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Facets Architect
Ref No.: 18-00646
Location: Newark, New Jersey
Position Type:Contract
Start Date: 08/03/2018
Facets Architect
Location: Newark, NJ
Duration: 6+ month contract
Interview process: Phone, WebEx, or F2F
Req. # 18-00646


Architecture (Enterprise/Solution) Support via Managed Service for Government Programs Business Area

The service shall be provided as a scalable "Managed Service” for EA/Solution Architecture support. Within the service I would be looking to have 2 different service levels / skill levels.

A)Architect Level 1 Support
  1. Collaborate with Business Analysts, Business Teams, Application Owners and other Architects to support project delivery in accordance with Horizon SDLC.
  2. Collect, and document and present current state Business Processes using Horizon's Business Process Mgt tool (IBM Blueworkslive.com)
i.Must have significant demonstrable experience with documentation of Business Processes
  1. Research, collect and document Applications, Integrations/Interfaces, Data Sources, Data Objects associated with Business Processes in Horizon's EA tool thru collaboration with project teams.
  2. Create Data Flow Diagrams inclusive of systems/applications, integrations and Data
i.Must have significant demonstrable experience with discovery and documentation of Systems, Data Models and Data Flows
  1. Create Current State documentation per Horizon Standards to support Project SDLC

B)Architect Level 2 Support (Deeper Business Domain Knowledge and EA Best Practices)
  1. Collaborate with Business Analysts, Business Teams, Application Owners and other Architects to support project delivery in accordance with Horizon SDLC
  2. Leverage their deep Healthcare knowledge & expertise in Applications, Integrations and data to recommend solution options for evaluation in accordance with Horizon EA standards.
i.Must have significant demonstrable experience with documentation of Business Processes
ii.Must have experience leading teams or Architects and Business Analysts to Client and document systemand applications
  1. Collaborate with Project teams to develop and present Solution Options & Change Management Plans
  2. Ensure Solutions are documented in Horizon EA repository
  3. TOGAF Certification

In addition the role descriptions listed above, Vendor must provide deep understanding and experience in the following domains:

Medicare / Medicaid Healthcare Payer Domain Knowledge
· Enrollment
· Eligibility Verification
· State / CMS regulations regarding data and processing
· Utilization Management (Authorization for Services)
· Claim Lifecycle (Intake –thru- Payment Processing)
· Encounter Processing
· Client ITS Claim Processing / Data Exchanges
· BlueCard / Index, Formats DB, Plan Connexions
· BlueExchange Transactions (EDI 270/271, 276/277, 278)
· Interplan Messaging (Blue2)

General Architecture skills / Knowledge
· Adept at collaboration with Business Teams/Functions Owners as well as Business Analysts to understand needs and document requirements
· Meeting Participation
· Business Process Modeling & Business Capability Alignment
· Existing Architecture discovery and documentation (Applications, Interfaces, Integrations, data sources/models, etc.)
· Creation and evaluation of Solution Options to solve business teams
· Collaboration within the Enterprise Architecture team to understand and ensure solution comply with standards
· Collaboration with Development Teams
· Experience in application of The Open Group Architecture Framework (TOGAF)

Technology Specifics (skills / knowledge)
· Deep knowledge and understanding of the Cognizant / Facets System (Data/Data Model / Processing / Web Services/ API)
· Experience integrating Facets with 3rd Party systems and processes to achieve operational solutions
· Automation of the Facets System to achieve operational efficiencies.

· Facets SW Suite
o Core
o Workflow
o Customer Service
o Communication System
o Data Model
o HIPAA Gateway
o OpenAccess Services / API
· Relational Database (SQLSERVER)
· Messaging / Que Technology (Kafka)
· ClaimsXten
· EDI Standards for healthcare (x12)
· Healthcare Data Models
o Relational Database technology (expertise with SQL across various db technologies)
· Web / Mobile Technologies (HTML, javascript, Web Services (SOAP), API (REST/json))