Job description
Job Description
- Healthcare payer Domain is must.
- Deep Expertise and experience in US Healthcare payer operations including claims management, customer service/Member Engagement, Eligibility, Medicare and Medicaid billing, Provider contracting etc. is a must
- Experience having front ended projects in the Healthcare Payer space directly working with global clients (At least 4+ years of working onsite at client location on payer data migration, Digital transformation projects)
- Developing consulting frameworks by analyzing the technical, business, communication and regulatory requirements of clients
- Working knowledge of process functionality, payer core datasets and in depth understanding of Payer business platform(s)
- Worked on Legacy migration, DCT or platform reengineering projects with Healthcare Payer
- Serving as a health management resource, collaborate with business and technology departments to define deliverables and develop solutions that are reusable across the organization; develop program/project roadmap and timelines
- Understanding the needs of multiple stakeholders. Facilitating the negotiation of requirements amongst multiple stakeholders in a Payer ecosystem
- PBM experience will be a plus
- Good presentation and communication skills is a must
- Knowledge of cloud migration or having worked on cloud projects with Payer clients is a plus
- Excellent Interpersonal skills, Team player with ability to work effectively with all levels of organization and individually as well
- Excellent organization and time management skills. Strong attention to detail are essential for success in this position
Job Type: Full-time
Salary: $120,000.00 - $130,000.00 per hour
Schedule:
- 8 hour shift
Experience:
- • Healthcare payer Domain: 1 year (Preferred)
- DATA Migration/Integration: 1 year (Preferred)
- Data analytics: 1 year (Preferred)
Work Location: Remote