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Lead - US Healthcare Domain

Industry Other
Category Web Developers
Location Kathmandu, Nepal
Expiry date Mar 23, 2025 (Expired)

Job Description

We are seeking an experienced Lead – US Healthcare Domain to drive healthcare-related projects, ensure compliance with US healthcare regulations, and lead cross-functional teams. The ideal candidate will have deep expertise in healthcare processes, payer-provider interactions, claims management, and regulatory compliance (HIPAA, CMS, etc.).

Roles & Responsibilities:

Provide strategic leadership and domain expertise in US healthcare, including payer, provider, and regulatory landscapes.
Stay updated on US healthcare trends, CMS policies, HIPAA regulations, and value-based care models.
Guide the team in implementing healthcare solutions that comply with industry standards and regulations.
Identify process inefficiencies and recommend improvements for claims processing, revenue cycle management (RCM), and EHR/EMR systems.
Develop and implement automation strategies to improve workflow efficiencies.
Ensure adherence to HIPAA, HITECH, and other regulatory guidelines.
Work on healthcare data analytics to generate insights for process improvement and decision-making.
Collaborate with data teams to ensure interoperability and data integrity in healthcare systems.
Collaborate with stakeholders to align business and regulatory needs.

Qualifications & Requirements:

Bachelor’s/Master’s degree in Healthcare Administration, Information Technology, or related field.
5+ years in US healthcare domain (payer, provider, compliance).
Strong knowledge of EHR/EMR, HL7, FHIR, X12 transactions.
Experience in project leadership, process optimization, and compliance.
Excellent communication and stakeholder management skills.
Experience leading teams and managing projects in Agile or Waterfall
Strong understanding of HIPAA, HITECH, CMS regulations, and healthcare compliance frameworks.
Ability to analyze complex healthcare processes and recommend strategic improvements.
Strong verbal and written communication skills to engage with internal teams and external stakeholders.

Benefits: