Healthcare Domain Professional

1 week ago


Nellore, Andhra Pradesh, India beBeeCompliance Full time ₹ 12,00,000 - ₹ 25,00,000

Healthcare Domain Specialist

Key Responsibilities:
  • Gather, analyze, and document business requirements related to regulations, ensuring compliance with healthcare laws and payer guidelines.
  • Act as liaison between stakeholders, facilitating communication during audits or regulatory updates.
  • Configure benefit codes for medical, dental, pharmacy, and specialty products, supporting plan design and validation in healthcare systems.
  • Collaborate with teams to ensure accurate coding, claims adjudication, and eligibility processing.
Content Development and Validation:
  • 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.
Skills and Qualifications:
  • Business analysis and requirements gathering skills.
  • Knowledge of healthcare regulations, payer guidelines, and compliance frameworks.
  • Strong collaboration and communication skills.
  • Ability to work in a fast-paced environment and meet deadlines.


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