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Healthcare Domain Expert

Healthcare Domain Expert

Cognida

8 - 13 years

6 - 10 Lacs

hyderabad

Posted:2 hours ago| Platform:

Apply

Skills Required

stakeholder engagement automation data validation process optimization claims process improvement healthcare operations analytics auditing

Work Mode

Work from Office

Job Type

Full Time

Job Description

About Cognida.ai

Our Purpose

is to boost your competitive advantage using AI and Analytics.

We Deliver

tangible business impact with data-driven insights powered by AI. Drive revenue growth, increase profitability and improve operational efficiencies.

We Are

technologists with keen business acumen - Forever curious, always on the front lines of technological advancements. Applying our latest learnings, and tools to solve your everyday business challenges.

We Believe

the power of AI should not be the exclusive preserve of the few. Every business, regardless of its size or sector deserves the opportunity to harness the power of AI to make better decisions and drive business value.

We See

a world where our AI and Analytics solutions democratise decision intelligence for all businesses. With Cognida.ai, our motto is No enterprise left behind .

About the Role

We are seeking an experienced

Healthcare Domain Expert specializing in Subrogation and Cost Containment

to join our team. This role is critical in bridging the gap between our technology teams and our clients business stakeholders. The ideal candidate will possess deep domain knowledge in healthcare insurance, subrogation workflows, cost containment strategies, claims lifecycle management, plan document generation, plan document review, and regulatory landscapes.

The person will work directly with Client s business team, translate their needs into actionable technology requirements, and identify new opportunities to enhance and optimize their offerings. His / her insights will guide our development team in delivering value-driven, domain-aligned solutions.

Qualifications

Bachelors degree

8+ years of experience

Position:

Healthcare SME

Location:

Hyderabad, India

Key Responsibilities

Client & Stakeholder Engagement

Act as the primary domain liaison between our development team and the client s business team.
Lead requirement-gathering sessions, clarify business needs, and translate them into functional and technical requirements.
Provide domain thought leadership during client discussions

Domain Expertise & Opportunity Identification

Understand, analyze, and map current processes related to
subrogation, cost containment, claims review, overpayment recovery, coordination of benefits (COB), compliance
, etc
Identify gaps, inefficiencies, and opportunities for process improvement, automation, and product enhancement.
Evaluate client pain points and emerging industry trends to propose innovative solutions and value-add initiatives.

Requirements Analysis & Solutioning

Collaborate with business and development teams to ensure requirements are accurately documented and implemented.
Review deliverables to ensure solutions meet domain expectations and regulatory guidelines.
Support development teams with domain clarifications.

Required Qualifications

8+ years of experience
in healthcare insurance, specifically in
subrogation, cost containment, claims management, or payment integrity
.
Hands-on experience working with payer/TPA systems, legal recovery processes, data validation, or audit frameworks.
Excellent communication skills with the ability to work with technical and non-technical stakeholders.
Experience participating in or driving business discovery, requirements elicitation, and process optimization.

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Healthcare Domain Expert

Experience & Salary

Skills Required

Work Mode

Job Type

Job Description

About Cognida.ai

Our Purpose

We Deliver

We Are

We Believe

We See

About the Role

Healthcare Domain Expert specializing in Subrogation and Cost Containment

Qualifications

Position:

Location:

Key Responsibilities

Client & Stakeholder Engagement

Domain Expertise & Opportunity Identification

subrogation, cost containment, claims review, overpayment recovery, coordination of benefits (COB), compliance

Requirements Analysis & Solutioning

Required Qualifications

8+ years of experience

subrogation, cost containment, claims management, or payment integrity

More Jobs at Cognida