Talent.com
No longer accepting applications
(Apply Now) Domain Expert - HealthCare

(Apply Now) Domain Expert - HealthCare

Tredence Inc.India
22 days ago
Job description

We are seeking a highly skilled and experienced SME in US Healthcare Payer and Provider Data and Analytics space. You will work closely on Payer and Provider solutions to design, implement, and optimize value-based care analytics, Population health, utilization management, member engagement, clinical and claims analytics leveraging data management, analytics, AI / ML, and GenAI to improve outcomes, reduce costs, and enhance patient experiences.

Key Responsibilities :

Value-Based Care Strategy & Implementation

  • Champion data and analytics solution offerings across value-based care, care management, member engagement, clinical and claims analytics.
  • Advise payers and providers on operational analytics, population health, utilization management, and care coordination to enable VBC success.

Data-Driven Insights & Performance Optimization

  • Collaborate with data engineering and analytics teams to design dashboards and AI-driven predictive models for patient stratification, readmission prevention, and cost optimization.
  • Shape next-gen solutions leveraging Agentic AI for clinical decision support, prior authorization, claims adjudication, and RCM workflows.
  • Provide strategic guidance on integrating EHR, claims, and SDoH data to deliver measurable improvements in quality and cost outcomes.

    • Stakeholder Engagement & Advisory

  • Drive requirement discussions, solution strategy, scope and approach to evangelize the solutions development with technical team.
  • Support sales and business development teams by providing subject matter expertise in client discussions, RFP responses, and solution demonstrations.

    • Regulatory Compliance & Market Trends

  • Stay updated on healthcare policies, CMS regulations, and emerging VBC trends to ensure clients remain compliant and competitive.
  • Conduct industry research and contribute to whitepapers, webinars, and client education sessions on value-based care strategies.

    • Required Skills and Experience :

    Domain Expertise

  • Deep understanding of value-based care models, population health management, and risk-based payment arrangements.
  • Experience with payer-provider integrations, data and analytics modernization requirements to drive customer use cases

    • Technical & Analytical Proficiency

  • Knowledge of healthcare data sources, including claims, EHR, Labs, HIEs, and SDoH.
  • Experience with data analytics, AI / ML in healthcare, and performance measurement tools (e.g., Power BI, Tableau, Databricks, Azure, AWS).

    • Communication & Leadership Skills

  • Strong ability to engage with executive-level stakeholders and translate complex VBC concepts into actionable strategies.
  • Excellent presentation and writing skills for client engagements, proposals, and thought leadership.

    • Industry Experience

  • 8-10 years of experience in healthcare consulting, payer or provider organizations, or health tech firms focusing on value-based care.
  • Experience in crafting solution offerings, detailing requirements, scope and coming up with right messaging and value proposition

    • Preferred Qualifications :

  • Bacheleor’s or Master’s degree in Engineering, Business, Data Science or related field.
  • Certifications in value-based care, population health, or healthcare analytics (e.g., CHIE, CPHIMS).

    • Experience working with health systems, ACOs, or payers on VBC program implementations.

    Create a job alert for this search

    Apply Now • India

    Related jobs
    • Promoted
    Specialist - Privacy Implementation

    Specialist - Privacy Implementation

    Baldor Technologies Private Limited (IDfy)Nagpur, IN
    IDfy is Asia’s leading TrustStack, trusted by the best, with global expertise and enterprise-grade tech, we’re solving trust challenges, making compliance easy,fraud detection smarter, and onboardi...Show moreLast updated: 16 days ago
    • Promoted
    Healthcare Coordinator

    Healthcare Coordinator

    IntellAnalyticsNagpur, IN
    IntellAnalytics INC is a leading healthcare data solutions company committed to improving provider directory accuracy and supporting healthcare organizations with robust data management processes.W...Show moreLast updated: 26 days ago
    • Promoted
    Clinical Data Programmer - SAS + Elluminate

    Clinical Data Programmer - SAS + Elluminate

    SIRONagpur, IN
    Create and / or review derive data specifications as per the standards for SDTM, ADaM datasets and pooled analysis (ISS / ISE) datasets. Experience with Principal SQL + Elluminate.Experience with R Pro...Show moreLast updated: 30+ days ago
    • Promoted
    Senior SAS Programmer / Lead Programmer - CRO / Pharmaceutical Domain

    Senior SAS Programmer / Lead Programmer - CRO / Pharmaceutical Domain

    ApicalGo ConsultancyIndia
    PRIMARY PURPOSE : The Lead Clinical SAS Programmer designs, develops, evaluates and modifies computer programs to analyze and evaluate clinical data, recognizes incon...Show moreLast updated: 30+ days ago
    • Promoted
    Statistical Programmer (data standards)

    Statistical Programmer (data standards)

    IQVIANagpur, IN
    Senior Clinical data standards specialist.Statistical programming domain especially clinical operations (In the area of Data management, Database programming, Data Standards, Statistical programmin...Show moreLast updated: 16 days ago
    • Promoted
    Sterling OMS Developer

    Sterling OMS Developer

    Everest Technologies, IncNagpur, IN
    The ideal candidate will be responsible for designing, developing, and implementing solutions on the.IBM Sterling Order Management System (OMS). Design, develop, and implement solutions using.APIs, ...Show moreLast updated: 6 days ago
    • Promoted
    Senior Solutions Specialist

    Senior Solutions Specialist

    LabcorpNagpur, IN
    We are a global leader of innovative and comprehensive laboratory services that helps doctors, hospitals, pharmaceutical companies, researchers and patients make clear and confident decisions.Throu...Show moreLast updated: 26 days ago
    • Promoted
    AppScan Product _Lead SDET_Remote Location

    AppScan Product _Lead SDET_Remote Location

    HCLSoftwareNagpur, IN
    Remote
    HCL Software” : - Is a Product Development Division of HCL Tech : That operates its primary Software business.At HCL Software we Develop, Market, Sell and Support over 20 Product families in the area...Show moreLast updated: 25 days ago
    • Promoted
    Clinical Data Configurator (SAS / SQL + R-Shiny)

    Clinical Data Configurator (SAS / SQL + R-Shiny)

    SIRONagpur, IN
    Create and / or review derive data specifications as per the standards for SDTM, ADaM datasets and pooled analysis (ISS / ISE) datasets. Perform development and validation of analysis dataset, tables, ...Show moreLast updated: 30+ days ago
    • Promoted
    Subject Matter Expert (Medical) - 47545

    Subject Matter Expert (Medical) - 47545

    TuringIndia, India
    Based in San Francisco, California, Turing is the world’s leading.AI labs and a trusted partner for global enterprises deploying advanced AI systems. Turing supports customers in two ways : first, by...Show moreLast updated: 26 days ago
    • Promoted
    Healthcare Research Analyst - 45737

    Healthcare Research Analyst - 45737

    TuringNagpur, IN
    Based in San Francisco, California, Turing is the world’s leading.AI labs and a trusted partner for global enterprises deploying advanced AI systems. Turing supports customers in two ways : first, by...Show moreLast updated: 27 days ago
    • Promoted
    Certification Specialist (Informed) supporting LGC Group

    Certification Specialist (Informed) supporting LGC Group

    UK India Business CouncilNagpur, IN
    Informed is a market-leading global brand that builds trust in the sports nutrition sector.Its programmes set the benchmark to provide assurance sports nutrition products are safer, free from conta...Show moreLast updated: 6 days ago
    • Promoted
    Subject Matter Expert (IT) - 47546

    Subject Matter Expert (IT) - 47546

    TuringNagpur, IN
    Based in San Francisco, California, Turing is the world’s leading.AI labs and a trusted partner for global enterprises deploying advanced AI systems. Turing supports customers in two ways : first, by...Show moreLast updated: 26 days ago
    • Promoted
    Integration Developer

    Integration Developer

    Vriba SolutionsNagpur, IN
    PM IST to 3 : 30 AM IST (US Shift).Immediate joiners preferred (15–30 days max).We are looking for an experienced.Integration Developer (5–10 years). The role requires working closely with cross-funct...Show moreLast updated: 30+ days ago
    • Promoted
    Search Engine Optimization Specialist

    Search Engine Optimization Specialist

    The Global HuesRepublic Of India, IN
    SEO Expert / Digital Marketing Expert Are you obsessed with rankings, analytics, and the thrill of organic growth? If “Google it” is your instinctive move for everything — you might just be who we’...Show moreLast updated: 5 days ago
    • Promoted
    Senior Statistical Programmer

    Senior Statistical Programmer

    CytelNagpur, IN
    Our commitment to developing our staff is only surpassed by our commitment to advancing treatment options available to patients. At Cytel, we work hard to create successful careers with significant ...Show moreLast updated: 30+ days ago
    • Promoted
    Trader

    Trader

    GoQuantNagpur, IN
    Trader – GoQuant Technologies Inc.GoQuant develops solutions that make life easier and more profitable for digital asset traders and researchers. We do so primarily by increasing transparency, boost...Show moreLast updated: 30+ days ago
    • Promoted
    Healthcare Integration Specalist

    Healthcare Integration Specalist

    Lenia HealthNagpur, IN
    We’re a fast-growing healthcare data services company focused on secure, intelligent data exchange.By simplifying interoperability and automating workflows, we help healthcare organisations connect...Show moreLast updated: 9 days ago