Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” Leads architecture for a specific business domain (e.g., Claims, Enrollment & Billing, Provider, UM/PA). Guides Agile PODs to deliver secure, scalable solutions aligned to enterprise principles, HIPAA, and payer standards (EDI X12, FHIR). Drives application rationalization and adoption of reference patterns in Azure.Responsibilities and QualificationsTranslate business capabilities into target state, transition architectures, and architecture runway (epics, NFRs).Produce solution blueprints (context/logical/data/integration diagrams) and support threat modeling, privacy, and resilience.Apply API-first and event-driven patterns (Azure API Management, Kafka), integrate with core platforms (e.g., Facets, TruCare, Salesforce, EHR interfaces).Support application rationalization using APM tools (e.g., LeanIX, Ardooq); document TCO, redundancy, and disposition (tolerate, invest, migrate, retire).Ensure designs meet privacy & security (HIPAA, least privilege, tokenization, encryption), resilience, observability, and cost objectives.Contribute to architecture governance (ARB), standards (naming, versioning, FHIR profiles), and DevSecOps best practices.Promote AI literacy—adopt approved patterns (prompt management, RAG, PHI redaction, human review) with Responsible AI controlsPartner with stakeholders to improve flow and reduce rework in sprints/PI planning.Skills:Tools: Jira/Confluence, Visio/Lucid, ServiceNow APM/CMDB (or LeanIX).Strong with Azure (App Services, Functions, AKS, API Management, Event Grid), Kafka, REST/FHIR/GraphQL/SOAP; SQL Server/Oracle.Knowledge:Healthcare payer experience in at least one domain; familiarity with Facets or similar core admin systems.Working knowledge of HIPAA, EDI (270/271, 278, 835/837), CMS interoperability.Knowledge of TOGAF/ArchiMate preferred.Experience:7-10 years in IT; 3-5+ in solution/enterprise architecture.Education and Certifications:Bachelor's degree in Appropriate field. Master’s preferredWork Environment: While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see. The employee must be able to work over 40 hours per week. The employee must occasionally lift and/or move up to 5 pounds.About UsWe recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.
