Digital Sol. Architect Senior Director

NTT DATA North America•Plano, TX

21h•Hybrid

About The Position

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.

Requirements

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.

Nice To Haves

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.

Responsibilities

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.
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.
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.
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.