Product Manager

2 days ago

Chennai, Tamil Nadu, India EPAM Systems Full time ₹ 12,00,000 - ₹ 36,00,000 per year

We are seeking an experienced and strategic
Product Manager
with deep expertise in the Healthcare Payer domain to join our team as a Subject Matter Expert (SME).

The successful candidate will play a pivotal role in driving business requirements, solution design, and collaboration across stakeholders to ensure delivery of impactful projects that meet healthcare payer business needs and compliance standards.

Responsibilities

  • Act as a Subject Matter Expert for Healthcare Payer processes, operations, and regulations
  • Define detailed business requirements, use cases, and functional specifications by engaging with stakeholders across payers, providers, and other healthcare entities
  • Develop process flows and gap analysis to identify opportunities for system enhancements and operational efficiencies
  • Collaborate effectively with IT, QA, and business units to ensure project deliverables meet scope and specifications
  • Facilitate workshops and stakeholder meetings to gather insights and validate requirements
  • Provide clear and concise documentation that translates complex healthcare payer processes for technical teams
  • Lead testing strategy activities by creating test cases and participating in user acceptance testing (UAT)
  • Stay informed of healthcare regulatory updates and payer industry trends, including CMS guidelines and emerging technologies
  • Offer SME insights during system implementation to verify compliance and business alignment
  • Support training initiatives and change management efforts to drive solution adoption

Requirements

  • Bachelor's degree in Computer Science, or related field, with preference for Master's degree
  • 10-16 years of experience in the Healthcare Payer domain as a Business Analyst or Product Manager
  • Expertise in healthcare payer operations including claims processing, member management, provider networks, and benefit plans
  • Knowledge of regulatory compliance standards such as CMS guidelines, ACA, and HIPAA requirements
  • Background in payer systems encompassing enrolment, billing, claims management, and provider portals
  • Showcase of strong analytical, problem-solving, and documentation capabilities
  • Competency in stakeholder communication and management skills
  • Familiarity with Agile/Scrum methodologies
  • Proficiency in Business Analysis tools and techniques

Nice to have

  • Certified Business Analysis Professional (CBAP) or equivalent
  • Showcase of healthcare-specific certifications such as CHC or CPCO
  • Understanding of payer-specific IT systems and software solutions

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