No longer accepting applications

Domain Expert - HealthCare

Tredence Inc.Kottayam, IN

3 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

Healthcare Domain • Kottayam, IN

Related jobs

Promoted
New!

SEO Expert

Oaky Web Private LimitedKottayam, IN

Oaky Web Private Limited, based in Delhi-NCR, provides innovative web solutions and IT services to help brands enhance their digital presence. With a strong focus on digital presence, storytelling, ...Show moreLast updated: 15 hours ago

Promoted

Search Engine Optimization Analyst

Zartek TechnologiesKochi, Kerala, India

Zartek is hiring an SEO Analyst (1–3 years) to grow organic traffic and conversions for our websites and a portfolio of client sites. You’ll run audits, execute on-page and technical fixes, guide co...Show moreLast updated: 8 days ago

Promoted
New!

Search Engine Optimization Specialist

Oyster indiaAlappuzha, 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: 15 hours ago

Promoted
New!

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

TalentiserAlappuzha, 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: 15 hours ago

Promoted

Credentialing Specialist

PangeaEmr LLCKottayam, 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: 2 days ago

Promoted

Search Engine Optimization Specialist

Web in Primealappuzha, kerala, in

We’re seeking a dedicated and detail-oriented SEO Specialist to join our digital marketing team.You’ll be responsible for improving website rankings, driving organic traffic, and implementing effec...Show moreLast updated: 17 days ago

Promoted

Medical Specialist

Second Medical Opinion (SMO)Kottayam, 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: 11 days ago

Promoted

Dotnet Technical Project Manager - US Healthcare domain - Hybrid Mode - Shift Timing : 1.30PM to 10.30PM

Infinite Computer SolutionsAlappuzha, IN

We are looking for Dotnet Technical Project Manager.Experience in US Healthcare domain - Payer / Provider.Location : Bangalore / Hyderabad / Noida / Chennai. Interested candidates, Please share your ...Show moreLast updated: 1 day ago

Promoted

LinkedIn Optimization Expert

Asahi Technologies LLCKochi, IN

I’m looking for an experienced.Optimization & Growth Specialist.The ideal candidate has a proven track record of optimizing profiles, crafting high-quality content, and delivering measurable growth...Show moreLast updated: 3 days ago

Promoted
New!

Search Engine Optimization Specialist

Mirrorsize US Inc.Alappuzha, IN

Urgent Requirement : SEO Specialist - SaaS / AI Industry (Immediate Joiners Only!) .SEO Specialist – SaaS Industry.Are you passionate about driving organic growth for SaaS platforms? Join our team a...Show moreLast updated: 15 hours ago

Promoted

Healthcare Solution Analyst

Projile CorporationAlappuzha, 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: 5 days ago

Promoted

Technical SEO Specialist

QR TIGER - QR Code GeneratorKottayam, 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: 2 days ago

Promoted

Configuration Specialist

USTKochi, IN

Role : Configuration Analyst (US Healthcare).Location : Chennai, Trivandrum, Kochi.We are looking for a highly skilled.Healthcare domain, preferably with experience in. The ideal candidate should poss...Show moreLast updated: 1 day ago

Promoted
New!

Search Engine Optimization Specialist

Abacus.AIKottayam, 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: 15 hours ago

Promoted

PortaOne Implementation and Configuration Expert

APPIT Software IncKochi, 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: 3 days ago

Promoted

Founding Engineer

iksa.aialappuzha, kerala, 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: 15 days ago

Promoted
New!

Search Engine Optimization Specialist

BackdropsourceAlappuzha, IN

Conduct comprehensive SEO audits of the Shopify site to identify gaps, issues, and opportunities for improvement.Perform competitor analysis to understand site structures, conversion setups, and co...Show moreLast updated: 15 hours ago

Promoted

Clinical DB Designer

IQVIA IndiaKochi, Kerala, India

Conduct testing activities in CDMS environment and provide comprehensive testing expertise to the team to produce efficient, quality database that meets customer requirements.Independently conduct ...Show moreLast updated: 30+ days ago