[Skip to main content](#main-content) [OpenNash Jobs](https://jobs.opennash.com/) [Hiring report](/reports/hiring/) · [All Tata Consultancy Services jobs](https://jobs.opennash.com/companies/tata-consultancy-services/) · [Search jobs](/search/) Tata Consultancy Services · Newark, NJ # Healthcare Payer Enterprise Architect Newark, NJ $130,000- $150,000 Healthcare & Clinical Last seen on Tata Consultancy Services’s official careers site on August 1, 2026; it may have closed since. [Apply on Tata Consultancy Services’s careers site →](https://ibegin.tcsapps.com/candidate/jobs/419222J) [OpenNash Jobs](https://jobs.opennash.com/) / [Tata Consultancy Services](https://jobs.opennash.com/companies/tata-consultancy-services/) / Healthcare Payer Enterprise Architect ## Job description ### Must Have Technical/Functional Skills - 12+ years in IT with 5+ years in enterprise/solution architecture - Strong experience in U.S Healthcare Payer domain - Hands-on knowledge of: - Claims systems, eligibility, benefits, provider workflows - Integration frameworks and healthcare data standards - Proven expertise in TOGAF or equivalent EA framework - Experience in cloud (AWS/Azure/GCP), APIs, microservices, and data architecture - Strong stakeholder management and communication skills - Experience with AI-driven utilization management / prior authorization - Knowledge of payer cost-of-care optimization and analytics - Exposure to GenAI-based SDLC / automation frameworks ### Roles & Responsibilities Enterprise & Solution Architecture - Define and govern enterprise architecture using TOGAF principles and frameworks - Develop current-state, target-state, and transformation roadmaps across payer systems ### Lead architecture design across core payer domains - Claims adjudication - Enrollment & eligibility - Provider network & contracting - Care management & utilization ________________________________________ 2. ### Payer Domain Transformation - Architect end-to-end solutions integrating core admin platforms (Facets, QNXT, HealthEdge) and digital ecosystems - Ensure compliance with payer regulations (HIPAA, CMS, NCQA) - Drive interoperability using HL7, FHIR, EDI X12 standards - Evaluate modernization opportunities including API-first, microservices, and cloud adoption ________________________________________ 3. AI & Digital Innovation (Preferred / Differentiator) - Identify and implement AI/ML/GenAI use cases across payer operations such as: - Claims automation and adjudication - Fraud, waste & abuse detection - Member engagement and care insights ### Define AI architecture patterns including - Data pipelines, MLOps, and model governance - Partner with business stakeholders to translate AI opportunities into scalable solutions ________________________________________ 4. ### Architecture Governance & Leadership - Establish architecture standa rds, patterns, and governance frameworks - Lead architecture review boards and ensure design compliance - Collaborate with business, engineering, and product teams for aligned delivery - Act as trusted advisor to C-level / client leadership on technology strategy ________________________________________ 5. Strategy, Roadmap & Stakeholder Engagement - Translate business strategy into technology architecture blueprints - Define multi-year digital transformation and AI adoption roadmap - Engage cross-functional stakeholders across IT, operations, and vendor ecosystem Generic Managerial Skills, If any - Strategic thinker with strong business-to-technology alignment capability - Ability to drive large-scale transformation programs - Strong consulting mindset with stakeholder influence ### Mentoring and leading cross-functional architecture teams Salary Range - $130,000- $150,000 a year TCS Employee Benefits Summary: Discretionary Annual Incentive. ### Comprehensive Medical Coverage Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans. ### Family Support Maternal & Parental Leaves. ### Insurance Options Auto & Home Insurance, Identity Theft Protection. ### Convenience & Professional Growth Commuter Benefits & Certification & amp; Training Reimbursement. ### Time Off Vacation, Time Off, Sick Leave & Holidays. ### Legal & Financial Assistance Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing. #LI-SP1