Plano, US, USA
1 day ago
Digital Sol. Architect Senior Director
**Req ID:** 353873 NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a Digital Sol. Architect Senior Director to join our team in Plano, Texas (US-TX), United States (US). **AI-Native Revenue Cycle Management (RCM) Domain Architect** NTT DATA Services | Full-Time | Hybrid/Remote** At NTT DATA Services, we know that with the right people on board, anything is possible. We’re building the next era of Business Process Services—AI-native, agentic BPaaS that fuses deep process expertise with LLMs, AI agents, and data-first design. This is not outsourcing 2.0—it’s services-as-software, built for scale, speed, and intelligence. Join our founding team and help transform industries like healthcare, revenue cycle operations, and payer-provider ecosystems with solutions that are 40% more efficient and infinitely more adaptive. If you want to build what the market hasn’t seen yet, this is it. **Overview** We are seeking a **Revenue Cycle Management (RCM) Domain Architect** with deep expertise across patient access, coding, billing, collections, and payer operations. In this role, you will architect end-to-end AI-native RCM process solutions that modernize traditional provider workflows into intelligent, autonomous, agent-driven systems. You will partner with clinical operations leaders, RCM executives, and engineering teams to map complex revenue cycle processes and define scalable future-state architectures. **Key Responsibilities** **Revenue Cycle Domain Architecture** + Lead architecture and design for **end-to-end provider RCM** , including: + Patient access & scheduling + Eligibility & prior authorization + Charge capture & clinical documentation integrity + Coding (pro-fee, facility, specialty) + Billing, claims processing, and submission + Denials prevention and denials management + Payment posting & reconciliation + Patient financial engagement & collections + Translate compliance, regulatory, and payer requirements (HIPAA, CMS guidelines, coding standards) into scalable AI-driven workflows. + Develop reusable domain models and frameworks for provider, ASC, specialty care, and hospital revenue cycle operations. **AI-Native BPS / BPaaS Design** + Architect modular, agentic RCM solutions using LLM-based co-pilots, autonomous denial agents, and decision-support services. + Collaborate with ML, engineering, and ontology teams to define **RCM ontologies** , data structures, and decision models (e.g., coding logic, payer rule libraries, denial taxonomies). + Design closed-loop systems for continuous optimization across claims, payments, and workflow routing. **Client Engagement & Delivery** + Lead discovery sessions with provider organizations, health systems, and RCM leadership to map current-state operations and identify inefficiencies. + Present AI-native RCM architectures and transformation roadmaps to **CFOs, Revenue Cycle VPs, HIM leaders, and clinical operations stakeholders** . + Own the translation of RCM domain requirements into platform capabilities and implementation plans. **Strategic Roadmapping** + Build multi-year modernization strategies that connect operational KPIs—DNFB, clean claim rate, A/R days, denial rate, cost-to-collect—to automation roadmaps. + Support clients in adopting new AI-native operating models, including governance, escalation design, exception handling, and agent orchestration. **Required Skills & Experience** + **10+ years of experience in healthcare revenue cycle** , consulting, or RCM operations. + Deep understanding of provider RCM processes across patient access, coding, billing, denials, payment posting, and collections. + Experience designing **RCM architectures** , target operating models, or digital transformation roadmaps for provider organizations. + Strong knowledge of payer rules, CMS policies, coding standards (ICD-10, CPT, HCPCS), and compliance requirements. + Familiarity with **AI/ML workflows** , LLM-driven automation, and digital RCM solutions (even if not hands-on technical). + Strong storytelling and client engagement skills, especially with executive healthcare stakeholders. + Ability to partner with engineering and product teams to translate domain requirements into platform features. **Preferred Qualifications** + Experience with major EHR/RCM platforms including Epic (Resolute), Cerner/Oracle, Meditech, Athenahealth, NextGen, or eClinicalWorks. + Knowledge of payer workflows, value-based care, and contract management. + Understanding of RCM analytics, predictive denials, NLP-driven coding, and rules engines. + Familiarity with HIM operations, CDI, and clinical documentation standards. + Experience in hospital, health system, ambulatory, or multi-specialty group RCM environments. **About NTT DATA** NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D. Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, https://us.nttdata.com/en/contact-us . **_NTT DATA endeavors to make_** **_https://us.nttdata.com_** **_accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at_** **_https://us.nttdata.com/en/contact-us_** **_._** **_This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here (http://us.nttdata.com/en/compliance#eeos) . If you'd like more information on your EEO rights under the law, please click here (http://us.nttdata.com/en/compliance#know-your-rights) . For Pay Transparency information, please click here (http://us.nttdata.com/en/compliance#ppnp) ._**
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