Job Description Serves as primary operations consultant for Revenue Cycle Business Operations implementation and maintenance. Job Responsibility - Reviews recommendations for development and analysis of implementation plans for System development and implementation of Revenue Cycle Business Operations which may include discovery, design, conversion, testing, and/or any other components of the project plan cycle. - Serves as a liaison between business and technology teams. - Develops and delivers training programs for current and prospective users. - Ensures processes are compliant with system policies, applicable laws and contractual bargaining agreements. - Develops procedures for system audits; resolves discrepancies, as required. - Collaborates with departments and clients to resolve user issues. - Troubleshoots issues and resolves concerns as well as recommends necessary fixes; advises management of results and recommends actions. - Consults with newly acquired facilities and designs transition and implementation plans. - Operates under limited guidance and work assignments involve moderately complex to complex issues where the analysis of situations or data requires in-depth evaluation of variable factors. - Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions. Preferred Skills/Experience: - Front-end experience including front-end provider enrollment aspects. Job Qualification - Bachelor's Degree required, or equivalent combination of education and related experience. - 3-5 years of relevant experience, required. This position will be remote, M-F 9am-5pm. *Additional Salary Detail The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future.When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary The Healthcare Business Architect serves as a liaison between business stakeholders and engineering teams to ensure business needs are effectively translated into technology solutions that support organizational goals. This role applies business architecture and delivery coordination practices to evaluate business processes, identify improvement opportunities, and support execution of initiatives across platforms and services. Working closely with cross-functional teams, the Advisor helps drive alignment, manage dependencies, track deliverables, and facilitate issue resolution to ensure successful delivery of technology solutions that provide measurable business value and support transformation initiatives. Your role in our mission - Provides expertise in how business capabilities interact with technical capabilities to address client business problems and achieve client goals, supporting alignment between business priorities and engineering delivery execution. - Applies a structured business architecture approach to capture key business views and collaborate with business, project, and engineering team members to assess current capabilities and identify high-level requirements. Assists in guiding project and program activities to ensure alignment with client and company objectives. - Serves as a primary liaison between business stakeholders, product teams, and engineering teams to ensure clarity of requirements, priorities, timelines, and expected outcomes. - Participates in governance activities for evaluating, tracking, and reporting alignment to business architecture strategies across platforms, products, or services, including monitoring delivery progress, risks, dependencies, and action items. - Supports delivery execution by coordinating cross-functional teams, tracking milestones and deliverables, facilitating status visibility, and driving issues and decisions to closure. - Monitors business analysis processes and methodologies to achieve team goals; identifies process inefficiencies across workflows and resources and leads continuous improvement initiatives to enhance delivery effectiveness. - Enables cross-functional teams to work in parallel by providing guidance, coordination, and operational support aligned with business solution architecture. - Serves as a mentor and partner to team members in developing business analysis and solution deliverables, ensuring alignment with delivery objectives and organizational standards. - Evaluates existing processes and recommends and implements improvements that increase operational efficiency, transparency, and execution consistency. - Assists in solving complex business and delivery challenges through technology-enabled solutions, structured processes, and cross-team collaboration. - Use professional concepts to help resolve critical issues, remove delivery blockers, and support informed decision-making. - Maintains awareness of industry trends, best practices, and standards related to business architecture, delivery management, and technology operations. What we're looking for - 10+ years of experience in Business Analysis, Business Re-Engineering, Project Management, Product Management, Business Transformation, or Business Architecture - Background in the Healthcare Industry with preference for Medicaid Programs and Related Business Processes - Strong understanding of Company Products, Operating Systems, Client Business Processes, and Business Processes or Information Modeling Tools - Proven experience with Agile Methodologies such as Scrum and familiarity with Jira or similar project tracking tools - Ability to lead cross-functional efforts, improve processes and business outcomes, and work with databases including SQL preferred What you should expect in this role - Remote position from US locations. - Opportunities to travel through your work (0-20%). - Willingness to work a flexible schedule to accommodate business needs and travel as required. - Video cameras must be used during all interviews, as well as during the initial week of orientation The deadline to submit applications for this posting is June 30, 2026. The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Role Description We are seeking a dynamic healthcare professional to drive innovation in utilization management (UM) and Electronic Health Record (EHR) strategy. A key focus of this role is the implementation and optimization of EHR platforms to enable bi-directional data exchange and support Cigna’s strategic business objectives. As Senior Program Manager (Business Architect), you will lead project work and strategic decision-making to lower costs, mobilize EHR data with providers, and ensure compliance with privacy and security standards. Your responsibilities span defining strategic intent, building business cases, collaborating with IT and clinical teams, developing go-to-market strategies, and educating delivery teams on capability needs. Key Responsibilities - Define strategic intent, scope, product strategy, risks, and benefits in collaboration with matrix partners. - Build lean business cases by partnering with multiple stakeholders across the organization. - Specify operating models and clarify business functions for solution delivery. - Assess existing capabilities and gather requirements for new capabilities. - Facilitate cost estimation process and identify operational impacts. - Develop Go-To-Market strategies: pricing, performance guarantees, client elections, marketing, reporting, and timing. - Facilitate leadership decisions to rank new opportunities against an existing prioritized backlog. - Educate delivery teams on strategic intent, scope, and capability needs. - Stay engaged in execution to ensure strategic intent is achieved; assist in facilitating decisions and resolving key issues/risks. - Monitor timeliness of execution and value realization along the targeted benefits schedule. EHR Platform-Specific Responsibilities - Lead integration and optimization efforts for Epic Payer Platform and other EHR systems. - Collaborate with IT and clinical teams to ensure seamless data exchange between payer and provider systems. - Analyze workflows and recommend improvement opportunities across the enterprise by leveraging EHR capabilities. - Oversee implementation of new features or modules within EHR platforms to meet business requirements. - Ensure compliance with data privacy and security standards during implementation. - Train and support stakeholders on EHR platform functionalities relevant to payer operations. - Partner with business leads to monitor project performance and troubleshoot issues. Qualifications - Bachelor’s degree required; master’s degree (MBA, MHA, MPH) preferred. - 5+ years’ experience as a Program Manager, Business Analyst or Business Architect. - Healthcare insurance experience is highly preferred. - Demonstrated hands-on experience with Electronic Health Records (EHR) platforms like Epic, Oracle Cerner, Athena, etc. highly preferred. - Experience implementing clinical programs (utilization management, level/site of care). - Experience with process modeling tools (IBM Blueworks Live, MS Visio). - Agile/Project Management certification (PMI, CSM, SAFe) or Six Sigma preferred. - Proficient in Microsoft Office. - Strong business acumen and ability to quickly learn new business areas. - Excellent verbal, written, and presentation skills. - Ability to lead and influence in direct and matrixed environments. - Self-directed, results-driven, and comfortable with ambiguity and change. - Some travel required (10%). Requirements - If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. - For this position, we anticipate offering an annual salary of 116,100 - 193,500 USD / yearly, depending on relevant factors, including experience and geographic location. - This role is also anticipated to be eligible to participate in an annual bonus plan. Benefits - Comprehensive range of benefits, with a focus on supporting your whole health. - Health-related benefits including medical, vision, dental, and well-being and behavioral health programs. - 401(k), company paid life insurance, tuition reimbursement. - A minimum of 18 days of paid time off per year and paid holidays. Company Description Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Role Description We are looking for an experienced Senior Business Analyst with strong expertise in Salesforce CPQ and Revenue Cloud to lead requirements, solution design, and end‑to‑end Quote-to-Cash process improvements. - Lead discovery sessions and document business requirements, user stories, and process flows. - Act as the SME for Salesforce CPQ, Billing, Subscription Management, and related modules. - Design and optimize quoting, pricing, product catalog, subscriptions, amendments, renewals, and billing flows. - Work closely with architects, developers, and business stakeholders to deliver scalable solutions. - Support data mapping, integrations, UAT planning, training, and post‑go‑live adoption. Qualifications - Strong hands-on experience with Salesforce CPQ + Revenue Cloud. - Solid understanding of product rules, pricing strategies, subscription lifecycle, and invoicing. - Experience with ERP or financial system integrations. - Excellent documentation, communication, and stakeholder management skills. - Agile/Scrum experience. Requirements - Salesforce CPQ Specialist or Revenue Cloud Consultant certification (preferred). - Experience with SaaS, manufacturing, telecom, or subscription-based models (preferred). Company Description Join our team at MetaRPO and embark on a journey of growth and innovation.