AS400 Pharmacy Benefit Management Domain Architect

AS400 PBM Domain Architect

Job Title: AS400 PBM Domain Architect

Designation: Architect Advanced

Location: Pune or Any Mphasis Location in India

Job Summary:

The AS400 PBM Domain Architect is responsible for the end-to-end architecture, technical governance, and modernization strategy of core PBM applications running on IBM i (AS400). This role serves as the technical and domain authority for pharmacy claims, eligibility, pricing, formularies, and rebate systems.

Responsibilities:

• Own the architecture of PBM systems on IBM i, including claims adjudication engines.
• Provide subject matter expert (SME) leadership for PBM domains such as claims, eligibility, pricing, formularies, and rebates.
• Define high-level designs (HLDs), review low-level designs (LLDs), data models, and batch frameworks.
• Architect integrations with pharmacy networks, eligibility systems, and enterprise platforms.
• Oversee batch design, performance tuning, capacity planning, and adherence to service level agreements (SLAs).
• Drive AS400 modernization and hybrid integration strategies.
• Mentor offshore AS400 leads and support Level 3/Level 4 production issues.
• Analyze existing legacy applications on the AS400 platform.
• Participate in real-time migration projects.
• Troubleshoot code issues and performance tuning of adjudication projects in the RxCLAIM application.
• Utilize AS400 tools such as ALDON Change Management and SYNON.

Mandatory Skills:

• Strong knowledge of healthcare payer systems, processes, and regulations.
• Proficiency in architectural design principles and methodologies.
• Experience with the integration of healthcare data systems and interoperability standards.
• Ability to analyze complex business requirements and translate them into technical solutions.
• Good Communication and Team Collaboration skills to work effectively with diverse teams.

Preferred Skills:

• Design architecture for new subsystems in RxCLAIM.
• Troubleshoot defects in QA, regression, and production environments.
• Configuration management using ALDON CMS.
• Review deliverables prepared by the offshore team and conduct walkthroughs with business and client tech leads.

Qualifications:

• Bachelor's degree in Computer Science, Information Technology, or a related field with a strong foundation in software development and architecture.