Are you interested in working with the World’s leading AI-powered Quality Engineering Company? Ready to advance your career, team up with global thought leaders across industries and make a difference every day? Join us at Qualitest!

We are looking for a Business Architect to join our growing team in United States! 

Required Skills & Experience:

10+ years of experience as a Business Analyst or similar role, ideally in digital transformation and healthcare payer domains. Strong expertise of healthcare payer concepts including claims lifecycle, fee schedules, contracts, and pricing adjudication. Hands-on experience working with pricer tools and claims pricing logic. Knowledge of 837 claim transaction sets and EDI standards. Deep knowledge of healthcare payer systems, preferably with experience in Trizetto Facets or comparable platforms. Strong technical background with proficiency in SQL, data modeling (star/snowflake schema, SCDs), and software development lifecycle concepts. Experience with integration technologies such as REST APIs, SOAP, and SOA architecture. Familiarity with software frameworks and tools such as C#, .NET, PL/SQL, and database platforms like Oracle and MS SQL Server. Demonstrated ability to lead ambiguity reviews, transition management, and change initiatives in complex program environments. Excellent communication, stakeholder management, and documentation skills. Experience managing or collaborating with offshore teams is a plus.  

Key Responsibilities:

Lead large-scale digital transformation programs, including legacy system replatforming, data normalization, and modernization efforts. Elicit, analyze, and translate business requirements into clear technical specifications and process flows, leveraging expertise in healthcare payer domain (claims, membership, billing, provider modules). Work with pricer tools and expertise in pricing of claims, fee schedules, contracts, and payer concepts to ensure accurate claims adjudication and financial modeling. Leverage knowledge of 837 claim transaction sets and Electronic Data Interchange (EDI) standards to support claims processing and integration. Collaborate closely with cross-functional teams including architects, developers, QA, and offshore teams to ensure high-quality, timely delivery. Drive requirements transformation, ambiguity resolution, and change management to support agile and waterfall SDLC methodologies. Define and document reference architectures, data flows, and process models to facilitate shared expertise and compliance. Support solution design and integration initiatives using APIs, SOA, RESTful/SOAP web services, and enterprise system extensions. Utilize strong data modeling, SQL, and ETL skills to support data extraction, transformation, and reporting activities across heterogeneous data sources. Partner with technical leads and project managers to monitor program health, risks, and deliverables ensuring alignment with business objectives. Champion best practices in business assurance, quality management, and automation strategies.

 

Preferred Qualifications:

Bachelor’s degree in Computer Science, Information Systems, Healthcare IT, or related field. Certification in Business Analysis (CBAP, PMI-PBA) or Agile methodologies. Prior experience in large-scale legacy system replatforming or data modernization programs.

 

Benefits
Why QualiTest?

Be a part of a company who strives to support for diversity and inclusion in the workplace – we are one, we are many at Qualitest. Celebrate culture, share knowledge with engineers from around the globe, and inspire each other through our differences. We have more than 40% women and around 120 different nationalities.

Local and global opportunities – we offer you internal rotation and international mobility opportunities to grow your career.

Clear view of your career and progression with the company – Qualitest is growing massively (since 2021 – tripled our employees base – we now have more than 8,000 engineers) and giving you the opportunity to grow with us.

Work hard and play harder with our flexible and casual culture. Take a break from work and join an employee event, or enjoy the amenities and games provided from one of our Employees Centers.Save your earnings and prepare for your future by enrolling in our 401k plan where Qualitest will match your contributions accelerating your savings plan.

Take care of health with enrollment into one of our competitive healthcare benefits. Qualitest will match towards your HSA if you choose to participate.

Never stop experimenting and learning with QCraft – our Learning & Development platform: 50,000+ courses, 300+ virtual labs, mentorship and leadership programs, professional tribes, sponsored certifications, and much more.

Stay active and get rewarded with our Corporate Wellness Program. We pay your Gym membership and giving you opportunities to Earn additional vacation times for attendance the gym!

Earn bonuses via our Client Referral and Employee Referral Program’s. Refer and earn – tap your network for net-worth.

We recognize our employees work via our Qudos platform - You can earn bonuses and spot awards by celebrating your and your peers’ achievements.

Planning a vacation? Looking for car insurance? Get access to Qualitest Employee Perks for discounts on anything from travel to electronics. With so many offerings the savings are endless!

A Competitive pay, the salary range for the role is $125,000 - $135,000.

Intrigued to find more about us?

Visit our website at https://www.qualitestgroup.com/

If you like what you have read, send us your resume and let’s start talking!