Number of Positions 1 Primary Skills SENIOR CONSULTANT IN THE LIFE GENERAL HEALTH INSURANCE DOMAIN Job Title Health Insurance Healthcare Payer Provider Domain SME Location Coimbatore India Job Summary We are looking for a highly skilled Subject Matter Expert SME in Health Insurance Healthcare Payer Provider to join our team in Coimbatore The ideal candidate should have a minimum of 7 years of domain experience across India APAC the Middle East US and Europe markets along with at least 5 years of hands-on experience in IT services or Health Insurance Healthcare IT Product Platform industry Industry-recognized certifications in health insurance healthcare or IT platforms are required Key Responsibilities Domain Expertise Consulting Provide expert insights into health insurance products healthcare payer provider processes and market trends across multiple geographies Analyze business requirements and translate them into IT solutions aligned with industry best practices Collaborate with stakeholders to improve business processes claims management underwriting and provider network operations IT Services Product Platform Expertise Work closely with IT teams to design develop and implement health insurance and healthcare technology solutions Contribute to the enhancement of healthcare payer provider platforms and products with domain expertise Support pre-sales solutioning and proposal development by providing domain insights Regulatory Compliance Advisory Stay updated on health insurance regulations compliance standards and government policies across different regions Ensure IT solutions and business processes adhere to regulatory requirements like HIPAA ICD-10 HL7 FHIR IRDAI CMS and GDPR depending on geography Provide risk assessment policy framework development and compliance reporting support Training Knowledge Management Conduct training sessions workshops and knowledge-sharing initiatives for internal teams and clients Develop domain-specific documentation best practices and case studies Required Qualifications Experience Experience Minimum 7 years in the Health Insurance Healthcare Payer Provider domain 5 years in IT services or Health Insurance Healthcare IT Product Platform industry Certifications Preferred AHIP America s Health Insurance Plans LOMA Life Office Management Association - Health Insurance modules HIPAA ICD-10 HL7 FHIR certifications Certified Health Insurance Specialist CHIS or equivalent Geographical Exposure Experience with health insurance healthcare businesses in India APAC Middle East US or Europe IT Digital Expertise Experience in healthcare digital transformation insurtech solutions or payer provider platforms Familiarity with claims adjudication systems policy administration systems AI-driven healthcare applications and automation Skills Robust analytical problem-solving and consulting skills Excellent communication stakeholder management and client interaction abilities Ability to work cross-functionally with IT business and compliance teams Preferred Qualifications Knowledge of population health management revenue cycle management RCM value-based care and interoperability standards Experience with cloud-based health insurance solutions AI ML in healthcare and predictive analytics Hands-on experience in Agile DevOps or SaaS-based healthcare solutions This role offers a dynamic and impactful opportunity for professionals looking to leverage their healthcare domain expertise in a technology-driven insurance healthcare ecosystem

📌 Sme - Health Insurance - Project Manager (Tamil Nadu)
🏢 KGISL
📍 Tamil Nadu