Job Description
Location – Bangalore, Pune, Delhi, Noida
3–7 years of experience in healthcare domain roles, preferably US healthcare (payer/ provider).
• Strong understanding of claims, benefits, eligibility, care management, UM/CM, member/provider workflows.
• Hands-on experience with SQL-based data validation, datasets, and healthcare data models (claims, membership, provider, clinical).
• Strong analytical mindset with experience in basic ML/AI concepts, forecasting or trend modelling, exploratory data analysis (EDA), KPI building and insight generation
• Excellent communication, consulting, and stakeholder engagement skills.
Preferred Qualifications
• Experience working with US healthcare payers, providers, or large hospital systems.
• Knowledge of healthcare regulations (HIPAA, CMS, Medicare/Medicaid, HEDIS, quality measures).
• Exposure to data science workflows, feature engineering, prediction models, or AI‑enabled decision tools.
• Experience supporting forecasting use cases such as cost forecasting, utilization forecasting, staffing/demand models, chronic condition progression, or operational prediction models.
• Familiarity with healthcare interoperability standards (FHIR, HL7).
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