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.
What we offer
- The chance to work with impact. Here, you’re empowered to bring your biggest thinking to help our company and clients improve everyday life.
- Ownership over your career. Stay at the top of your game through our award-winning learning and development ecosystem. And when your ambitions change or we offer new opportunities, we help you pivot by providing reskilling, on-the-job learning and guidance to find new roles that might be a better fit.
- The opportunity to thrive on a high caliber team with heart. We celebrate each other’s experiences and perspectives and promote a sense of belonging through our affinity groups and diversity and inclusion initiatives.
- A comprehensive total rewards package, including a competitive salary and a pension plan with matching contributions.
- Flexible health and financial benefits to support you and your eligible dependents—from day one.
- True work-life balance. Be at your best through paid time off, flexible work arrangements, volunteering opportunities, social events, and so much more.
About us
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, building the bridge between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, realize tangible returns and keep global enterprises ahead in a fast-changing world. See how at www.cognizant.com or @cognizant.
Other employment-related information
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, provincial or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
Language requirements vary depending on roles, but we ask that all candidates have basic English proficiency for company-wide communications purposes. For roles based in Quebec, professional English proficiency is required, as you’ll deliver services to and collaborate with stakeholders outside the province who may not speak French.
