Domain Specialist - Health Insurance - Payer

Vision2Value Services Private Limited
  • Mumbai
  • Confidential
  • 11-20 years
  • 13 Jul 2015

  • IT/ Information Technology

  • Hospitals/ Health Care
Job Description

- Significant experience in the Health Insurance (Payer) domain

- Prior experience working in a Payer organization will be strongly preferred

- Deep knowledge of processes like member enrolment, eligibility verification, claims adjudication, underwriting, payments, medical coding, billing, denial management etc.

- Knowledge of IT products/solutions used in the Health Insurance workflow is a must

- Awareness of trends in Health Insurance for the USA geography is desirable (e.g. Obama care legislations, HITECH/ARRA, HIPAA, Meaningful Use, changes in Medicare/ Medicaid etc.)

- Proven experience planning, designing, and implementing mid/ large scale business-IT solutions in the Payer environment

- Certifications in Insurance or in the IT field would be an advantage

Job Posted By

Bishram .