Job Description for Healthcare Consulting Domain SME
Job Title: Healthcare Consulting Domain SME
Levels- Consultant, Sr. Consultant, Manager
Location: PAN India
Job Type: Full-time
Company Overview: Cognizant Technology Solutions Pvt Ltd. is a leading provider of IT services and business consulting dedicated to transforming healthcare delivery and improving patient outcomes. We partner with various healthcare organizations, as well as work in-house, to develop innovative solutions that address complex challenges in the industry.
Position Summary: Our Healthcare Consulting practice is looking for a Product Owner/Business Analyst/SMEs to drive innovative healthcare products and services. You will be responsible for defining product roadmaps, transforming client objectives into actionable technical specifications, and ensuring clinical/operational alignment. Your expertise will be the catalyst for delivering superior, high-quality solutions within multidisciplinary environments.
Key Responsibilities:
- Domain Expertise: Serve as a Subject Matter Expert (SME) in one or more areas: Claims Adjudication, Membership/Enrolment, Utilization Management (UM), Prior Authorization, or Revenue Cycle Management (RCM). Recommend solutions for Value-based care, HEDIS/STAR rating improvements, and digital transformation
- Regulatory Compliance: Ensure deliverables adhere to HIPAA, Medicare/Medicaid guidelines, and federal/state-specific regulations
- Product Management: Define and communicate product vision and strategy, manage backlogs (Jira/ADO, Rally), and translate complex clinical/business needs into actionable requirements
- Stakeholder Collaboration: Engage with internal and external stakeholders, including clients, consultants, and technology teams, to gather requirements and feedback.
- Performance Monitoring: Monitor and analyze product performance metrics and risks, using data-driven insights to drive continuous improvement.
- Market Trends: Stay informed about industry trends, emerging technologies, and best practices to ensure the product remains competitive and innovative.
Qualifications:
- Education: B.E./B. Tech and MBA (Preferred)
- Experience:
- 5+ years of experience in healthcare domain as a Consultant, Product Owner, or similar role in a technology-focused environment.
- Must have US related healthcare experience in areas such as Medicare, Medicaid, Duals, Claims, Enrolment, Encounters, Interoperability, PBM, Providers etc.
- Understanding of Solution architecture, EDI transactions, HL7 and FHIR standards
- Experience working with Agile/Scrum methodologies and tools.
- Skills:
- Strong leadership and organizational skills.
- Excellent communication and interpersonal skills.
- Analytical mindset with the ability to interpret data and make informed decisions.
- Ability to work collaboratively in a fast-paced, dynamic environment.
- Knowledge of healthcare industry trends and regulations.
Why Join Us?
- Impact: Make a meaningful impact on healthcare delivery and patient outcomes.
- Innovation: Be part of a forward-thinking team that values creativity and innovation.
- Growth: Opportunities for professional development and career advancement.
- Culture: A collaborative and supportive work environment that values diversity and inclusion.
コグニザントのコミュニティ：
私たちは、互いを尊重し支え合う優秀な人材の集まりです。社員一人ひとりが成長し、力を発揮できるよう、エネルギッシュで協力的かつインクルーシブな職場環境を大切にしています。
- コグニザントは、世界中に30万人以上のアソシエイトを擁するグローバルコミュニティです。
- 私たちは、より良い方法を夢見るだけでなく、それを実現します。
- 人、クライアント、企業、地域社会、そして環境に対して、常に「正しいこと」を行うことで責任を果たします。
- あなたにとって最適なキャリアパスを築くことができる、革新的な環境を提供します。
私たちについて：
コグニザント（NASDAQ: CTSH）は、AI builderおよびテクノロジーサービスプロバイダとして、AI投資を企業価値へとつなげるフルスタックのAIソリューションを提供しています。業界、業務プロセス、エンジニアリングに関する深い専門性を強みに、各企業固有のコンテキストをテクノロジーシステムに組み込み、人の力を最大限に引き出すとともに、具体的な成果の創出と、急速に変化する世界におけるグローバル企業の競争力維持を支援します。詳しくは、当社ウェブサイト www.cognizant.com をご覧ください。
コグニザントは機会均等を重視する雇用主です。応募者および候補者は、人種、肌の色、性別、宗教、信条、性的指向、性自認、国籍、障がい、遺伝情報、妊娠、退役軍人の地位、または連邦、州、地方の法律で保護されているその他の特性に基づいて差別されることはありません。
免責事項：
応募者は、対面またはビデオ会議による面接への参加を求められる場合があります。また、各面接の際に、現住所または政府発行の身分証明書の提示が必要となる場合があります。