P&L responsibility for a business unit

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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