Senior Domain Architect – Remote Healthcare Claims & Enterprise Architecture Leadership (Immediate Start)

About Sentara Health Plans – Pioneering Care for Communities

For more than three decades, Sentara Health Plans has been at the forefront of delivering innovative health insurance solutions across the United States. As the insurance arm of Sentara Healthcare, we combine clinical excellence with cutting‑edge technology to empower members, providers, and partners. Our portfolio spans commercial, Medicaid, Medicare, and consumer‑driven plans, each designed to improve health outcomes, reduce costs, and personalize the care journey.

Our mission is simple yet powerful: to improve health every day. We achieve this by fostering a culture that values integrity, quality, patient safety, and community involvement. As we continue to expand our digital footprint, we are seeking visionary architects who can shape the future of our enterprise infrastructure, especially in the critical domain of claims processing.

Why Join Sentara Health Plans?

Working with Sentara means becoming part of a family‑friendly organization that invests in your growth, wellbeing, and success. From flexible remote work arrangements to comprehensive health and retirement benefits, we support you at every stage of your career. Below are just a few reasons why our team members love what they do:

• Impactful Work: Directly influence the design and delivery of enterprise‑wide solutions that affect millions of health plan members.
• Remote Flexibility: Fully remote positions available across 28 states, allowing you to work from the environment that best suits you.
• Career Acceleration: Structured learning pathways, mentorship programs, and sponsorship for certifications such as TOGAF®, Zachman, and AWS Solutions Architect.
• Performance‑Based Rewards: Competitive salaries, annual performance bonuses, and a clear salary range for each location (e.g., Washington State: $71,370 – $118,950).
• Comprehensive Benefits Package: Medical, dental, vision, life, disability, paid parental leave, generous PTO, tuition reimbursement, 401(k)/403(b) with employer match, and more.

Key Responsibilities – Shaping the Future of Claims Architecture

The Senior Domain Architect will act as the strategic steward for the claims domain, ensuring that our technical landscape aligns with business objectives and regulatory requirements. Core duties include:

• Enterprise‑Level Diagramming: Create, maintain, and evolve hybrid architecture diagrams (current state, future state, and transition) across all domains, ensuring they accurately reflect technology, data, and process flows.
• Vendor & Application Landscape Management: Track and assess all third‑party solutions, platforms, and services that support claims processing, providing continuous updates to the architecture repository.
• IT Scoping & Impact Analysis: Evaluate new initiatives, assess system dependencies, and identify potential conflicts or overlaps with existing projects.
• Project Collision Identification: Proactively detect and resolve project interdependencies to prevent resource contention and timeline delays.
• Vendor Capability Assessments: Conduct thorough analyses of vendor roadmaps, technical capabilities, and alignment with Sentara’s strategic goals.
• Strategic Road‑Map Consultation: Partner with senior leadership to shape health‑plan technology road‑maps, ensuring they address emerging market trends and regulatory changes.
• Gap Identification & Mitigation: Pinpoint deficiencies between current capabilities and future aspirations; develop remediation plans with clear timelines.
• Conceptual Design of Future State Infrastructure: Produce high‑level designs for next‑generation platforms, including cloud migration strategies, micro‑services architectures, and data lake integrations.
• Effort Estimation & “T‑Shirt” Sizing: Collaborate with IT Scale‑Ops to provide accurate Level‑of‑Effort (LOE) estimates on High‑Level Business Requirements (HLBRs).
• ROM Calculations for Project Requests: Perform comprehensive IT assessments to feed Business Resource Management System (BRMS) with realistic Rough Order of Magnitude (ROM) figures for both on‑cycle and off‑cycle initiatives.
• Escalation Point of Contact (POC): Serve as the primary technical liaison for escalated claims‑related incidents, driving rapid resolution and root‑cause analysis.
• Support Project Management: Aid PMs with issue resolution, corrective action tracking, and documentation of lessons learned.
• Domain Function Ownership: Maintain an up‑to‑date inventory of domain functions and sub‑functions, ensuring clear accountability across teams.
• Critical Path Mapping: Develop and refine critical path diagrams that highlight dependencies, milestones, and risk drivers for major initiatives.
• Rationalization of Deliverables: Align work‑stream deliverables with strategic objectives, removing duplication and optimizing resource allocation.

Essential Qualifications – What You Must Bring

We are looking for seasoned professionals who can hit the ground running. The following attributes are non‑negotiable:

• Education & Experience: Bachelor’s degree in Computer Science, Information Systems, or a related field or equivalent professional experience. Minimum of 5 years of hands‑on experience in enterprise architecture, preferably within health‑plan or insurance environments.
• Claims Architecture Expertise: Demonstrated experience as a claims architect, including deep knowledge of claims processing platforms (e.g., QNXT, Facets, Epic), data flows, and regulatory mandates such as HIPAA and CMS regulations.
• Technical Breadth: Proficiency with data‑center, cloud (AWS, Azure, GCP), containerization (Docker, Kubernetes), and emerging technologies like AI/ML, IoT, and blockchain as they pertain to health‑care infrastructure.
• Analytical Acumen: Ability to conduct rigorous impact assessments, develop logical architectures, and translate business requirements into technical designs.
• Communication Skills: Strong written and verbal communication, capable of presenting complex concepts to both technical and non‑technical stakeholders.
• Self‑Management: Proven ability to work independently with minimal supervision while delivering high‑quality results on schedule.

Preferred Qualifications – The “Nice‑to‑Have” Extras

• Professional certifications such as TOGAF, Zachman, AWS Certified Solutions Architect, or Certified Healthcare Technology Specialist (CHTS).
• Experience with enterprise governance tools (e.g., ArchiMate, Sparx EA, Orbus iServer).
• Familiarity with agile delivery models, DevSecOps pipelines, and CI/CD practices within a regulated environment.
• Previous remote work experience and demonstrated ability to thrive in a distributed team setting.
• Exposure to analytics platforms and data‑governance frameworks (e.g., Snowflake, Databricks, Collibra).

Core Skills & Competencies – Your Success Toolkit

Beyond the listed qualifications, the ideal candidate will exhibit the following capabilities:

• Strategic Vision: Ability to anticipate industry trends, align technology road‑maps with business priorities, and champion innovative solutions.
• Problem‑Solving Mindset: Comfortable tackling ambiguous challenges, breaking them into actionable steps, and delivering pragmatic solutions.
• Collaboration & Influence: Skilled at building consensus across cross‑functional teams, influencing decision‑makers, and fostering a culture of shared ownership.
• Documentation Excellence: Expert in producing clear, concise, and architecturally sound documentation that serves as a single source of truth for teams.
• Risk Management: Proactive identification of technical risks, development of mitigation strategies, and communication of risk exposure to leadership.
• Continuous Learning: Commitment to staying current with emerging technologies, standards, and best practices within the health‑care and insurance domains.

Career Growth & Development – Your Path Forward

Sentara invests heavily in employee development. As a Senior Domain Architect, you will have access to:

• Leadership Track: Opportunities to progress into Enterprise Architecture Director, Chief Information Officer (CIO) pathways, or senior program management roles.
• Professional Development Budget: Annual stipend for certifications, conferences (e.g., HIMSS, Enterprise Architecture Summit), and advanced coursework.
• Mentorship Programs: Pairing with senior architects and technology leaders to accelerate skill development and broaden strategic insight.
• Cross‑Functional Projects: Participation in high‑visibility initiatives such as cloud migration, AI‑driven fraud detection, and patient‑centric data platforms.
• Innovation Labs: Invitations to join internal think‑tanks focused on emerging tech pilots, sandbox environments, and proof‑of‑concept endeavors.

Work Environment & Culture – What It’s Like to Be a Sentara Team Member

Our culture is rooted in respect, collaboration, and a relentless focus on improving health outcomes. Working remotely, you’ll experience:

• Inclusive Community: Regular virtual town halls, employee resource groups, and cultural celebrations that promote diversity and belonging.
• Flexible Scheduling: Day‑shift hours with allowances for work‑life balance, enabling you to attend to personal commitments while meeting professional goals.
• Technology‑Enabled Collaboration: State‑of‑the‑art platforms (Microsoft Teams, Slack, Confluence) that keep remote teams connected and productive.
• Health‑First Policies: Access to mental‑health resources, wellness programs, and fitness stipends to support holistic wellbeing.

Compensation & Benefits – Designed for You and Your Family

While exact salary will be aligned with experience and location, the following outlines the comprehensive package you can anticipate:

• Competitive Base Salary: Ranges from $71,370 – $118,950 (with target hiring range of $71,370 – $110,000 for Washington State) and adjusted for other states based on market data.
• Performance Bonus: Annual flat‑amount bonus tied to individual and company performance metrics.
• Retirement Savings: 401(k) and 403(b) plans with employer matching contributions.
• Health Coverage: Choice of medical, dental, and vision plans, with options for HSAs and FSAs.
• Paid Time Off: Generous vacation, sick leave, paid parental leave, and holidays.
• Additional Perks: Tuition reimbursement, employee assistance programs, wellness incentives, and a flexible remote‑work stipend for home‑office setup.

How to Apply – Take the Next Step Towards Impactful Leadership

If you are a motivated, forward‑thinking professional ready to steer the future of claims architecture at a leading health‑plan organization, we want to hear from you. Follow these steps to submit your application:

1. Prepare an updated résumé highlighting relevant architecture, claims, and health‑care experience.
2. Craft a compelling cover letter that showcases your strategic vision and specific achievements in enterprise architecture.
3. Visit our Careers Portal and search for the keyword JR‑8377 or use the direct link below.
4. Complete the online application, attaching your documents and providing any required assessment responses.
5. Submit and await a response from our talent acquisition team – we aim to review applications within 5 business days.

Ready to make a difference? Apply now and become a cornerstone of Sentara’s technology transformation.

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