Senior Healthcare Business Consultant

6 days ago

Aligarh, Uttar Pradesh, India beBeeHealthcare Full time ₹ 18,00,000 - ₹ 25,00,000
Job Title: Senior Business Consultant with Healthcare Expertise

 

Job Role:

The Senior Business Consultant with Healthcare Expertise will play a pivotal role in driving strategic initiatives across the healthcare domain.

  • Assist in gathering, analyzing, and documenting business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.
  • Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines.
  • Act as liaison with compliance and legal teams during audits or regulatory updates.
  • Develop and configure benefit codes for medical, dental, pharmacy, and specialty products.
  • Collaborate with product and IT teams to ensure accurate coding, claims adjudication, and eligibility processing.
  • Coordinate development and validation of member-facing collateral such as Explanation of Benefits (EOBs), Summary of Benefits and Coverage (SBCs), provider directories, and plan brochures.
  • Partner with marketing and compliance teams to ensure content accuracy, regulatory alignment, and timely delivery.
  • Track versioning and approvals of collateral to maintain consistency across all distribution channels.
Required Skills and Qualifications:

To succeed in this role, you will need to have:

  • Extensive experience in healthcare business consulting, particularly in the areas of regulation, compliance, and benefit management.
  • Strong analytical and problem-solving skills, with the ability to interpret complex data and develop effective solutions.
  • Excellent communication and interpersonal skills, with the ability to work effectively with cross-functional teams and stakeholders.
  • Proven track record of delivering high-quality results in a fast-paced environment.
Benefits:

This is a fantastic opportunity to join our team and contribute to the success of our healthcare business. We offer a competitive salary, comprehensive benefits package, and opportunities for professional growth and development.

Others:

We are committed to creating an inclusive and diverse workplace culture that values equality, respect, and open communication. If you are passionate about healthcare business consulting and want to make a meaningful contribution to our organization, we encourage you to apply for this exciting opportunity.

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