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Domain SME- Healthcare Consulting

00066595411

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.

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.

Additional employment information

Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.

Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.

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, state 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] for roles based in the Americas or [email protected] for roles based in India.

Benefits that help you thrive and grow

Our benefits program is built with you in mind—so you can enjoy a fulfilling, balanced and healthy life.

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Financial wellbeing

We regularly review market data to ensure compensation reflects the value you bring. Your benefits extend beyond pay and may include retirement plans, financial education, etc.

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Physical and mental health

We empower you to prioritize your wellbeing through paid time off, flexible working where possible, healthcare plans, counselling, our Mental Health Allyship program and more. 

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Your career, your way

With 350,000+ roles at Cognizant, you’ll have opportunities explore new technologies, industries and locations—and build the skills you need to grow your career.

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Real-world impact

Think about the biggest brands you rely on. Chances are, they rely on us to help strengthen their business. Here, you’ll turn bold ideas into solutions that improve lives everywhere.

Your path to Cognizant

Here’s what you can expect from our hiring process. Please keep in mind that it may vary by role and location. Explore our FAQs to learn more.

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Step 1: Apply to the right opportunity

Find an open role that matches your skills and career goals and show us why you’re the person for the job. Don’t see the right opportunity? Consider joining our Talent Community.

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Step 2: Connect with your recruiter

If one of our recruiters sees a fit, they’ll set up a short intro call to learn more about you and how your experiences and skills match the role.

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Step 3: Show off your skills

If you and our team would like to continue the process, you’ll interview with our hiring team. Some roles may also require technical assessments and/or client interviews.

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Step 4: Decision time

Our team will then review each candidates’ potential to succeed in the role. This step may take some time because we want to find the right fit for both you and us—but you can count on us to keep you updated.

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Cognizant has one of the best learning ecosystems you can ask for. From sponsored certifications to training platforms to mentorship, we have all that we need to grow.
Debashish Mishra SAP MM Developer
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Cognizant offers me more than a job; it offers a community. We support each other, collaborate across borders and celebrate wins together. If you’re looking for a culture that values flexibility, diversity and growth, this is the place to be.
Laura Reynaud Lead Counsel
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When I first joined, I was quiet and hesitant to share my thoughts. The leadership programs and the mentoring I’ve received have helped me find my voice and grow as a leader.
Sujatha Gopalakrishnan Portfolio Delivery Lead
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I’ve had the chance to work on impactful projects and shadow colleagues, all while getting involved in internal initiatives. The world is your oyster at Cognizant—you just need to take advantage of it!
Lucas Hoffman Consultant

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