V
Manager
V
Manager
Virtusa- Posted 2 hours ago
- Be among the first 10 applicants
Job Description
12 -15+ years of experience as a Lead Consultant/Business Architect/Program Manager/ Product Manager with Healthcare Payer domain.
Excellent Communication Skill and managing client stakeholders
Experience in creating Business solutions . Worked on consulting presales activities
Experience in executing Consulting Assessment programs
Ability Gather, analyse, and document business and technical requirements for healthcare Programs
Experience on core business applications in Enrolment, Claims. Payment areas (Facets, QNXT , NASCO etc )
Knowledge of CMS rating standards (STAR) and quality measures reporting
Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) to system data models and ITX transformations.
Conduct gap analysis, impact analysis, and facilitate design walkthroughs with business and technical teams.
Coordinate across cross-functional teams (product, ops, compliance, providers) to ensure integration requirements are met.
Excellent Communication Skill and managing client stakeholders
Experience in creating Business solutions . Worked on consulting presales activities
Experience in executing Consulting Assessment programs
Ability Gather, analyse, and document business and technical requirements for healthcare Programs
Experience on core business applications in Enrolment, Claims. Payment areas (Facets, QNXT , NASCO etc )
Knowledge of CMS rating standards (STAR) and quality measures reporting
Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) to system data models and ITX transformations.
Conduct gap analysis, impact analysis, and facilitate design walkthroughs with business and technical teams.
Coordinate across cross-functional teams (product, ops, compliance, providers) to ensure integration requirements are met.
More Info
Key Skills
NASCO
Consulting presales activities
ITX transformations
Claims
Enrolment
CMS rating standards
Consulting Assessment programs
quality measures reporting
Star
About Company
Skills:
Requirement Gathering, Gap Analysis, Payment Engine such as GPS, Clearing, Writing User Stories, Agile ways of working, Clearing and Settlement methods, pain.001, MT103, MT202, MT202Cov, pain.002, Settlement, International Payment Schemes such as SEPA, Payments MT MX messages, pacs.008, pacs.009, Prioritization, Transformation projects, Digital project delivery
Skills:
Sap Erp, Team Management, Accounts Payable P2P processes, Vendor reconciliation payment processing, AP governance and internal controls, GST TDS validation and compliance, Stakeholder Management
Skills:
Data Management, Proposal Management tools, Project Management, Pharmacovigilance Operations, Regulatory Submissions, R&D databases and technology solutions, Drug safety surveillance, Scientific Writing, Business Development, Clinical Trials
Skills:
Excel, ERP setup, Payment planning, AP automation, Project Cost Accounting
Skills:
Port and Shipping Line Charges, DGFT Foreign Trade Policy FTP, RoDTEP EPCG Advance Authorization Project Imports, EDPMS E-BRC, Incoterms, HS Code Classification, CAROTAR COO Verification, Freight Forwarding Shipping Line Operations, Letter of Credit LC, Customs Valuation, Ms Office Excel, customs regulations, Customs Clearance, BOE Shipping Bills, Freight Cost Vendor Bill Management, EXIM MIS KPI Reporting, EXIM Operations – Import Export, FTA Benefits Export Incentives, International Payment Terms