Provider Data Solutions Architect

Company: NTT DATA
Location: Jacksonville
Posted on: April 13, 2025

Job Description:

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees have been key factors in our company's growth and market presence. By hiring the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

For more than 25 years, NTT DATA have focused on impacting the core of your business operations with industry-leading outsourcing services and automation. With our industry-specific platforms, we deliver continuous value addition, and innovation that will improve your business outcomes. Outsourcing is not just a method of gaining a one-time cost advantage, but an effective strategy for gaining and maintaining competitive advantages when executed as part of an overall sourcing strategy.

NTT DATA currently seeks a Data Managment Solutions Architect to join our team remote (U.S.).
**This position is W2 only and does not qualify for sponsorship or C2C.

Role Responsibilities:

• Data integrity-manage, load and track data and ensure integrity
  
• Credentialing - Utilize a CVO (Gemini) for primary source verification.
  
• Provider Database- comprehensive knowledge of provider data tools, managing contracts, storage and retrieval of contracts, and the organic build of data and leasing networks.
  
• Integration of HealthRules Payer and ensuring it is mapped correctly and aligned with the appropriate benefit networks
  
• Interpret business needs
  
  • Must develop an understanding of the business strategy drivers and the business problems to be solved by a given solution
    
  • Might have a basic understanding of value streams, business process and capability modeling
    
  • Assess technology
    
    • Must be able to assess business needs and identify current product gaps followed by proposed designs to remediate along with evaluating potential future solutions to fulfill all business requirements
      
    • Might be involved in assessing technology across the enterprise application /technology portfolio
      
    • Apply technology
      
      • Must understand existing enterprise technologies and their standard applications, as well as the application of new technologies as needed
        
      • Might provide guidance on enterprise adoption of new standard technologies
        
      • Provide architecture adherence
        
        • Must support delivery of solution architecture for a given initiative complying with enterprise reference architecture
          
        • Might contribute to enterprise reference architecture
          Required:
          
          • 7+ years of healthcare solutions architect experience and current tools in the marketplace
            
          • 3+ years of experience architecting a provider data management solution and knowledge of PDM industry products with focus across the application, infrastructure, and security
            
          • 3+ years of experience working with provider credentialing and claims
            
          • 1+ year of experience with TPA and their buisness model best suited to work with Payors and employers.
            Preferred:
            
            • 3+ years of recent HealthRules Payer experience
              
            • Deep understanding on Provider Data acquisition, management and importing
              
            • Understands the mechanism of multiple provider networks and ability to manage and maintain compliancy requirements involved around it
              
            • Has familiarity with provider contract procurement manage/maintenance
              
            • Experience working with enterprise leaders and developers both internal and external (e.g. vendors).
              
            • Experience developing architectural proposals that resonate with executive leadership - both technical and non-technical.
              
              About NTT DATA
              
              NTT DATA is a $30+ billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize, and transform for long-term success. We invest over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure, and connectivity. We are also one of the leading providers of digital and AI infrastructure in the world. NTT DATA is part of NTT Group and headquartered in Tokyo. Visit us at us.nttdata.com.
              
              NTT DATA is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.
              
              Where required by law, NTT DATA provides a reasonable range of compensation for specific roles. The starting hourly range for this remote role is ($90.00 - $100.00/hourly ). This range reflects the minimum and maximum target compensation for the position across all US locations. Actual compensation will depend on several factors, including the candidate's actual work location, relevant experience, technical skills, and other qualifications.
              
              This position is eligible for company benefits that will depend on the nature of the role offered. Company benefits may include medical, dental, and vision insurance, flexible spending or health savings account, life, and AD&D insurance, short-and long-term disability coverage, paid time off, employee assistance, participation in a 401k program with company match, and additional voluntary or legally required benefits.
              #INDHRS

Keywords: NTT DATA, Ocala , Provider Data Solutions Architect, Other , Jacksonville, Florida