Healthcare Payer Solutioning Lead
2 weeks ago
Role: Healthcare Payer Solutioning Lead
Experience: 15+ years
Location: Noida / Mumbai / Pune; Can consider HYD/BLR
Coforge is seeking a dynamic and experienced
Presales Solutioning Leader
to drive strategic initiatives in the
health insurance (payer)
segment within our Healthcare & Life Sciences (HCLS) business unit. This role demands a visionary thinker with deep domain expertise, strong techno-functional capabilities, and a passion for innovation. The ideal candidate will be instrumental in shaping go-to-market strategies, crafting differentiated solutions, and enabling business growth through strategic customer engagements.
Key Responsibilities
:
- Solution & Offering Development
: Drive the design/evolution of AI-led technology and BPaaS solutions for payers, TPAs, MCOs, and VBC. - Industry & Technology Trend Monitoring
: Track and align with HCLS industry and emerging technology trends to identify and position relevant solutions and offerings. - Thought Leadership
: Develop thought leadership POV, white papers, etc., represent the organization in industry forums, contribute to building a strong vertical brand presence. - Customer Engagements
: Lead customer meetings / workshops to assess gaps, identify needs, position / co-develop solutions, and secure stakeholder buy-in. - Partner & Analyst Engagement
: Work closely with partners, analysts, and sales teams to execute GTM strategies including joint solutioning and expand market reach. - GTM Strategy & Marketing
: Define/refine go-to-market strategies and lead marketing efforts in collaboration with internal stakeholders.
Role Competency
:
- 15+ years
of overall industry experience, including: 10+ years in the healthcare domain, specifically in the
US health insurance (payer)
segment. - Proven experience/expertise in: Payer workflows, regulatory frameworks, and technology landscape
- Business analysis, solutioning, conceptualizing / driving AI-led techno-functional solutions
- BPaaS engagements for payers, TPAs, MCOs, and VBC models
- Preferably, strong track record in presales, GTM execution, and stakeholder management
Soft skills:
- Strong business acumen, strategic thinking and innovation orientation
- Entrepreneurial mindset with the ability to thrive in dynamic environments
- Excellent presentation, verbal, and written communication skills
- Ability to interface with prospects, partners, analysts, and internal teams across geographies
- Strong analytical and problem-solving capabilities
-
Healthcare Payer Solutioning Lead
4 weeks ago
Pune, Maharashtra, India, Maharashtra Coforge Full timeRole: Healthcare Payer Solutioning LeadExperience: 15+ yearsLocation: Noida / Mumbai / Pune; Can consider HYD/BLR Coforge is seeking a dynamic and experienced Presales Solutioning Leader to drive strategic initiatives in the health insurance (payer) segment within our Healthcare & Life Sciences (HCLS) business unit. This role demands a visionary thinker with...
-
Pune, Maharashtra, India Geektrust Full time ₹ 6,00,000 - ₹ 18,00,000 per yearProduct Manager - US Healthcare (Value-Based Care, CRM & Population Health)Location/ Working model:Pune, Work from office.Role Overview:We are seeking an experienced Product Manager to lead the development and delivery of innovative software solutions in the US healthcare domain. The ideal candidate will have a minimum of 5 years' product management...
-
Tech Lead
23 hours ago
Pune, Maharashtra, India Yash Technologies Full time ₹ 12,00,000 - ₹ 36,00,000 per yearWe are looking forward to hireAzure Databricks Professionals in the following areas :Job description:Role: Interoperability Architect (FHIR / HL7 V2/V3)Role Overview:Client is seeking aInteroperability Architect (contractor) to lead the design and solutioning of a next-generation Interoperability Reference Architecture The architect will play a pivotal role...
-
Tech Lead
2 weeks ago
Pune, Maharashtra, India YASH Technologies Full time ₹ 20,00,000 - ₹ 25,00,000 per yearYASH Technologies is a leading technology integrator specializing in helping clients reimagine operating models, enhance competitiveness, optimize costs, foster exceptional stakeholder experiences, and drive business transformation.At YASH, we're a cluster of the brightest stars working with cutting-edge technologies. Our purpose is anchored in a single...
-
Quality - Credentialing | US Healthcare
3 days ago
Pune, Maharashtra, India R Systems International Full time ₹ 12,00,000 - ₹ 36,00,000 per yearJob Title: Quality - CredentialingDepartment: Credentialing / US Healthcare OperationsLocation: PuneJob Summary:As a Quality - Credentialing, you will be responsible for ensuring the accuracy, completeness, and compliance of credentialing processes for US healthcare professionals. Your role will focus on auditing credentialing files, validating...
-
Tech Lead
2 weeks ago
Pune, Maharashtra, India YASH Technologies Full time ₹ 20,00,000 - ₹ 25,00,000 per yearDate: Sep 7, 2025Job Requisition Id: 62486Location:Pune, MH, IN Pune, INYASH Technologies is a leading technology integrator specializing in helping clients reimagine operating models, enhance competitiveness, optimize costs, foster exceptional stakeholder experiences, and drive business transformation.At YASH, we're a cluster of the brightest stars working...
-
Quality - Credentialing | US Healthcare
3 days ago
Pune, Maharashtra, India R Systems Full time ₹ 4,50,000 - ₹ 7,50,000 per yearJob Title:Quality - CredentialingDepartment:Credentialing / US Healthcare OperationsLocation:PuneJob Summary:As aQuality - Credentialing, you will be responsible for ensuring the accuracy, completeness, and compliance of credentialing processes for US healthcare professionals. Your role will focus on auditing credentialing files, validating documentation,...
-
Business Analyst
2 weeks ago
Pune, Maharashtra, India Digital Convergence Technologies Inc. Full timeBusiness Analyst, Data SolutionsAbacus Insights is a mission-driven, growth-stage technology company focused on transforming the healthcare industry, ultimately creating a more personalized patient experience, improving health outcomes, and lowering the overall cost of healthcare. Abacus Insights provides a flexible, efficient, and secure platform that...
-
Ar excecutive US Healthcare
1 week ago
Pune, Maharashtra, India SPRY PT Full time ₹ 9,00,000 - ₹ 12,00,000 per yearResponsibilitiesClaim Resolution: Follow up on outstanding medical claims with insurance companies and patients.Payment Collection: Ensure timely payment collection for services rendered.Denial Management: Identify and resolve issues with denied claims by identifying errors and appealing them.Record Keeping: Maintain accurate and up-to-date records of all...
-
Technical Data Lead
2 days ago
Pune, Maharashtra, India Roche Full time US$ 1,25,000 - US$ 1,75,000 per yearAt Roche you can show up as yourself, embraced for the unique qualities you bring. Our culture encourages personal expression, open dialogue, and genuine connections, where you are valued, accepted and respected for who you are, allowing you to thrive both personally and professionally. This is how we aim to prevent, stop and cure diseases and ensure...