Healthcare Transformation Specialist

1 day ago


Bengaluru, Karnataka, India beBeeTransformation Full time ₹ 1,20,00,000 - ₹ 2,00,00,000
Healthcare Transformation Specialist

The role of a Healthcare Transformation Specialist is pivotal in driving digital innovation within healthcare organizations.

This position entails analyzing and documenting current utilization management and case management workflows, identifying areas for improvement, and collaborating with clinical, operational, and IT teams to gather and validate business requirements.

The ideal candidate will translate business needs into functional specifications for system enhancements or new implementations, supporting the design and deployment of digital solutions that streamline prior authorization, care planning, and member engagement.

Key responsibilities include:

  • Analyzing and documenting current utilization management and case management workflows
  • Collaborating with clinical, operational, and IT teams to gather and validate business requirements
  • Translating business needs into functional specifications for system enhancements or new implementations
  • Supporting the design and deployment of digital solutions
  • Conducting impact analysis and supporting change management initiatives

Requirements:

  • 5-7 years of experience as a Business Analyst in healthcare, insurance, or managed care settings
  • Ability to analyze and document workflows, identify gaps, and implement improvements
  • Strong collaboration and communication skills
  • Experience with system enhancements and new implementations
  • Knowledge of regulatory requirements (e.g., NCQA, CMS, HIPAA)


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