Process Architect - LH

Health Care Service Corporation

Job Overview

Location

Work From Home (HB)

Job Type

Full-time

Full Job Description

📋 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 Process Architect is responsible for designing, standardizing, and governing end-to-end business processes across the organization.
• This role ensures that processes are efficient, compliant, scalable, and aligned to enterprise optimization goals.
• The Process Architect translates optimization strategy into clear, executable, and measurable process designs and establishes standards that support consistent execution across teams and platforms.
• Design and document end-to-end processes across claims, enrollment, customer service, utilization management, operations, and finance.
• Develop current-state and target-state process models using standard methodologies (e.g., BPMN).
• Define process boundaries, handoffs, roles, controls, and decision points.
• Establish enterprise process standards, modeling conventions, and documentation requirements.
• Maintain a centralized process repository and architecture artifacts.
• Ensure processes align with regulatory, contractual, and audit requirements.
• Partner with Business Optimization Architects to translate optimization initiatives into process designs.
• Support operational teams during implementation by clarifying process intent and design.
• Provide guidance on process adoption, change impacts, and risk mitigation.
• Identify process inefficiencies, bottlenecks, and control gaps.
• Support process measurement by defining operational metrics and controls.
• Incorporate feedback and performance results into ongoing process refinements.
• Work closely with IT, data, compliance, and operations teams to ensure process designs are feasible and enforceable.
• Support technology enablement efforts by defining business process requirements.

🎯 Requirements

• Bachelor’s degree in Business, Healthcare Administration, Industrial Engineering, or related field.
• 5–8+ years of experience in process design, process architecture, or operational excellence.
• Experience working within healthcare, insurance, or TPA operations.
• Proficiency with process modeling tools and methodologies (e.g., BPMN).
• Strong documentation 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

Senior

Remote

Degree Required

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Health Care Service Corporation

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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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