Job DescriptionIn the assigned Job Role of Domain Consultant 2, your Area Of Responsibility will be as below:• Analyze client business processes to identify optimization opportunities and align them with industry-specific standards and best practices
• Facilitate benchmarking studies, working with stakeholders to align solution performance with industry standards and domain-specific insights
• Collaborate with technical teams and document system customizations and configurations, drafting standard operating procedures and workflows that align with functional requirements of the relevant sector
• Conduct in-depth research on third-party products within the domain, providing comparative analysis of features, costs, and scalability
• Coordinate the implementation of solutions addressing issues during setup and integration, and support in developing and maintaining SOPs, to ensure system stability and performance post-implementation
Your contribution to the team:• A collaborative spirit and excellent communication skills.
• Strong analytical and coordination skills with a focus on process optimization
• A knack for creating detailed process maps and technical documentation with domain specialization
• Proactive approach to in conducting benchmarking studies and product research
• Familiarity with system implementation, configuration, and maintenance
• Effective collaboration and communication abilities with cross-functional teams
Required Skill and Experience• Lead requirements elicitation, analysis, documentation, validation, and stakeholder walkthroughs for healthcare payer/provider initiatives.
• Work with business stakeholders to develop business requirements, functional requirements, process flows, use cases, user stories, acceptance criteria, and data mappings.
• Analyze end-to-end provider lifecycle processes, including provider onboarding, credentialing, contracting, network participation, directory management, demographic updates, and termination.
• Support requirements involving Provider Network Management, Provider Data Management, Claims, Member-Provider relationships, and reimbursement processes.
• Conduct gap analysis, impact analysis, root-cause analysis, and current-state/future-state process assessment.
• Collaborate with Product Owners, SMEs, architects, developers, QA teams, and business users throughout the SDLC.
• Facilitate workshops, requirement review sessions, backlog refinement, sprint planning, and UAT activities.
• Analyze healthcare data and business rules across upstream and downstream systems and identify data-quality or integration issues.
• Ensure solutions align with healthcare business rules, regulatory requirements, and operational objectives.
Preferred Skill and Experience• Business Analysis experience, preferably with significant experience in the US Healthcare industry.
• Strong knowledge of Healthcare Payer and Provider business processes.
• Good understanding of Provider Lifecycle, Provider Network, Credentialing, Contracting, Provider Directory, Claims, and Reimbursement.
• Experience working with provider demographic, specialty, taxonomy, affiliation, network, contract, and credentialing data.
• Knowledge of healthcare standards and concepts such as NPI, taxonomy codes, ICD-10, CPT/HCPCS, HIPAA, X12 EDI, and HL7/FHIR.
• Understanding of healthcare transactions such as 837 Claims, 835 Remittance, 270/271 Eligibility, and 276/277 Claim Status is desirable.
• Strong experience creating BRDs/FRDs, user stories, acceptance criteria, workflows, process diagrams, data mappings, and traceability documentation.
• Experience working in Agile/Scrum delivery environments and tools such as Jira or Azure DevOps.
• Strong analytical, problem-solving, stakeholder-management, facilitation, and communication skills.
Additional Required Qualifications• Bachelor's degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education.
• This position may require relocation and/or travel to work/project location.
• Candidates authorized to work for any employer in the United States without employer-based visa sponsorship are welcome to apply. Infosys is unable to provide immigration sponsorship for this role now or in the future.
BenefitsAlong with competitive pay, as a full-time Infosys employee you are also eligible for the following benefits:
- Medical/Dental/Vision/Life Insurance
- Long-term/Short-term Disability
- Health and Dependent Care Reimbursement Accounts
- Insurance (Accident, Critical Illness , Hospital Indemnity, Legal)
- 401(k) plan and contributions dependent on salary level
- Paid holidays plus Paid Time Off
