Product Manager I-enrollment

Location Chennai Trivandrum Kochi Employment Type Full-time Role Description As a Business Analyst you will contribute to delivering impactful health plan solutions by translating complex US healthcare business needs into actionable platform requirements This role supports the entire lifecycle from member onboarding to billing reconciliation ensuring compliance with CMS mandates HIPAA and industry standards You will also play a key role in the product development process user experience design market research and go-to-market GTM strategy implementation Key Responsibilities Product Platform Development Support product vision and roadmap execution aligned with cross-domain market needs Participate in Discovery Sprints and draft clear concise user stories Collaborate with cross-functional teams Product Design Technology Data Science Conduct market customer and competitor research to guide feature development Adhere to modern product management standards and contribute to OKRs Enrollment Stream Configure Groups Sub-Groups manage member lifecycle new apps PBP changes disenrollments Specify requirements for EDI transactions 834 270 271 AppOut and MembershipOut Model Work Queues and Rejection Queues BEQ with automatic routing rules Document PCP provider directory integrations and vendor file ingestion validation Capture correspondence needs letters invoices extracts and notifications Define regulatory reporting CMS LIS LEP calculations analytics dashboards Billing Stream Map claims-to-cash workflows including LIS LEP adjustments retro-billing and DTRR Define EDI and ACH standards 835 820 277CA MMR MPWR feeds invoice generation Document auto-posting rules adjustments and reconciliation flows across LOBs Analysis Documentation Lead discovery sessions create process maps data mappings traceability matrices Write BRDs FRDs user stories acceptance criteria and QA-aligned test cases Stakeholder Engagement Act as liaison between onshore offshore teams vendors CMS contacts Facilitate retrospectives and root-cause analysis on exceptions e g DTRR mismatches Mentor junior analysts and share best practices in US healthcare regulations and tools Mandatory Skills 7 years experience as a Business Analyst in US healthcare Enrollment Billing domain Deep knowledge of CMS processes HIPAA and EDI formats 834 270 271 835 820 277 Proven expertise in DTRR LIS LEP calculations and provider PCP integrations Strong proficiency in documentation BRDs FRDs user stories Experience with process modeling tools e g Visio Miro and agile platforms e g Jira Aha Good to Have Skills Understanding of exponential technologies AI ML IoT Blockchain Familiarity with premium billing reconciliation multi-LOB invoicing Knowledge of XML ACH files MMR MPWR and GTM strategies Product management frameworks and design thinking principles Soft Skills Strong communication and stakeholder management Analytical thinking and problem-solving Leadership and mentorship qualities Ability to influence and collaborate across diverse teams Effective prioritization and time management Experience Range 7 years of relevant experience in US healthcare systems specifically Enrollment and Billing platforms Skills Product Owner Healthcare Business Analysis Sdlc About Company UST is a global digital transformation solutions provider For more than 20 years UST has worked side by side with the worlds best companies to make a real impact through transformation Powered by technology inspired by people and led by purpose UST partners with their clients from design to operation With deep domain expertise and a future-proof philosophy UST embeds innovation and agility into their clients organizations With over 30 000 employees in 30 countries UST builds for boundless impactxe2x80x94touching billions of lives in the process