Position: Permanent

Role: Techno functional Lead

Experience: 7-10 Years

Location: Chennai

Shift: 02:30PM 11:30PM

Work Mode: WFO

Key Skills: .Net, Angular/React , sql, Healthcare Domain

About the Role

We are seeking a highly experienced Techno-Functional Lead to drive IT project management for web and mobile

application development initiatives serving USA-based healthcare provider and payor clients. This senior role

requires deep domain expertise in healthcare operations combined with robust technical acumen in modern

application architecture, systems integration, APIs, AI/ML, and full-stack technologies. The ideal candidate will act

as the bridge between business stakeholders and technology teams, translating complex healthcare workflows into

scalable, compliant digital solutions.

Roles & Responsibilities

Healthcare Domain Consulting Payor & Provider

- Provide deep functional expertise in provider operations: clinical workflows, RCM, credentialing, scheduling,

EMR/EHR integration, patient engagement.

- Act as domain expert for payor operations: claims processing, enrollment & eligibility, prior authorization,

utilization management, care management, member services.

- Translate US healthcare business requirements into functional specifications, user stories, and process flows.
- Conduct workshops and discovery sessions with stakeholders to capture requirements and validate solution

design. Technical Architecture & Integration Consulting

- Guide application architecture for healthcare web and mobile platforms (front-end, back-end, middleware,

cloud).

- Oversee integrations with EHR/EMR systems (Epic, Cerner, Athenahealth), payer platforms, clearinghouses,

and third-party vendors.

- Define API strategy (REST, SOAP, FHIR, HL7) for interoperability.
- Advise on middleware patterns (ESB, Kafka, RabbitMQ, microservices).
- Collaborate with UI/UX teams on front-end (React, Angular) and mobile (iOS, Android, React Native).
- Provide oversight on back-end stacks (.NET, Java,



Node.js, Python).
- Guide AI/ML use cases: clinical decision support, prior authorization automation, NLP for coding, predictive

analytics, patient/member engagement.

- IT Project Management Support
- Define scope, timelines, and deliverables for healthcare IT engagements.
- Participate in Agile ceremonies: sprint planning, backlog grooming, reviews.
- Conduct gap analysis, feasibility studies, and impact assessments.
- Prepare/review BRDs, SRDs, solution design documents, and integration specs.
- Manage and mentor onshore-offshore teams, ensuring quality delivery.
- Liaise with USA-based stakeholders, ensuring clear communication across time zones.
- Required Skills

Domain Expertise

- 15+ years in IT, with 8 to 10 years in US Healthcare IT.
- Proven expertise in payor operations: claims adjudication, EOB/ERA, EDI 837/835/270/271/278, prior authorization

workflows, provider/member experience.

- Strong knowledge of provider operations: CRM, clinical data management, RCM, charge capture, coding (ICD 10,

CPT, HCPCS), billing, collections, provider portals.

- Hands-on with healthcare data standards: HL7 v2.x, HL7 FHIR R4, CCD/CDA, DICOM, X12 EDI.
- Understanding of US healthcare regulations: HIPAA, HITECH, 21st Century Cures Act, TEFCA, CMS Interoperability

Rule. Technical Expertise

- Web application architecture: microservices, REST APIs, serverless, containerization (Docker/Kubernetes).
- Full-stack environments: React/Angular (front-end), .NET Core/C#, SQL/NoSQL databases.
- Mobile applications: native (iOS/Android), cross-platform (React Native, Flutter).
- Integration with EHR/EMR platforms and payer systems.
- Middleware/integration platforms: Azure API Management, Logic Apps, Service Bus.
- AI/ML awareness: LLMs, NLP for clinical text, predictive modeling, AI-driven care management.
- Cloud: Azure (HIPAA-compliant architectures).
- DevOps/CI-CD: Agile/Scrum, JIRA, Confluence, Git, automated testing pipelines.

- Please call varsha (phone hidden) for more Info
- - Regards
- varsha
- (phone hidden)

📌 Techno Functional Lead (Chennai)
🏢 Creative Hands HR
📍 Chennai