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Senior Software Engineer

6 - 11 years

14 - 15 Lacs

Posted:Just now| Platform: Naukri logo

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Job Type

Full Time

Job Description

Oracle Fusion CX Cloud
Job Summary:
An Oracle Fusion Customer Service (CS) Techno-Functional Consultant with proven experience in Oracle Service Cloud (part of Oracle CX suite) to support healthcare-specific service operations. This role will bridge technical expertise and business understanding to deliver scalable patient/member service solutions aligned with regulatory and operational needs in the healthcare environment.
Key Responsibilities:
Functional Responsibilities:
  • Gather and analyze requirements from healthcare operations, contact centers, provider support, and member services teams.
  • Configure Oracle Service Cloud modules including:
    • Service Request Management
    • Knowledge Management
    • Agent Desktop / Workspaces
    • Queues, SLA, and Workflow Rules
    • Incident Management
    • Multichannel Communication (email, chat, phone, web portal)
  • Design solutions to support healthcare-specific use cases like:
    • Member or patient inquiries and issue resolution
    • Provider service requests and credentialing follow-ups
    • Support for prior authorization, claims status, and appointment escalations
  • Define and configure service level agreements (SLAs), escalations, and assignment logic.
Technical Responsibilities:
  • Customize Oracle Service Cloud using:
    • BUI Extensions, JavaScript, and PHP (for older RightNow implementations)
    • Scripting and automation rules
    • Workflow Designer for guided resolution flows
  • Integrate Oracle Service Cloud with:
    • EHRs (like EPIC or Cerner)
    • CRM, Claims, or Eligibility systems
    • Identity systems for patient/member login and profile sync
  • Build reports and dashboards using Analytics and BI Publisher to track:
    • Call center KPIs (first call resolution, AHT, SLA compliance)
    • Request trends by category, escalation, and time
  • Support REST/SOAP API-based integrations for omnichannel communication and external system interoperability.

Required Skills & Experience:
  • 6+ years of experience in customer service or CRM solutions, with hand-on in Oracle Service Cloud / Fusion CX / RightNow .
  • Strong techno-functional expertise in configuration, scripting, workflow, and case management.
  • Experience in healthcare service operations, such as:
    • Member engagement
    • Provider relations
    • Claims or benefits support
  • Understanding of healthcare data sensitivity, HIPAA compliance, and audit trail requirements.

Preferred Qualifications:
  • Experience integrating with healthcare applications (EHR, PBM, Claims, Payer Core)
  • Knowledge of Genesys or Twilio integration for telephony
  • Familiarity with digital front doors, patient/member portals, or virtual agents
  • Oracle CX Cloud or Service Cloud certification [Good to have]

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