Optum SMT Modernization Project - TPO Product Owner with technical experience in Data mapping , Data extraction. 29.75$ Immediate • Functional Product Owner skill set - Must have
• Technical Product Owner Exposure – Must have
• Expertise in US healthcare domain on payer side (Medicare, Medicaid, and Commercial plans)
• Expertise in medical claims processing systems, enrolment and eligibility process, provider management,
• Expertise in PBM - prescription benefits, clinical benefits/utilization management, claims adjudication /processing concepts/ knowledge
• Knowledge on US - Senior Community Plans/Care Delivery business models(nice to have)
• Business requirement and functional requirement gathering and documentation, conducting requirement gathering meetings, Client/Stakeholder management and change request management
• Participate in solutioning calls/ interact with solution architect / data engineers , understanding the product technical landscape , system flow, design architecture, and technology
This profile requires hands on technical knowledge in areas such as
Extraction of the DB objects (Tables, Views, Stored procedures), SSIS and Talend objects, b) Map DB objects, SSIS packages & Talend objects to domain
Please confirm with Ashish Sharma, if he will be able to take this up. If yes, we can try his profile. Else need other profiles
Responsibilities
Optum SMT Modernization Project - TPO Product Owner with technical experience in Data mapping , Data extraction. 29.75$ Immediate • Functional Product Owner skill set - Must have
• Technical Product Owner Exposure – Must have
• Expertise in US healthcare domain on payer side (Medicare, Medicaid, and Commercial plans)
• Expertise in medical claims processing systems, enrolment and eligibility process, provider management,
• Expertise in PBM - prescription benefits, clinical benefits/utilization management, claims adjudication /processing concepts/ knowledge
• Knowledge on US - Senior Community Plans/Care Delivery business models(nice to have)
• Business requirement and functional requirement gathering and documentation, conducting requirement gathering meetings, Client/Stakeholder management and change request management
• Participate in solutioning calls/ interact with solution architect / data engineers , understanding the product technical landscape , system flow, design architecture, and technology
This profile requires hands on technical knowledge in areas such as
Extraction of the DB objects (Tables, Views, Stored procedures), SSIS and Talend objects, b) Map DB objects, SSIS packages & Talend objects to domain
Please confirm with Ashish Sharma, if he will be able to take this up. If yes, we can try his profile. Else need other profiles
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
UHG TPO Technical Product owner 22.1$ Immediate Experieced Product owner skill set. 8 – 10 years of experience. Must be willing work in 2nd shift (overlap with CST time atleast till 3 PM CST
Responsibilities
UHG TPO Technical Product owner 22.1$ Immediate Experieced Product owner skill set. 8 – 10 years of experience. Must be willing work in 2nd shift (overlap with CST time atleast till 3 PM CST
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
FTE – Pan India.
Level – SA and M.
Job Description:
1. Offshore System Analyst with strong Healthcare Payer domain expertise, specifically in Underwriting.
2. Experience working in Agile scrum teams
3. Self-drive to reach out to Product Manager, Architect, Business stakeholders, and Dependent teams to gather, analyse, and validate business and system requirements.
4. Translate business requirements into clear, concise user stories and acceptance criteria using JIRA, ensuring alignment with product vision and delivery goals.
5. Ensure requirements are well-documented, traceable, and maintained throughout the delivery lifecycle.
6. Actively participate in Agile/Scrum ceremonies, including sprint planning, backlog refinement, grooming sessions, reviews, and retrospectives.
7. Support the development team by clarifying requirements, resolving ambiguities, and ensuring readiness of user stories for sprint execution.
8. Team player with good communication and documentation skills
9. Ability to work with SQL queries (postgreSQL, oracle) and document DB (Mongo DB)
10. Good understanding in micro services and ability to validate the APIs using the postman, soap UI tools.
11. Experience in defining the service payloads and field mappings
12. Experience in handling production issues and support business team
Responsibilities
FTE – Pan India.
Level – SA and M.
Job Description:
1. Offshore System Analyst with strong Healthcare Payer domain expertise, specifically in Underwriting.
2. Experience working in Agile scrum teams
3. Self-drive to reach out to Product Manager, Architect, Business stakeholders, and Dependent teams to gather, analyse, and validate business and system requirements.
4. Translate business requirements into clear, concise user stories and acceptance criteria using JIRA, ensuring alignment with product vision and delivery goals.
5. Ensure requirements are well-documented, traceable, and maintained throughout the delivery lifecycle.
6. Actively participate in Agile/Scrum ceremonies, including sprint planning, backlog refinement, grooming sessions, reviews, and retrospectives.
7. Support the development team by clarifying requirements, resolving ambiguities, and ensuring readiness of user stories for sprint execution.
8. Team player with good communication and documentation skills
9. Ability to work with SQL queries (postgreSQL, oracle) and document DB (Mongo DB)
10. Good understanding in micro services and ability to validate the APIs using the postman, soap UI tools.
11. Experience in defining the service payloads and field mappings
12. Experience in handling production issues and support business team
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
Job Description: 8+ years of expereience with 5+ years in Audit / Compliance
Key Responsibilities
1. Prioritize controls and assist in Audit Planning
2. Perform compliance reviews, enterprise security audits( both application and infrastructure) which involves
a. Verify IT General, application and cyber security controls to ensure effective delivery of functional processes
within operations to mitigate risks.
b. Verify technology risk management processes, application development and deployment processes,
database management, vendor management, etc.,
c. Publish reports with actions and provide closure guidance as needed
3. Prepare high quality audit planning memo and Risk Control Matrix (RCM), workpaper documentation, manage discussion with stakeholders.
4. Apply guidance from enterprise policies and procedures and control testing industry best practices in workpaper documentation and effective challenge
5. Lead walkthroughs with control owners/1st LOD testers to obtain a sufficient understanding of the design effectiveness and operating effectiveness of the control.
6. Design and execute testing procedures to evaluate the effectiveness of controls related to technology risks.
7. Responsible to identify control gaps and communicate findings and control redesign recommendations to Management/Clients.
8. Prepare Dashboards and reports as directed by the delivery lead on time.
Responsibilities
The following skills will be an added advantage
1. Familiarity with relevant regulations and standards (e.g., SOX, PCI DSS, GDPR) is also important.
2. Having experience in evaluating IT controls against these regulatory and standards requirements and providing guidance for compliance improvement.
3. Pursuing relevant certifications such as CISA or CISSP will demonstrate the commitment to professional growth and competence
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
Please share profiles for the below role need it before 6pm Max.
Location – Pan India.
Level – SA and M.
We have a BA need in CVS Interoperability area. Can you please help with CWR profiles with the below skillset for review and L1?
• Demonstrated expertise in FHIR mapping with strong knowledge of Interoperability Prior Authorization API (Must).
• Analyse business requirements related to healthcare interoperability and translated them into functional and technical specifications.
• Collaborate with client teams to ensure compliance with interoperability regulations
• Perform FHIR profile mapping, resource validation, and gap analysis to ensure accurate data exchange between systems.
• Support API lifecycle activities including design, documentation, testing, and deployment.
• Participate in requirement workshops, prepare use cases, process flows, and mapping documentation.
• Partner with QA teams to define test scenarios for interoperability features and validate API behaviour.
Responsibilities
Please share profiles for the below role need it before 6pm Max.
Location – Pan India.
Level – SA and M.
We have a BA need in CVS Interoperability area. Can you please help with CWR profiles with the below skillset for review and L1?
• Demonstrated expertise in FHIR mapping with strong knowledge of Interoperability Prior Authorization API (Must).
• Analyse business requirements related to healthcare interoperability and translated them into functional and technical specifications.
• Collaborate with client teams to ensure compliance with interoperability regulations
• Perform FHIR profile mapping, resource validation, and gap analysis to ensure accurate data exchange between systems.
• Support API lifecycle activities including design, documentation, testing, and deployment.
• Participate in requirement workshops, prepare use cases, process flows, and mapping documentation.
• Partner with QA teams to define test scenarios for interoperability features and validate API behaviour.
Salary : As per industry standard.
Industry :IT-Software / Software Services
Functional Area : IT Software - Application Programming , Maintenance
