Influence the design of innovative solutions using new technologies. Review proposed designs at key milestones and makes recommendations as needed. Ensure the conceptual completeness of the technical solution.

Create prototypes, lead initial development and testing as needed.

Consult on the resolution of high severity issues or issues escalated by senior leadership. Collaborate with internal or external parties during the problem resolution process as needed. Provide technical leads, delivery leads, and IT Leadership with technical consultation and advice. Keep IT’s technology and application owners aware of key issues. Identify and resolve potential problems and conflicts in technology. Advise on options, risks, costs versus benefits, system impacts, and technology priorities.

Transfer knowledge of key learning throughout the enterprise, and communicates strategic and technological plans. Interface/communicate with the Architecture group. Partner with and acts as an advocate for Architecture. Present…