Sr Business Architect

Senior Business Architect (Healthcare Insurance)

Overview
We are seeking a seasoned Senior Business Architect to support strategic transformation initiatives within a healthcare insurance organization. This individual will partner with executive leadership, business stakeholders, operations, product, technology, and PMO teams to assess current capabilities, identify gaps, and develop practical roadmaps that align strategic objectives with execution.
Experience within the healthcare insurance industry is required, with preference given to candidates who have worked in organizations administering State Health Plans, Medicaid, Medicare, or other government-sponsored healthcare programs.

Key Responsibilities

• Assess current-state business capabilities, operating models, and organizational maturity across business and technology functions.
• Partner with executive and operational leaders to define future-state capabilities aligned with strategic business priorities.
• Develop and maintain enterprise capability maps, value streams, and business architecture artifacts that enable informed investment decisions.
• Create actionable roadmaps that sequence initiatives, identify dependencies, and establish measurable business outcomes.
• Facilitate workshops with senior leaders to align stakeholders on priorities, capabilities, operating models, and transformation goals.
• Translate strategic objectives into executable plans that can be adopted by PMO, product, operations, and technology teams.
• Identify capability gaps, process inefficiencies, organizational redundancies, and opportunities for business optimization.
• Support portfolio planning and investment prioritization by evaluating business cases, risks, dependencies, and expected outcomes.
• Ensure recommendations align with healthcare regulatory requirements, operational objectives, and member/provider experience goals.
• Serve as a trusted advisor to leadership by providing data-driven recommendations and practical approaches to solving complex business challenges.

• Bachelor's degree required; Master's degree preferred.
• 7-10+ years of Business Architecture experience within complex enterprise environments.
• Healthcare insurance industry experience required.
• Demonstrated success building business capability models, target operating models, business roadmaps, and strategic transformation plans.
• Experience working across business, technology, PMO, and executive leadership teams.
• Strong facilitation and stakeholder management skills with the ability to influence senior leaders.
• Experience assessing organizational maturity and developing practical transformation strategies.
• Proven ability to quickly ramp into new environments and deliver value with limited direction.

• Experience with a healthcare payer administering North Carolina State Health Plan, Medicaid Managed Care, Medicare Advantage, or other government-sponsored healthcare programs.
• Familiarity with healthcare regulatory requirements and payer operations including claims, enrollment, provider management, care management, and member services.
• Experience supporting enterprise portfolio management, strategic planning, or large-scale transformation programs