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Healthcare Payer Architect
Healthcare Payer ArchitectTata Consultancy Services • Canton, MA, United States
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Healthcare Payer Architect

Healthcare Payer Architect

Tata Consultancy Services • Canton, MA, United States
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Must Have Technical / Functional Skills

  • Experience leading design sessions and presenting complex business requirements to clients.
  • Strong understanding of PDLC & SDLC methodologies (e.g., Waterfall, Hybrid Agile, Agile / Scrum), with the ability to collaborate effectively with business units and technology teams on major initiatives.
  • Excellent understanding of configuration data management and data migration processes with knowledge on technical tools.
  • Proficient in version control and defect management tools such as Jira.
  • Self-motivated with the ability to manage multiple projects independently and with minimal supervision.
  • Proven customer relationship skills, including effective presentation and meeting facilitation.
  • Adhere to all organizational information security policies and protect all sensitive information including but not limited to ePHI and PHI in accordance with organizational policy and Federal, State, and local regulations

Roles & Responsibilities

  • Demonstrate in-depth knowledge around payer-side healthcare operations, with expertise in provider enrollment and services solutions with an understanding of costs and provider needs.
  • Collaborate with key stakeholders to translate business and technical requirements / issues into implementable products and solutions with necessary technical interfaces and integrations.
  • Create high-level architectural and design specifications with a focus on system integration and alignment with business processes.
  • Partner with customers to present business and technical solutions for complex functionalities / cross functional issues
  • Work closely with product and project teams to review and analyze requirements, identify gaps to present operational solutions and surface client needs to product teams.
  • Lead business transformation initiatives by aligning business capability models with value streams.
  • Integrate strategic business needs, process management, operations, and systems to deliver comprehensive solutions
  • Generic Managerial Skills, If any Work in Onsite-Offshore Model Key Words to search in Resume

    Salary Range : $100,000 - $140,000 a Year

    TCS Employee Benefits Summary : Discretionary Annual Incentive. Comprehensive Medical Coverage : Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans. Family Support : Maternal & Parental Leaves. Insurance Options : Auto & Home Insurance, Identity Theft Protection. Convenience & Professional Growth : Commuter Benefits & Certification & amp; Training Reimbursement. Time Off : Vacation, Time Off, Sick Leave & Holidays. Legal & Financial Assistance : Legal Assistance, 401K Plan, Performance Bonus, Colle ge Fund, Student Loan Refinancing.

    #LI-SP1

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