Job Overview
Location
Work From Home (HB)
Job Type
Full-time
Category
Data Science
Date Posted
July 16, 2026
Full Job Description
đź“‹ Description
- • At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.
- • We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement. When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.
- • The Business Optimization Architect is responsible for identifying, prioritizing, and architecting enterprise-level optimization opportunities across the organization.
- • This role focuses on value realization, operational efficiency, and strategic alignment by connecting business strategy to measurable outcomes.
- • The architect partners with executive leadership, operations, finance, IT, and performance reporting teams to define optimization roadmaps, quantify benefits, and ensure initiatives deliver sustainable business value.
- • Identify cross-functional optimization opportunities across claims, enrollment, customer service, utilization management, operations, and finance.
- • Translate business strategy into an enterprise optimization roadmap aligned to cost, quality, service, and compliance objectives.
- • Define optimization hypotheses, success measures, and expected business outcomes.
- • Develop business cases, value models, and ROI estimates for optimization initiatives.
- • Define benefit tracking frameworks and performance indicators in partnership with performance reporting teams.
- • Monitor realization of benefits and escalate value leakage risks.
- • Assess current-state operating models, organizational capabilities, and constraints.
- • Recommend target-state changes to roles, governance, decision rights, and workflows.
- • Ensure optimization initiatives align with regulatory, contractual, and client commitments.
- • Support intake, triage, and prioritization of optimization initiatives.
- • Balance near-term efficiency gains with long-term transformation goals.
- • Provide executive-level insights and recommendations to guide investment decisions.
- • Act as a trusted advisor to senior leaders on operational performance and optimization strategy.
- • Facilitate executive workshops to align on outcomes, tradeoffs, and priorities.
- • Partner with Process Architects to translate optimization intent into executable process designs.
🎯 Requirements
- • Bachelor’s degree in Business, Healthcare Administration, Operations Management, or related field.
- • 7-10+ years of experience in business optimization, strategy, transformation, or operational excellence.
- • Experience within healthcare, insurance, or a health insurance TPA environment.
- • Strong experience developing business cases and value realization frameworks.
- • Excellent executive communication and facilitation skills.
🏖️ Benefits
- • Health and wellness benefits
- • 401(k) savings plan
- • Pension plan
- • Paid time off
- • Paid parental leave
- • Disability insurance
- • Supplemental life insurance
- • Employee assistance program
- • Paid holidays
- • Tuition reimbursement
- • Other incentives
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About Health Care Service Corporation
Health Care Service Corporation is the largest customer-owned health insurer in the United States, operating Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. It provides medical, dental, vision, life, and disability coverage to nearly 17 million members through individual, employer, and government programs. The company emphasizes community health investments, digital services, and value-based care initiatives. Founded in 1936 and headquartered in Chicago, HCSC is licensed as a mutual legal reserve company and governed by its policyholders.
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