Address Hands on experience working with • Payer/ Provider/ PBM organization • Product Management/Product Engineering /Healthcare Operations • Industry leading Claims, Billing or EHR systems. • Open-ended business problems and providing results-oriented strategies to solve complex problems. • Market Analysis and Product fitment • Plan Sponsor & Product, Enrollment & Billing, Provider Data Management, Provider Network Management, Claims, Encounters, Medicare, and Marketplace Risk Adjustment • US Government Program Line of Business - Medicare, Medicaid, Duals, Marketplace • End to end ownership of a feature/ epic right implementing vision & roadmap till implementation. • Feature prioritization, designs, and specifications • Working with scrum teams, product analysts • Communicating and facilitating architecture design discussions/decisions and impacts to key stakeholders. • Working on minimum viable products, experience on pivots based on market, technical feedback. • Agile Product Development Methodology • Ability to work with distributed teams in India and US
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10+ years of healthcare experience or 5+ years of product management experience. Expertise in one or more payer functions – Product, Member, Provider, Contracting, Claims, Quality, Risk Adjustment, HEDIS, Care Management.
Healthcare->US Healthcare->HC Business Analyst
