Healthcare Domain Expert
2 days ago
About
Our Purpose
is to boost your competitive advantage using AI and Analytics.
We Deliver
tangible business impact with data-driven insights powered by AI. Drive revenue growth, increase profitability and improve operational efficiencies.
We Are
technologists with keen business acumen - Forever curious, always on the front lines of technological advancements. Applying our latest learnings, and tools to solve your everyday business challenges.
We Believe
the power of AI should not be the exclusive preserve of the few. Every business, regardless of its size or sector deserves the opportunity to harness the power of AI to make better decisions and drive business value.
We See
a world where our AI and Analytics solutions democratise decision intelligence for all businesses. With , our motto is 'No enterprise left behind'.
About The Role
We are seeking an experienced
Healthcare Domain Expert specializing in Subrogation and Cost Containment
to join our team. This role is critical in bridging the gap between our technology teams and our clients' business stakeholders. The ideal candidate will possess deep domain knowledge in healthcare insurance, subrogation workflows, cost containment strategies, claims lifecycle management, plan document generation, plan document review, and regulatory landscapes.
The person will work directly with Client's business team, translate their needs into actionable technology requirements, and identify new opportunities to enhance and optimize their offerings. His / her insights will guide our development team in delivering value-driven, domain-aligned solutions.
Qualifications
Bachelor's degree
8+ years of experience
Position:
Healthcare SME
Location:
Hyderabad, India
Key Responsibilities
Client & Stakeholder Engagement
- Act as the primary domain liaison between our development team and the client's business team.
- Lead requirement-gathering sessions, clarify business needs, and translate them into functional and technical requirements.
- Provide domain thought leadership during client discussions
Domain Expertise & Opportunity Identification
- Understand, analyze, and map current processes related to subrogation, cost containment, claims review, overpayment recovery, coordination of benefits (COB), compliance, etc
- Identify gaps, inefficiencies, and opportunities for process improvement, automation, and product enhancement.
- Evaluate client pain points and emerging industry trends to propose innovative solutions and value-add initiatives.
Requirements Analysis & Solutioning
- Collaborate with business and development teams to ensure requirements are accurately documented and implemented.
- Review deliverables to ensure solutions meet domain expectations and regulatory guidelines.
- Support development teams with domain clarifications.
Required Qualifications
- 8+ years of experience in healthcare insurance, specifically in subrogation, cost containment, claims management, or payment integrity.
- Hands-on experience working with payer/TPA systems, legal recovery processes, data validation, or audit frameworks.
- Excellent communication skills with the ability to work with technical and non-technical stakeholders.
- Experience participating in or driving business discovery, requirements elicitation, and process optimization.
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