We are **Looking for a strong US Healthcare Claims SME who can also play the Business Analyst role** + Primary requirement: Deep Claims Adjudication expertise with **8-12+ years of relevant US Healthcare experience** . + Understand and challenge complex Claims business requirements + Translate requirements into strong User Stories & Acceptance Criteria + Identify business-rule gaps, dependencies and exception scenarios + Guide Development & Testing teams throughout the sprint + Understand end-to-end adjudication including **Advantages, Pricing, Provider, COB, Member liability, Denials/Pends, Adjustments and Reprocessing** **Preferred:** Agile/Scrum exposure, SQL knowledge and experience with **Facets** or a similar payer core administration platform. Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

📌 US Healthcare Claims SME (Chennai)
🏢 Cognizant
📍 Chennai