23 Care Management Jobs

Role**: Salesforce Life Sciences Cloud Consultant/Architect Required Technical Skill Set: Salesforce Life Sciences Cloud Consultant/Architect Desired Experience Range: 10 - 18 yrs Notice Period: Immediate to 90Days only Location of Requirement: PAN INDIA We are currently planning to do a Virtual Interview Job Description: Must-Have** (Ideally should not be more than 3-5) Advanced knowledge of Salesforce CRM platforms Good knowledge on Care management,Clinical data management,Complete patient view, EHR integration,communities implementation and clinical documentation. Strong knowledge in Life Sciences Cloud, a unified platform that integrates data and workflows across clinical research, medic...

Job Summary A Consultation Gynecologist is responsible for diagnosing, treating, and managing womens reproductive health concerns in an outpatient/clinic environment. The role includes conducting consultations, performing examinations, advising on preventive care, and managing gynecological conditions while ensuring compassionate, high-quality patient care. Key Responsibilities 1. Patient Consultation & Diagnosis Conduct OPD consultations to evaluate womens reproductive health concerns. Take detailed medical histories and perform physical and pelvic examinations. Diagnose gynecological conditions such as PCOS, infections, menstrual disorders, infertility, etc. Order, interpret, and explain d...

Role Overview: As a strategic leader in healthcare analytics at EXL, you will play a crucial role in defining and executing a comprehensive analytics strategy aligned with digital transformation goals and client needs. You will lead the development of AI/ML-powered solutions for various healthcare areas such as population health, care management, claims analytics, and patient engagement. Your expertise will be instrumental in driving innovation, collaborating with internal and external teams, and championing the adoption of cutting-edge technologies to transform healthcare analytics offerings. Key Responsibilities: - Define and execute a comprehensive healthcare analytics strategy aligned wi...

Role Overview: As a Manager in the Health Strategy M&A team at Accenture, you will be responsible for evaluating, structuring, and executing M&A transactions across the healthcare sector. Your role will involve contributing to the development of M&A strategies, conducting due diligence, assessing strategic fit, and supporting post-merger integration. You will collaborate with senior leaders to deliver actionable insights to clients, prepare presentations for stakeholders, and participate in sales enablement activities. Additionally, you will contribute to practice building by creating internal knowledge assets and mentoring junior team members. Key Responsibilities: - Support the development...

As a Technical Analyst specializing in Population Health and Care Management, your role will involve demonstrating strong domain expertise in Medicaid and other relevant healthcare programs. Your responsibilities will include working with stakeholders to identify current and future data needs, mapping Population Health and Care Management data to a normalized data model, and serving as a subject matter expert on domains such as Care Management, Utilization Management, Quality Scores, HEDIS, and Care gaps. Additionally, you will be responsible for building data concepts to support Population Health use cases and providing technology solutions to address business and technical issues for assig...

Company Description At Future Healthcares Inc, we simplify healthcare operations so providers can focus on patients, not paperwork. We deliver end-to-end Revenue Cycle Management, Clinical Support, and Care Management Services with over 25 years of expertise. With a 95% clean claim ratio and HIPAA-compliant processes. Role Description This is a full-time on-site role for a Process Associate located in Ahmedabad. The Process Associate will be responsible for managing and optimizing day-to-day operations in Revenue Cycle Management, Clinical Support, and Care Management services. Key tasks include analyzing financial data, interacting with customers, ensuring compliance with regulations, and i...

Role**: Salesforce Life Sciences Cloud Consultant/Architect Required Technical Skill Set: Salesforce Life Sciences Cloud Consultant/Architect Desired Experience Range: 10 - 18 yrs Notice Period: Immediate to 90Days only Location of Requirement: PAN INDIA We are currently planning to do a Virtual Interview Job Description: Must-Have** (Ideally should not be more than 3-5) Advanced knowledge of Salesforce CRM platforms Good knowledge on Care management,Clinical data management,Complete patient view, EHR integration,communities implementation and clinical documentation. Strong knowledge in Life Sciences Cloud, a unified platform that integrates data and workflows across clinical research, medic...

As a Revenue Cycle Data Product Manager at Client, you will play a vital role in developing and executing the data product strategy for the Revenue Cycle. Your responsibilities will include: - Strategy & Leadership: Develop and own the data product strategy for the Revenue Cycle to ensure alignment with Ascension's business goals. - Product Management: Manage the full product lifecycle, including road mapping, requirements, and feature prioritization. - Collaboration: Partner with architecture, delivery teams, and business stakeholders to empower product teams and enable successful go-to-market strategies. - Data-Driven Decisions: Utilize user research, metrics, and KPIs to shape product str...

As a Principal Data Product Manager at our company, you will be leading a portfolio within the Population Health product family. Your main responsibilities will include: - **Strategy & Leadership**: Develop and own the data product strategy for your portfolio in close collaboration with product directors and leadership. - **Product Lifecycle Management**: Take charge of the full product lifecycle, which includes road mapping, defining requirements, prioritizing features, and measuring success using KPIs and metrics. - **Cross-Functional Collaboration**: Work closely with architecture, delivery teams, and key stakeholders to empower product teams and facilitate effective go-to-market strategi...

Description Consultant Technical Analyst - Population Health and Care Management Job Summary Must demonstrate strong domain expertise, particularly in the Payor-Provider ecosystem, with a solid understanding of Medicare, Medicaid, and other relevant healthcare programs Works with stakeholders to discover, clarify, and document current and future data needs Performs mapping of Population Health and Care Management data to a normalized data model. Serves as a subject matter expert on the Population health data domains such as Care Management, Utilization Management, Quality Scores, HEDIS, Care gaps Builds data concepts to support Population Health use cases Serves as a key resource for an assi...

Role: QA Lead Key Responsibilities: Develop, execute, and maintain end-to-end test scenarios spanning multiple healthcare domains (Member, Enrollment, Claims, Prior Auth, Encounters, Care Management). Collaborate with Business Analysts, Product Owners, and Stakeholders to understand requirements and translate them into comprehensive test strategies. Conduct functional, Automation , integration, regression, and UAT support testing across cross-functional modules. Validate data flow across systems (EDI, downstream platforms, provider/member portals, etc.) and ensure alignment with business rules. Identify data requirements and create test data (including mock EDI files like 834, 837, 278, etc)...

Role Overview: You will be a Senior Consultant at Visionet responsible for designing and supporting innovative solutions for healthcare providers and health services. Your role will involve focusing on transforming care coordination, enhancing digital engagement, and enabling population health management through technology. As a core member of the HLS Industry Solutions Team, you will play a vital role in translating provider workflows and data into effective tech-enabled offerings and contributing to the growth of the healthcare practice. Key Responsibilities: - Be at the forefront of designing and implementing solutions that improve care coordination and patient outcomes. - Work with cutti...

Dear Candidate, Greetings from ProArch ! We are looking for Sr Business Analyst - This is Complete WFH / REMOTE opportunity. Description Job Description: ProArch is looking for a talented and detail-oriented Business Analyst to join our growing team. As a Business Analyst, you will be responsible for analyzing business needs, gathering requirements, and facilitating effective communication between stakeholders and technical teams. You will play a key role in transforming ideas into actionable project deliverables, ensuring that solutions meet business objectives and user needs. Your responsibilities will include conducting thorough requirements analysis, documenting processes, and identifyin...

Lead delivery of Salesforce Health Cloud/CRM programs across payer, provider, and hospital clients. Govern care management, patient engagement, referral workflows, and contact centre optimization. Oversee integration with EHR/HIS, claims systems, and FHIR/HL7 APIs, ensuring compliance with HIPAA/GDPR. Manage budgets, risks, dependencies, and vendor teams while aligning to Agile, DevOps, and Salesforce release cycles. Provide executive reporting and ensure scalable, secure, and compliant implementations. Proactively resolve conflicts, negotiate priorities, and align multiple teams (IT, clinical, operations) toward common objectives in tight timelines balancing customer and internal Mastek pri...

Dear Candidate, Greeting from ProArch! Thanks for Showing interest in ProArch IT Solutions as a Senior Business Analyst to join our team, and this is a Remote opportunity. We have reviewed your profile and believe that your experience and skills align well with the (Job). Please find the job description(Job Link) for your review. Job Description: Title : Senior Business Analyst Location: Remote Duration: 4+ Months (Can be extendable) Overview: ProArch is looking for a talented and detail-oriented Business Analyst to join our growing team. As a Business Analyst, you will be responsible for analyzing business needs, gathering requirements, and facilitating effective communication between stake...

Greetings from TCS !!! Job Title: Salesforce Health Cloud Location: PAN INDIA Experience Range: 5-14 years Job Details Must-Have Experience in Heroku Dynos, Slugs, Buildpacks Advanced knowledge of Salesforce CRM platforms Good knowledge on Care management,Clinical data management,Complete patient view, EHR integration,communities implementation Designing, coding, and implementing Salesforce applications LWC creation Good communication skills Good-to-Have Heroku integration Salesforce Shield security Deep knowledge on HTML, CSS Good Customization experience in classic Health insurance domain knowledge

As a Lead Product Manager in the US Healthcare industry, your role involves owning the end-to-end product lifecycle. This includes tasks such as ideation, market research, business case development, and overseeing the launch and adoption of healthcare solutions. You will collaborate closely with engineering, data, and design teams to ensure the delivery of scalable healthcare solutions such as risk adjustment, prior authorization, care management, and claims optimization. Furthermore, you will work in partnership with compliance and regulatory teams to integrate CMS, HIPAA, and state mandates into the product design. Your key responsibilities will include: - Driving competitive and market an...

Radon Global Tech Hiring .NET Production Support Engineers -(Healthcare Domain Mandatory) Share profiles to: recruiting@radonglobaltech.com Job Title: Production Support Engineer GuidingCare & .NET Experience: 6+ years Work Location: Pune, Vadodara, Chennai, Bengaluru, Hyderabad Mode: Hybrid / Remote Key Skills: .NET Core, C#, ASP.NET, Web API GuidingCare / Care Management Platforms (Healthcare domain) SQL Server, Stored Procedures, Performance Tuning Production Support Tools (ServiceNow, Splunk, Dynatrace, AppDynamics) Strong debugging, incident management & integration support (HL7, EDI, Batch Jobs) Responsibilities: Provide L2/L3 production support for .NET & GuidingCare applications. Mon...

As an Anesthesiologist, your primary responsibility will be to administer general and regional anesthesia to patients. You will be required to perform cardiopulmonary resuscitation (CPR) in emergency situations when a patient needs life-saving care. Gathering data from patients, medical charts, and collaborating with the medical care team will also be part of your duties. Monitoring patients" vital signs such as blood pressure, body temperature, heart rate, and respiration rate before and during procedures is crucial. You will be managing the care patients receive before and after anesthesia administration. Coordination with other healthcare team members to provide ventilator support and pai...

Visionet is looking for a passionate and experienced Senior Consultant to create and support innovative solutions for healthcare providers and health services. This role offers the opportunity to focus on transforming care coordination, enhancing digital engagement, and enabling population health management through technology. As a core member of the HLS Industry Solutions Team, you will be instrumental in translating provider workflows and data into effective tech-enabled offerings, contributing to the growth of our healthcare practice. We are seeking a highly motivated and collaborative individual with broad exposure across the provider solutions sector and deep expertise in 1-2 core areas...

The Coordinator of Quality and Care Management Services at LeConte Medical Center plays a vital role in integrating financial, clinical, and quality functions under the supervision of the Manager of Quality and Care Management. This position serves as a leader, innovator, and change agent in ensuring seamless care for patients across the continuum. By collaborating with the manager, nurse manager, and other healthcare professionals, the Coordinator promotes patient care continuity and quality through evidence-based practices and quality improvement initiatives. The primary focus is on identifying and implementing best practices using a multidisciplinary approach to enhance outcomes. Key resp...

Role & responsibilities Come join our team! Help us tackle the data usability challenge for payers. Your expertise and experience will help drive meaningful performance outcomes. You'll also have the chance to advance your career, acquire new skills, and collaborate with some of the most innovative minds in payer data management. We are seeking an experienced Business Analyst with Utilization Management and Care Management subject matter expertise to join our growing team. You will act as a liaison between business stakeholders, the data modeling team, and technical teams, ensuring client needs and business requirements are translated into actionable technical specifications resulting in sea...

Job Description: Solicit, review and analyze business requirements Write business and technical requirements Communicate and validate requirements with stakeholders Validate solution meets business needs Work with application users to develop test scripts and facilitate testing to validate application functionality and configuration Participate in organizational projects and/or manage small/medium projects related to assigned applications Translates customer needs into quality system solutions and ensures effective operational outcomes Focus on business value proposition*Apply understanding of 'As Is' and 'To Be' processes to develop solution Comply with the terms and conditions of the emplo...