Immediate Start Product Director Payer

1 week ago


Chennai Tamil Nadu, India virtusa Full time

12 -15 years of experience as a Lead Consultant Business Architect Program Manager Product Manager with Healthcare Payer domain Excellent Communication Skill and managing client stakeholdersExperience in creating Business solutions Worked on consulting presales activitiesExperience in executing Consulting Assessment programsAbility Gather analyse and document business and technical requirements for healthcare ProgramsExperience on core business applications in Enrolment Claims Payment areas Facets QNXT NASCO etc Knowledge of CMS rating standards STAR and quality measures reporting Ability to Interpret and map HIPAA X12 EDI transaction sets e g 270 271 837 835 999 to system data models and ITX transformations Conduct gap analysis impact analysis and facilitate design walkthroughs with business and technical teams Coordinate across cross-functional teams product ops compliance providers to ensure integration requirements are met



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