Job Description
**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.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
**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.
Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
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