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7 - 9 years
14 - 24 Lacs
Chennai, Bengaluru, Hyderabad
Work from Office
Exciting Opportunity for an IRIS Engineer Experience : 7 to 9 Years Locations : Bangalore, Chennai , Hyderabad , Mumbai , Vadodara Notice Period :Immediate to 30 Days . Share updated CVS on sandeep.a@talent21.in We are looking for a talented IRIS Engineer to join our dynamic team. This role offers the chance to work with cutting-edge technologies and engage in impactful projects. Key Responsibilities: Programming Expertise: Leverage your strong programming skills to independently manage and execute various tasks with minimal supervision. Data Integration Design: Lead the design and implementation of data integrations between HIE partners and internal On-prem/Cloud systems using InterSystems IRIS. Debugging & Defect Resolution: Identify and resolve defects in InterSystems IRIS related to internal solutions, ensuring smooth operation and system efficiency. Custom Object Scripts: Develop tailored object scripts to meet specific client needs and enhance system functionalities. Message Transformation: Create XSLTs and DTLs to seamlessly convert CCDA/FHIR/HL7 messages into SDA format and vice versa. Systems Development & Support: Generate design and technical specifications from business requirements, ensuring systems are developed and supported to meet organizational needs. Collaboration: Work closely with developers and technical leads, participating in code reviews and adhering to best practices. Required Skills: Software Development: A strong background in software development is essential for this role. Time Management: Demonstrated ability to plan and manage time efficiently, with a proactive and highly organized approach. InterSystems IRIS & ObjectScript: In-depth experience working with InterSystems IRIS, particularly within the healthcare domain, along with expertise in ObjectScript. Integration Protocols: Familiarity with key integration protocols, such as TCPIP/MLLP, SFTP, REST, and SOAP. DTL Mappings: Ability to create DTL mappings from SDA and design workflows to process documents effectively. Custom Business Services & Operations: Experience in developing custom business services, processes, and operations. Messaging Standards: Expertise in messaging standards like CCDA, HL7, FHIR, JSON, and XML, ensuring smooth communication and data flow across systems. This is an exceptional opportunity for experienced IRIS Engineers who are eager to take on challenging and rewarding work. If you're passionate about system integration and have a strong background in healthcare technology, we would love to hear from you!
Posted 3 months ago
3 - 5 years
4 - 6 Lacs
Chennai
Work from Office
Full-stack dev for a Viewer app, blending backend & UI. Debug, optimize, & add AI analytics. Ensure stability, scalability, & security (HIPAA/GDPR). Collaborate on deployment, troubleshoot, and boost performance.
Posted 3 months ago
25 - 30 years
75 - 80 Lacs
Chennai
Work from Office
Position Summary: This executive will be responsible for the Healthcare Payer domain will lead the strategic vision, operations, and innovation for the organization's payer-related services. He will be responsible for driving initiatives that improve payer processes, enhance member and provider experiences, and optimize cost and efficiency. Also he will work closely with executive leadership and healthcare partners to ensure the organization remains competitive and compliant in a rapidly evolving industry. Key Responsibilities: 1. Strategic Leadership: Develop and execute a comprehensive strategy for the payer domain, focusing on member engagement, claims processing, provider relationships, and cost containment. Identify opportunities for innovation and implement solutions leveraging data analytics, AI, and automation to improve payer operations. Stay informed about industry trends, regulatory changes (e.g., CMS, ACA), and market dynamics to adapt strategies accordingly. 2. Operational Excellence: Oversee end-to-end payer operations and customer service. Ensure efficient and accurate processing of claims and reimbursement in compliance with industry standards. Drive initiatives to reduce administrative costs and improve overall operational efficiency. 3. Technology & Data Integration: Collaborate with technology teams to implement advanced platforms for claims adjudication, payment integrity, and member engagement. Leverage data analytics and predictive modeling to enhance risk management, improve care outcomes, and optimize value-based payment models. Ensure interoperability and compliance with healthcare standards such as EDI, HIPAA, and FHIR. 4. Leadership & Team Building: Build and lead high-performing teams across payer operations, technology, and analytics functions. Foster a culture of collaboration, accountability, and continuous improvement. Provide mentorship and leadership development opportunities for team members. 5. Stakeholder Management: Partner with providers, employers, brokers, and regulatory agencies to strengthen relationships and improve service delivery. Collaborate with clinical teams to align payer strategies with population health management and care delivery goals. Represent the organization at industry forums, conferences, and regulatory meetings. 6. Financial Management: Develop and oversee budgets for payer operations, ensuring cost-effectiveness and ROI. Identify opportunities to enhance revenue streams and reduce medical loss ratios (MLR). Qualifications: Bachelors degree in Healthcare Administration, Business Management, or a related field; advanced degree (MBA, MHA) strongly preferred. 25+ years of experience in leadership roles within the healthcare payer sector. Proven expertise in claims management, value-based payment models, risk adjustment, and member engagement. Strong knowledge of payer-specific regulations, including CMS, HIPAA, and ACA. Experience with technology solutions for payer operations, including claims adjudication systems, analytics platforms, and CRM tools. Exceptional strategic thinking, decision-making, and problem-solving skills. Outstanding communication and interpersonal abilities, with experience working with executive leadership and external partners. Key Competencies: Visionary leadership with a strong focus on payer transformation and innovation. Deep understanding of healthcare payer operations and regulatory environments. Skilled in financial management, including reducing administrative costs and improving MLR. Ability to lead large-scale projects and manage cross-functional teams.
Posted 3 months ago
3 - 7 years
0 - 17 Lacs
Bengaluru, Hyderabad
Work from Office
The work you will do includes: Translate business requirements into detailed user stories and acceptance criteria. Prioritize and maintain the product backlog, ensuring alignment with business goals and project timelines. Conduct thorough analysis of business processes and systems to identify solution needs. Work with technical teams to design and propose solutions that meet business requirements. Assist in the configuration, testing, and deployment of health plan platforms. Provide support and training to end-users on health plan platform functionalities. Understand the business architecture of health plans, including organizational structure, business processes, and information flows. Assist in mapping business processes to technology solutions, ensuring alignment with strategic goals. Develop a strong understanding of health plan processes, including L2 and L3 processes for one or two functions or capability groups. Evaluate the potential impact of new technologies on health plan operations and recommend adoption strategies.
Posted 3 months ago
7 - 12 years
8 - 14 Lacs
Bengaluru
Work from Office
Health Consulting Practitioner (Interoperability) Find endless opportunities to solve our clients toughest challenges, as you work with exceptional people, the latest tech and leading companies across industries. Practice:Health & Public Service, Industry Consulting, Capability Network I Areas of Work:Healthcare Consulting (Payers and Provider) | Level:Manager | Location:Gurgaon/Mumbai/Bangalore/ Hyderabad/Pune/Kolkata/Chennai | Years of Exp:7-12 years Explore an Exciting Career at Accenture Are you an outcome-oriented problem solver? Do you enjoy working on transformation strategies for global clients? Does working in an inclusive and collaborative environment spark your interest? Then, Accenture Strategy and Consulting is the right place for you to explore limitless possibilities. As a part of the Accenture Health Practice, our 4000+ practitioners across the globe, help our clients make a meaningful impact on patients' lives through New Science, novel medical technologies and better collaboration. Together, let's deliver more effective, affordable, personalized patient outcomes. In this practice, you'll help drive our Healthcare clients' strategy and business planning efforts, with the following initiatives: Support small to medium-size teams to deliver management consulting projects for global clients. Help define commercial strategy, strategy implementation, market scoping, customer journeys, go-to-market strategy, and process improvement. Contribute as a part of pursuit teams, develop proposals and support efforts of the global sales team to win potential opportunities within the practice. Build the practice and track metrics. Also, develop assets and methodologies, pointof-view, research or white papers, internal tools or materials for use by larger community. Acquire skills that have utility across Health industry groups. Draw insights from complex financial and quantitative analysis and integrate these findings across work streams and come up with an overall plan to drive strategy and solution development. Structure and implement forecasting models and identify transformation opportunities. Identify company's key cost and value drivers and explain their priority and influence on business performance. Develop strategies and operating models focused on 1 or 2 business units and assess likely competitive responses. Also, assess implementation readiness and points of greatest impact. Manage proposals and business development efforts and coordinates with other colleagues to create consensus driven deliverables. Execute a transformational change plan aligned with client's business strategy. Engage stakeholders in the change journey and build commitment for change. Demonstrates good sales acumen, apply client knowledge, Accenture sales, opportunity management and contract processes to structure high impact solutions for clients. Lead presentations for the entire project with the client. Advocate a point of view and orchestrates, address difficult questions during presentations Bring your best skills forward to excel in the role: Qualifications Health Industry expertise with understanding of US healthcare ecosystem on how health insurance is offered, administered, serviced, and managed in different categories End-to-end understanding of payer and/or provider functional value chain components Proven team handling skills with an ability to engage effectively with multiple stakeholders Ability to solve complex business problems and deliver client delight Strong writing skills to build point of views on current industry trends Good analytical and problem-solving skills with an aptitude to learn quickly Excellent communication, interpersonal and presentation skills Cross-cultural competence with an ability to thrive in a dynamic environment Read more about us. Recent Blogs Your experience counts! MBA from Tier-1 B-Schools OR a postgraduate degree with rich experience of working in US healthcare consulting domain will be a good fit 7-12 years of relevant experience End-to-end understanding of payer and/or provider functional value chain components with focus on cost reduction or transformation engagements Prior experience of working with US healthcare companies preferable or must have worked across engagements with US healthcare clients Should have project and consulting experience in working around key areas of Interoperability (any 3-5):o Practitioner-level knowledge of Health data standards (HL7 V2, V3, CDA, FHIR Version 4 and 4B, OMOP etc.) o Practitioner-level knowledge of health data terminologies (ICD, CPT, SNOMED CT, LOINC, HCPCS, NUBC, RxNORM, DICOM etc.) o Know-how on health data formats (EDI, JSON, XML etc.) o Regulatory Advisory and Assessment (Synthesize Acts and Regulations such as CMS and ONC Rules in US, GDPR or EHDS in EU etc.) o Prior knowledge in Clinical, Claims and Prior Auth Data Management o Health data information model design and data mapping o Health data adequacy and validation assessment, effort and resource model estimation Exposure to Data Strategy and GenAI for Health Use Cases will be added advantage Whats in it for you? An opportunity to work on transformative projects with key G2000 clients Potential to Co-create with leaders in strategy, industry experts, enterprise function practitioners and, business intelligence professionals to shape and recommend innovative solutions that leverage emerging technologies. Ability to embed responsible business into everythingfrom how you service your clients to how you operate as a responsible professional. Personalized training modules to develop your strategy & consulting acumen to grow your skills, industry knowledge and capabilities Opportunity to thrive in a culture that is committed to accelerate equality for all. Engage in boundaryless collaboration across the entire organization. About Accenture:Accenture is a leading global professional services company, providing a broad range of services and solutions in strategy, consulting, digital, technology and operations. Combining unmatched experience and specialized skills across more than 40 industries and all business functions underpinned by the worlds largest delivery network Accenture works at the intersection of business and technology to help clients improve their performance and create sustainable value for their stakeholders. With 624,000 people serving clients in more than 120 countries, Accenture drives innovation to improve the way the world works and lives. Visit us at www.accenture.com About Accenture Strategy & Consulting:Accenture Strategy shapes our clients future, combining deep business insight with the understanding of how technology will impact industry and business models. Our focus on issues such as digital disruption, redefining competitiveness, operating and business models as well as the workforce of the future helps our clients find future value and growth in a digital world. Today, digital is changing the way organizations engage with their employees, business partners, customers and communities. This is our unique differentiator. To bring this global perspective to our clients, Accenture Strategys services include those provided by our Capability Network a distributed management consulting organization that provides management consulting and strategy expertise across the client lifecycle. Our Capability Network teams complement our in-country teams to deliver cutting-edge expertise and measurable value to clients all around the world. For more information visit https://www.accenture.com/us-en/Careers/capability-network Accenture Capability Network | Accenture in One Word At the heart of every great change is a great human. If you have ideas, ingenuity and a passion for making a difference, come and be a part of our team.
Posted 3 months ago
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