No longer accepting applications

Domain Expert - Healthcare

Tredence Inc.Vellore, Republic Of India, 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 • Vellore, Republic Of India, IN

Related jobs

Promoted
New!

Freelance Expert – Pharma Automation & Industry 4.0 Transformation

nicheBrainsvellore, tamil nadu, 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: 14 hours ago

Promoted
New!

Credentialing Specialist

PangeaEmr LLCVellore, 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: 16 hours ago

Promoted
New!

Technical SEO Specialist

QR TIGER - QR Code GeneratorVellore, 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: 16 hours ago

Promoted

Annotation Specialist

Innodata Inc.Vellore, 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: 6 days ago

Promoted

Healthcare Solution Analyst

Projile CorporationVellore, 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: 3 days ago

Promoted

PortaOne Implementation and Configuration Expert

APPIT Software IncVellore, 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

Founding Engineer

iksa.aivellore, 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: 13 days ago

Promoted

LinkedIn Optimization Expert

Asahi Technologies LLCVellore, 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: 1 day ago

Promoted

AI expert

HuminticVellore, 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

Sterling OMS Developer

Everest Technologies, IncVellore, 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: 26 days ago

Promoted

Medical Specialist

Second Medical Opinion (SMO)Vellore, 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: 9 days ago

Promoted

Biology Expert (PhD) - 34442

TuringVellore, 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

Promoted

Senior Statistical Programmer

CytelVellore, IN

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 Statistical Programmer you...Show moreLast updated: 30+ days ago

Promoted

AS400 Developer – Healthcare & Claims Processing

Onesmarter Incvellore, tamil nadu, 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

Application Specialist

ReparioVellore, IN

We are seeking a highly skilled Application Specialist to provide first-call resolution support for hosted eDiscovery applications and infrastructure services. Primary duties include providing clien...Show moreLast updated: 16 days ago

Promoted

ML Ops

EXLVellore, IN

Deploy, monitor, and scale ML models on.GCP (Vertex AI, GKE, Cloud Functions).GitHub Actions / Jenkins / cloud-native tools. Containerize and orchestrate workloads with.MLflow, Feast, Prometheus / Gra...Show moreLast updated: 30+ days ago

Promoted
New!

Regulatory Documentation & Compliance Specialist (FCC, CE, FDA, RoHS, Cybersecurity)

Brainwave ScienceVellore, IN

Regulatory Documentation & Compliance Specialist (FCC, CE, FDA, RoHS, Cybersecurity).With over a decade of research and innovation, the company has developed advanced cognitive assessment solutions...Show moreLast updated: 16 hours ago

Promoted

Principal Analytics Consultant

ProspectionVellore, 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