Job Description

Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:

• Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women

• Children’s Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR

• Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.

• Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.

Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.

Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.

Skills / Requirements

JOB SUMMARY:
The Solutions Architect has a major role in providing lead technical services to analyze, design, and deliver clinical/business solutions. Lends expertise to answer technical consulting questions, individually or as part of a project team. Serves as a senior subject matter expert associated with content, processes, and procedures associated with enterprise applications plans.  Prepares and participates in "deep dive" technical evaluation meetings, investigating processes to understand data and communications flow within Community Health Choice systems applications. Promotes consistency and collaboration with all functional departments with primary focus on optimizing all business processes supported by information technology.

Responsible for making recommendations regarding policies associated with the job¿s purpose and essential responsibilities.  Routine decisions include those regarding systems implementation and interaction with systems across Community Health Choice systems / applications.

MINIMUM QUALIFICATIONS:   

  1. Education/Specialized Training/Licensure:
    • Ten (10) years of experience analyzing, designing, and or delivering clinical business solutions (a degree maybe offset experience requirement - Bachelor degree = 4 years; Master¿s degree = 2 years)
  2. Work Experience (Years and Area):
    • Five (5) years of relational database management system (RDBMS) experience (with demonstrated knowledge of data types, change control implications, and performance optimization).
    • Experience with Informatica or other MDM strongly preferred. 


Work Schedule:   Flexible, Remote **Must be a resident of the state of Texas**

RESPONSIBLE TO:   Manager
EMPLOYEES SUPERVISED:  None

Application Instructions

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