SME Lead

Kresta Softech Private Limited

15 years

0 Lacs

hyderabad telangana india

Posted:1 month ago| Platform:

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Skills Required

healthcare compliance data cms technology management credentialing

Work Mode

On-site

Job Type

Full Time

Job Description

Role Highlights:

Position: SME/Advisory Lead

Experience:

Location:

Work Mode:

Notice Period:

Job Overview:

15–20+ years in healthcare operations, compliance, and provider data management.
Strong exposure to payer/provider ecosystems, NCQA, CMS, HIPAA requirements.
Experience partnering with technology teams to modernize CVO functions, portals, and provider data management systems.
Expertise in credentialing, compliance workflows, and provider lifecycle management.
Strong understanding of ERA/EFT, attestation services, and back-office operations.
Executive presence to lead customer-facing workshops and advisory sessions.
Ability to bridge business and technology and ensure continuity into implementation.

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