SME / Advisory Lead

10 - 20 years

0 - 3 Lacs

Posted:1 month ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Job Title:

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Role Definition

Healthcare Domain SME / Advisory Lead

bridge business and technology

Key Responsibilities

  • Lead

    executive-level workshops and discovery sessions

    across business and technology stakeholders.
  • Act as the

    business anchor

    for provider data modernization, credentialing, and compliance workflows.
  • Ensure

    technical solutions align with healthcare compliance standards

    (NCQA, CMS, HIPAA).
  • Partner with technology teams to modernize

    CVO functions, portals, and provider data systems

    .
  • Own coordination of

    advisory streams and proposal development

    .

Experience Level

  • 15–20+ years in

    healthcare operations, compliance, and provider data management

    .
  • Strong exposure to

    payer/provider ecosystems

    , NCQA, CMS, HIPAA requirements.
  • Experience collaborating with technology teams to drive modernization of

    credentialing and provider data systems

    .

Skills Needed

  • Deep expertise in

    credentialing, compliance workflows, and provider lifecycle management

    .
  • Knowledge of

    ERA/EFT, attestation services, and back-office operations

    .
  • Strong

    executive presence

    to lead customer-facing workshops and advisory sessions.
  • Ability to

    bridge business and technology

    and ensure seamless transition into implementation.

Advisory Team Value

3-member advisory pod

  • Lead workshops and discovery sessions across all 7 priority areas.
  • Provide

    deep AWS expertise

    as the foundation for modernization, automation, and AI adoption.
  • Align

    technology strategy with healthcare compliance requirements

    (credentialing, provider data, workflows).
  • Transition seamlessly from

    advisory to implementation leadership

    in each workstream.

Employment Type:

Industry:

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