OPERATING SYSTEMS ARCHITECT at North East Medical Services

• Job Location Burlingame, CA
• Seniority Mid-Senior Level
• Type Contract

Share on:

Description

The Managed Care Operating Systems Architect is responsible to design, integrate, and optimize the core operational systems that support managed care workflows.

This role is focused on workflow automation, system integration, and scalable architecture to improve operational efficiency, data flow, and member engagement across the organization.

The ideal candidate understands managed care operations end-to-end and can translate business needs into streamlined, automated, and interoperable system solutions that support members, providers, and internal teams.

Essential Job Functions Design and evolve workflows within an enterprise operating system architecture that supports managed care functions such as member engagement, care management, utilization management, claims, provider and contract management.

Lead workflow automation initiatives to reduce manual processes, eliminate redundancies, and improve turnaround times across operational teams.

Architect and oversee system integrations between core platforms (e.g., claims, care management, CRM, data platforms, vendor solutions, and member-facing tools).

Collaborate with business stakeholders to map current-state and future-state workflows, identifying opportunities for automation and efficiency gains.

Ensure seamless data flow and interoperability using APIs, event-driven architectures, and integration platforms.