No longer accepting applications

Domain Expert - HealthCare

Tredence Inc.Erode, IN

4 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

Domain Expert • Erode, IN

Related jobs

Promoted
New!

Domain Expert– SCM & Logistics

HireologistTiruppur, IN

Subject Matter Expert (SME) – SCM & Logistics.Supply Chain & Logistics Subject Matter Expert (SME).The SME will work closely with product, operations, engineering, and business teams to provide dom...Show moreLast updated: 4 hours ago

Promoted
New!

Search Engine Optimization Specialist

Egg Preservation Institute of AsiaSalem,Tamil Nadu, IN

Position : SEO Specialist (Part-Time, Remote).Hours : ~15–25 hours per week (flexible).Industry : Fertility, Women’s Health, Wellness. We are looking for an experienced SEO Specialist to improve and ma...Show moreLast updated: 4 hours ago

Promoted

Principal Analytics Consultant

ProspectionSalem,Tamil Nadu, 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

Founding Engineer

iksa.aiSalem,Tamil Nadu, 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: 16 days ago

Promoted

Credentialing Specialist

PangeaEmr LLCErode, 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: 3 days ago

Promoted

Medical Specialist

Second Medical Opinion (SMO)Erode, IN

We Are Hiring Senior Medical Specialists Across India.Second Medical Online Opinion (SMO) – Transforming Patient Care Nationwide. Second Medical Online Opinion (SMO).India’s most trusted network of ...Show moreLast updated: 12 days ago

Promoted
New!

Expert Website Designer

Eclectique F&B ConceptsErode, IN

About Eclectique F & B Concepts.Eclectique F&B Concepts, a dynamic lifestyle organization, has been creating fresh and extraordinary experiences since 2015. Our mission is to make unique and memorab...Show moreLast updated: 18 hours ago

Promoted

Search Engine Optimization Specialist

Oyster indiaSalem,Tamil Nadu, IN

Oyster HR is hiring : Search Engine Optimization (SEO) Specialist.Search Engine Optimization Specialist.If you’re passionate about search, analytics, and helping great content get discovered, we’d l...Show moreLast updated: 1 day ago

Promoted

Search Engine Optimization Specialist

Abacus.AITiruppur, IN

We’re looking for a skilled SEO Specialist to grow and optimize our organic traffic.You’ll be responsible for developing and executing SEO strategies that improve search rankings, drive qualified t...Show moreLast updated: 1 day ago

Promoted

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

PranissaErode, 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

Projile CorporationErode, IN

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: 6 days ago

Promoted

Healthcare Interface Developer

Insight GlobalErode, IN

Company : Insight Global Customer.Shift : Night Shift, 9 : 30pm ist - 6 : 30am ist.Must be able and willing to work night shift hours in a work from home, remote setting. Must be able to join within 30 da...Show moreLast updated: 17 days ago

Promoted

Technical SEO Specialist

QR TIGER - QR Code GeneratorSalem,Tamil Nadu, IN

Technical SEO Specialist (Expert).QR TIGER, you will take a role in shaping and maintaining the technical foundation of our digital ecosystem. Your mission is to optimize site infrastructure, enhanc...Show moreLast updated: 3 days ago

Promoted

Data Analyst (DOMO Specialist) || Healthcare industry || Upto 30 LPA

TalentiserSalem,Tamil Nadu, IN

As a Data Analyst, you will be responsible for designing, developing, and maintaining dashboards, reports, and data visualizations in. You will partner closely with business and technical teams to p...Show moreLast updated: 1 day ago

Promoted

Annotation Specialist

Innodata Inc.Tiruppur, IN

AI and Machine Learning talent network.Data Annotators and Content Moderators (Review & Labeling).If you enjoy working with data, pay close attention to detail, and want to contribute to real-world...Show moreLast updated: 9 days ago

Promoted

Technical Application Specialist

MerilErode, IN

The Technical Application Specialist – Orthopedics is responsible for providing technical expertise, clinical support, and training on orthopedic products and solutions to healthcare professionals....Show moreLast updated: 2 days ago

Promoted
New!

PPC Expert

Risians InfotechErode, IN

Job Opening : PPC Expert – Full-Time (Remote) | Risians Infotech LLP.Remote (Candidates from Delhi NCR preferred).Risians Infotech LLP is a growing digital marketing and technology company dedicated...Show moreLast updated: 4 hours ago

Promoted

Biology Expert (PhD) - 34442

TuringSalem,Tamil Nadu, IN

Remote contract for PhDs in Biology, Biotechnology, Biochemistry, or related fields.Work on cutting-edge projects with top AI labs while earning up to $50+ / hour, fully remote, with flexible weekly ...Show moreLast updated: 30+ days ago