Demo

Functional Architect

Apexon
Harrisburg, PA Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 5/21/2025

Role Description

We are seeking a highly analytical and detail-oriented Functional Architect to provide support for the Office of Long Term Living (OLTL) programs. This role involves collecting, validating, and distributing data to various stakeholders, as well as leading the design of standard operating procedures (SOPs) and process flow diagrams.

You’ll be responsible for (Responsibilities) :

  • Determine and document requirements for diagnosis level reporting .
  • Enhance data reporting processes based on quality standards .
  • Provide expertise in defining functional architecture using LEAN principles .
  • Oversee and track data requests using the existing data governance structure .
  • Design and implement SOPs and process flow diagrams for cross-training and knowledge transfer .
  • Provide data-driven analysis , including charts and graphs .
  • Support special studies and research for DHS or OLTL bureaus.
  • Develop predictive analytics and business intelligence solutions to improve program outcomes and efficiencies .
  • Assist in monitoring OLTL program performance .
  • Develop data dashboards and other data visualizations .

Required Qualifications :

  • Bachelor’s Degree in a relevant field. 3 years of experience in the healthcare industry (health plans, pharmacy, or health tech preferred).Knowledge of healthcare operations , including enrollment, claims, customer service, and appeals . Project management experience .Strong analytical skills with the ability to extract data from multiple sources.Excellent written and verbal communication skills.Proficiency in Microsoft Office Suite (Access, Excel, PowerPoint, Word).Ability to lead a team and successfully complete assignments.Experience working with Medicaid and Medicare .Proficiency in SAS and SQL .Experience in healthcare quality measures, utilization studies, and healthcare analytics .
  • You’ll have (Qualification & Experience) :

  • Bachelor's Degree in related field is required.
  • Don’t worry if you don’t check all the boxes; we’d still love to hear from you.

    Our Commitment to Diversity & Inclusion :

    Did you know that Apexon has been Certified by Great Place To Work, the global authority on workplace culture, in each of the three regions in which it operates : USA (for the fourth time in 2023), India (seven consecutive certifications as of 2023), and the UK.

    Apexon is committed to being an equal opportunity employer and promoting diversity in the workplace. We take affirmative action to ensure equal employment opportunity for all qualified individuals. Apexon strictly prohibits discrimination and harassment of any kind and provides equal employment opportunities to employees and applicants without regard to gender, race, color, ethnicity or national origin, age, disability, religion, sexual orientation, gender identity or expression, veteran status, or any other applicable characteristics protected by law.

    You can read about our Job Applicant Privacy policy here

    Our Perks and Benefits :

    Our benefits and rewards program has been thoughtfully designed to recognize your skills and contributions, elevate your learning / upskilling experience and provide care and support for you and your loved ones.

    As an Apexon Associate, you get continuous skill-based development, opportunities for career advancement, and access to comprehensive health and well-being benefits and assistance.

    We also offer :

  • Health Insurance with Dental & Vision
  • 401K Plan
  • Life Insurance, STD & LTD
  • Paid Vacations & Holidays
  • Paid Parental Leave
  • FSA Dependent & Limited Purpose care
  • Learning & Development
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