Über
Strong orientation to business development in the PBM & Healthcare
Developing Go to Market strategy - Demand capture and demand creation
Strong relationship building skills
Ability to take targets and drive strategic plan to meet the revenue & operational goals
Experience in cross-functional solution architecture and development, focused on delivering high-quality IT solutions for health Insurance players
In-depth Knowledge of Healthcare Insurance and systems. This includes familiarity with various types of insurance plans (e.g., HMOs, PPOs, Medicare, Medicaid) and their respective requirements.
Proficiency in healthcare insurance concepts like member enrollment, claims processing, denial management, care management, medical management and clinical support
Understanding of Healthcare Regulations such as HIPAA, ACA, and state-specific insurance regulations. This includes staying updated on regulatory changes and ensuring compliance with industry standards.
Stakeholder Management: Strong interpersonal skills and the ability to communicate effectively with internal teams, external partners, and policyholders
Ability to address complex challenges and make data-driven decisions to optimize healthcare insurance operations.
Experience in responding to RFIs and RFPs
Staying updated on industry trends, emerging technologies, and best practices in healthcare insurance
Ability to lead and manage large teams
Qualifications:
Strong fundamentals in Machine learning and deep learning
Experience in Orchestrating the development of enterprise Agentic AI platforms and LLM-powered solution
Strong PBM domain knowledge. Experience working with enterprise clients in industries such as PBM and healthcare
Ability to be the primary liaison between our company and assigned clients, aligning IT capabilities with client business goals
Certification in relevant healthcare IT systems (e.g., Epic, Cerner, Meditech)
Familiarity with Agile methodologies and project management principles is desirable.
Excellent collaboration, influencing, and consensus-building skills.
Ability to work with individuals in all job functions (e.g. product, program, developers, etc)
Salary Range: 148,800-201,300 a year
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Sprachkenntnisse
- English
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