What are the responsibilities and job description for the Business Architect - Medicaid Subject Matter Expert position at Briljent?
Description
Briljent is seeking a Business Architect – Medicaid Subject Matter Expert (SME) to provide strategic guidance and expertise in Medicaid policy, operations, and business architecture. This role will support a large-scale Medicaid modernization effort, ensuring business process workflows and architecture artifacts align with MITA and CMS compliance standards. The ideal candidate will have extensive experience in Medicaid operations, enterprise healthcare systems, and policy development.
Key Responsibilities:
- Serve as a Medicaid SME for the project team and external stakeholders.
- Provide strategic guidance on Medicaid processes, regulations, and operational improvements.
- Research and document Medicaid-specific policies, workflows, and business processes.
- Facilitate business architecture workshops and ensure Medicaid-related context models and process maps are aligned with best practices.
- Collaborate with technical and business teams to ensure Medicaid compliance with modernization initiatives.
- Provide recommendations for process improvements based on Medicaid operations and best practices.
- Support documentation of business processes and workflows for future-state planning.
- Act as a bridge between Medicaid business units, IT teams, and external agencies.
Requirements
- 10 years of experience in large-scale healthcare solutions.
- 4 years of experience in enterprise systems or IT projects.
- Extensive experience in Medicaid operations, policies, and system modernization.
- Proficiency in MITA framework and CMS compliance.
- Proven track record in facilitating Medicaid-focused business architecture workshops.
- Strong ability to analyze and document Medicaid-related business processes.
- Bachelor’s degree in a relevant field.
- Excellent stakeholder management and communication skills.
Preferred Qualifications:
- Experience with state Medicaid systems or similar state-level Medicaid programs.
- Master’s degree preferred.
- 2 years of experience in a large healthcare system.
- Certifications in Lean Six Sigma, Agile, Medicaid operations, IT Governance, or Risk Management.
Other Information:
- Briljent is committed to a diversified workforce that creates an inclusive workplace for all employees.
- Must be eligible to work in the United States. No sponsorships are available currently.
Physical Requirements & Environmental Conditions: These physical demands must be met by an employee to successfully perform the essential functions of this job. Employee is regularly required to talk or hear, sit, stand, and utilize technology tools such as a laptop computer for extended periods of time. Specific vision abilities include close vision, and the ability to adjust focus. This position requires the ability to occasionally lift to 20 lbs. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Equal Opportunity Employer Briljent will not discriminate against any employee or applicant based on age, color, marital status, race, religion, veteran status, disability (in compliance with the Americans with Disabilities Act), sex, sexual orientation, gender identity, or national origin or other status as protected by applicable law. Briljent will not discriminate against employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants.
