Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job-it's a passion to serve and improve lives every day.
Primary Purpose: The IT Solution Architect oversees the design, build, configuration, and operation of core PCHP business / clinical solutions. This role works with stakeholders, vendors, and other IT professionals to ensure successful implementation of planned solutions, while guiding Systems Analysts and Configuration Analysts on build and configuration options.
Minimum Specifications
Education
- Associate Degree in Information Systems / Computer Science or related discipline, or in healthcare related field is required.
- Bachelor's degree in Information Systems / Computer Science or related discipline, or in healthcare related field preferred.
Experience
- Five (5) years of experience implementing and supporting healthcare IT solutions, utilizing open protocols and standards, such as HTTP, XML, JSON, and .Net across both SOAP and REST web services.
- Three (3) years of Solution Architect or equivalent experience.
Preferred Experience:
- Experience working in Cognizant QNXT/CAE environments, specifically designing, developing, integrating, and deploying solutions utilizing QNXT/CAE Technical Foundations and supporting tools.
- Experience utilizing SQL and working with relational, OLTP databases in support of healthcare payer application integration.
- Experience architecting multi-layer solutions in cloud-based environments, such as Microsoft Azure, utilizing middleware/integration solutions such as BizTalk.
Skills or Special Abilities
- Strong systems development and integration skills, utilizing REST and SOAP web services.
- Strong skills with programming languages such as C++, C#, and Java /JavaScript.
- In-depth skills across Cognizant's QNXT/CAE operating environments, such as QNXT Open Access, QNXT Connect, CareAdvance Web Services and Analytics Engine, and TCS integration.
- Strong knowledge of modern, cloud-based SaaS / PaaS solution architectures.
- Working knowledge of healthcare interoperability rules and how they influence the solutions that are implemented across healthcare organizations.
- Understands best practices and system controls surrounding the use of APIs to integrate across healthcare applications, including internal integration as well as B2B and B2C.
- Strong understanding of Managed-care Operational functions, including member enrollment, claims adjudication, provider data management, utilization management, and care management.
- Ability to perform deep research across application and infrastructure options leading to sound recommendations for new or enhanced IT enterprise solutions.
- Ability to optimize IT system solution designs based on business drivers, technology options, implementation timelines, and budgets.
- Ability to lead and collaborate across multiple teams, including vendors, internal IT, and business units.
- Ability to design systems that meet security, privacy, performance, and throughput requirements.
- Excellent verbal and written communication skills, including the ability to communicate complex technical processes clearly and professionally across disciplines.
- Ability to communicate complex information in understandable terms.
- Strong interpersonal and conflict resolution skills with the ability to establish and maintain effective working relationships across and beyond the organization.
- Excellent analytical and problem-solving skills with great attention to detail across all layers of technology.
- Strong time management and organizational skills with the ability to manage multiple demands and respond to rapidly changing priorities.
- Ability to write clearly and succinctly with a high level of attention to detail.
- Proficient computer and Microsoft Office skills. Ability to learn new software programs.
- Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.
Responsibilities:
Operations
Designs, develops, and deploys system solutions and integrations across solutions leveraging both open and proprietary tools across PCHP's QNXT and CAE system platform.
Performs technical research and analysis across existing and proposed vendor solutions and enabling technologies to ensure PCHP is optimizing IT system solutions to create efficiencies and generate high-quality outcomes.
Works with PCHP stakeholders, vendors, technology partners, and other PCHP IT-BI professionals to formulate optimal plans for leveraging capabilities across all PCHP IT solutions.
Produces design specifications and guides Systems Analysts, Configuration Analysts, and other IT professionals through the steps required to build, test, and deploy planned solutions.
Leads efforts to develop and maintain testing methods / plans for Unit Testing, Integration Testing, and User-acceptance Testing across lower environments.
Works with vendors to establish and maintain a proper state across all lower environments, including scheduled refreshes as required.
Mentor other IT professionals in understanding IT application components, underlying technologies, and methods for integrating across IT system applications, inside and outside of PCHP.
Assists PCHP leadership in the development of cost estimates and budgets to implement and maintain required IT system solutions.
Maintains architecture documents describing both at a high-level and in detail the data flows and functional integration across applications, both inside and outside of PCHP.
Assists in building enterprise architecture blueprints and data models that illustrate how information is stored, processed, and accessed across the PCHP enterprise.
Designs, builds, and tests end-to-end technology solutions in support of health plan clinical and business operations.
Quality
Integrate health literacy principles into all communication including Members and Providers.
Support strategies that meet clinical, quality and network improvement goals.
Promote the use of Health Information Technology to support and monitor the effectiveness of health and social interventions and make data-driven recommendations as needed. For staff in clinical roles, foster collaborative relationships with members and/or providers to promote and support evidence-based practices and care coordination.
Regulatory
Ensures work is carried out in compliance with regulatory and/or accreditation standards as well as contractual requirements.
Professional Accountability
Promotes and supports a culturally welcoming and inclusive work environment.
Acts with the highest integrity and ethical standards while adhering to Parkland's Mission, Vision, and Values.
Adheres to organizational policies, procedures, and guidelines.
Completes assigned training, self-appraisal, and annual health requirements timely.
Adheres to hybrid work schedule requirements. Attends required meetings and town halls.
Recognizes and communicates ethical and legal concerns through the established channels of communication.
Demonstrates accountability and responsibility by independently completing work, including projects and assignments on time, and providing timely responses to requests for information.
Maintains confidentiality at all times.
Performs other work as requested that is reasonably related to the employee's position, qualifications, and competencies.
Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.
