Talent.com
No longer accepting applications
Domain Expert - HealthCare

Domain Expert - HealthCare

Tredence Inc.vapi, gujarat, in
1 day 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

    Healthcare Domain • vapi, gujarat, in

    Related jobs
    • Promoted
    Executive

    Executive

    Micro Crispr Pvt. Ltd.vapi, gujarat, in
    Develop the global regulatory strategies for biologic products across all development phases (preclinical to post-marketing) for the (US, EU, and ROW). Ensure alignment with business goals and regul...Show moreLast updated: 15 days ago
    • Promoted
    Senior Statistical Programmer

    Senior Statistical Programmer

    CytelVapi, Gujarat, India
    Sponsor-dedicated : Working fully embedded within one of our pharmaceutical clients, with the support of Cytel right behind you, you'll be at the heart of our client's innovation.As a Senior Statist...Show moreLast updated: 30+ days ago
    • Promoted
    Aep Rt Cdp Expert

    Aep Rt Cdp Expert

    HARPVapi, Republic Of India, IN
    Deliver solutions for integrating various CRMs with Marketing Cloud.Integrate multiple tools using REST APIs and Webhooks. Connect AEP RT CDP with Marketing Cloud Interaction Studio and third-party ...Show moreLast updated: 1 day ago
    • Promoted
    PortaOne Implementation and Configuration Expert

    PortaOne Implementation and Configuration Expert

    APPIT Software Incvapi, gujarat, in
    Core Implementation & Deployment.Lead end-to-end deployment, configuration, and hardening of PortaSwitch (PortaBilling and PortaOne VoIP Switch) environments. Configure advanced routing logic, inclu...Show moreLast updated: 1 day ago
    • Promoted
    Search Engine Optimization Specialist

    Search Engine Optimization Specialist

    ConfidentialVapi, India
    Develop and Execute SEO strategies for our website and digital properties.Optimize website content and structure for search engines. Monitor and Report SEO performance.Stay up-to-date on the latest ...Show moreLast updated: 19 days ago
    • Promoted
    AS400 Developer – Healthcare & Claims Processing

    AS400 Developer – Healthcare & Claims Processing

    Onesmarter Incvapi, gujarat, in
    Job Title : AS400 Developer – Healthcare & Claims Processing.Develop, maintain, and optimize AS400-based applications for healthcare claims processing. Ensure seamless integration of claims data with...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Device Regulatory Affairs Professional

    Medical Device Regulatory Affairs Professional

    MerilVapi, Republic Of India, IN
    Regulatory Affairs Executive – Regulatory & Safety (Radiology & Imaging Systems).Regulatory & Safety – Radiology Division. Manager / Senior Manager – Regulatory & Safety.X-Ray, C-Arm, Digital Radiog...Show moreLast updated: 15 days ago
    • Promoted
    As400 Developer – Healthcare & Claims Processing

    As400 Developer – Healthcare & Claims Processing

    Onesmarter IncVapi, Republic Of India, IN
    Job Title : AS400 Developer – Healthcare & Claims Processing.Develop, maintain, and optimize AS400-based applications for healthcare claims processing. Ensure seamless integration of claims data with...Show moreLast updated: 30+ days ago
    • Promoted
    • New!
    Credentialing Specialist

    Credentialing Specialist

    PangeaEmr LLCvapi, gujarat, in
    PangeaEmr is a USA based comprehensive solution provider for private medical practices, offering a wide range of services through a single dashboard. Our services include credentialing, medical bill...Show moreLast updated: 11 hours ago
    • Promoted
    Principal Analytics Consultant

    Principal Analytics Consultant

    Prospectionvapi, gujarat, in
    Are you passionate about turning real-world healthcare data into actionable insights that improve patient outcomes? At.RWD) to deliver high-impact outcomes for pharmaceutical companies, healthcare ...Show moreLast updated: 30+ days ago
    • Promoted
    Anaplan Professional

    Anaplan Professional

    ConfidentialDaman
    Collaborate with cross-functional teams to design and implement Anaplan solutions.Develop and maintain complex models using Anaplan's modeling capabilities. Analyze business requirements and provide...Show moreLast updated: 6 days ago
    • Promoted
    • New!
    Freelance Expert – Pharma Automation & Industry 4.0 Transformation

    Freelance Expert – Pharma Automation & Industry 4.0 Transformation

    nicheBrainsvapi, gujarat, in
    Brains is a modern consulting platform that aims to democratize digital transformation for Micro, Small, and Medium Enterprises (MSMEs). The platform connects leaders of SMEs with industry experts o...Show moreLast updated: 11 hours ago
    • Promoted
    Medical Device Interface Specialist

    Medical Device Interface Specialist

    MerilVapi, Republic Of India, IN
    Job Title-UI-UX Developer - Medical Device SoftwarePosition OverviewWe are seeking a Senior UI / UX Developer to design and develop the user interface for a surgical robotics application.This role re...Show moreLast updated: 30+ days ago
    • Promoted
    Founding Engineer

    Founding Engineer

    iksa.aivapi, gujarat, in
    EHRs, labs, claims, and devices into a single intelligent layer that lives inside healthcare organizations’ cloud environments. We’re a team of clinicians and AI engineers who’ve : .Managed chronic-ca...Show moreLast updated: 13 days ago
    • Promoted
    LinkedIn Optimization Expert

    LinkedIn Optimization Expert

    Asahi Technologies LLCvapi, gujarat, in
    I’m looking for an experienced.LinkedIn Optimization & Growth Specialist.The ideal candidate has a proven track record of optimizing profiles, crafting high-quality content, and delivering measurab...Show moreLast updated: 1 day ago
    • Promoted
    AI expert

    AI expert

    Huminticvapi, gujarat, in
    Humintic is a global leader in AI-driven value creation, business transformation, and data analytics for enterprises, including Fortune 500 companies. Serving diverse industries like Banking, EdTech...Show moreLast updated: 11 days ago
    • Promoted
    Full-Stack Lead Developer High End Wellness Hospitality(Equity Only - Remote) Worldwide

    Full-Stack Lead Developer High End Wellness Hospitality(Equity Only - Remote) Worldwide

    Pranissavapi, gujarat, in
    Remote
    Pranissa is a top-tier wellness and longevity platform connecting individuals with exceptional Wellness and longevity destinations, evidence-based wellness resorts, and age-defying experiences worl...Show moreLast updated: 30+ days ago
    • Promoted
    Healthcare Solution Analyst

    Healthcare Solution Analyst

    Projile Corporationvapi, India
    Healthcare Solutions Analyst (Remote for US Startup) .Projile is a fast-growing healthcare technology company building a cloud-based . Our solutions empower healthcare providers, payers, and .North ...Show moreLast updated: 2 days ago