Product Manager Payer

Virtusa

14 - 18 years

9 - 13 Lacs

chennai

Posted:4 days ago| Platform:

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Skills Required

cms compliance gap analysis product manager edi presales qnxt

Work Mode

Work from Office

Job Type

Full Time

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
Ability to Interpret and map HIPAA X12 EDI transaction sets (eg, 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

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