Virtusa Recognized as Global Leader in Gen AI Services by ISG Provider Lens® - Read report
Job description
12 -15+ years of experience as a Lead Consultant/Business Architect/Program Manager/ Product Manager with Healthcare Payer domain.
Excellent Communication Skill and managing client stakeholders
Experience in creating Business solutions . Worked on consulting presales activities
Experience in executing Consulting Assessment programs
Ability Gather, analyse, and document business and technical requirements for healthcare Programs
Experience on core business applications in Enrolment, Claims. Payment areas (Facets, QNXT , NASCO etc )
Knowledge of CMS rating standards (STAR) and quality measures reporting a
Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) to system data models and ITX transformations.
Conduct gap analysis, impact analysis, and facilitate design walkthroughs with business and technical teams.
Coordinate across cross-functional teams (product, ops, compliance, providers) to ensure integration requirements are met.
Key job details
About Virtusa
Teamwork, quality of life, professional and personal development: values that Virtusa is proud to embody. When you join us, you join a team of 27,000 people globally that cares about your growth — one that seeks to provide you with exciting projects, opportunities and work with state of the art technologies throughout your career with us.
Great minds, great potential: it all comes together at Virtusa. We value collaboration and the team environment of our company, and seek to provide great minds with a dynamic place to nurture new ideas and foster excellence.
Virtusa is an Equal Opportunity Employer. All applicants will receive fair and impartial treatment without regard to race, color, religion, sex, national origin, ancestry, age, legally protected physical or mental disability, protected veteran status, status in the U.S. uniformed services, sexual orientation, gender identity or expression, marital status, genetic information or on any other basis which is protected under applicable federal, state or local law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government-issued ID during each interview. All candidates must be authorized to work in the USA.
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