88 Healthcare jobs in Delhi
Capability Manager - Healthcare PreSales Solutioning

Posted 1 day ago
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Job Description
**Primary Responsibilities:**
+ Identify client technology and business needs and provide thought leadership to Optum sales team , to understand, define, and deliver effective and innovative solutions that address the client technical and business initiatives
+ Act as a SME on the US Provider Health System domain
+ Create, innovate, deploy and present data analysis on pursuits leveraging current tools and technologies including but not limited to Power BI, MS tools, AI and digital solutions
+ Member of the technology solution team who coordinates with Optum subject matter experts, technical architects, etc., to ensure proposed Application Management Services/ITO and Infrastructure solutions meet or exceed client requirements and are cost competitive to the marketplace
+ Demonstrates a self-starter attitude and is eager to experiment, invite and explores the potential in new ideas while understanding and mitigating the risk to the organization
+ Client relationship building and solution presentation through the multi-phases of the sales cycle at a C-Suite level
+ Manage client expectations in solution development, focus on outcomes and service levels
+ Collaborate in developing the staffing approach, including a global sourcing strategy and delivery model, to mitigate risk, drive efficiency and quality
+ Generate estimated Application Management Services /ITO solution delivery requirements including program management, new development efforts, enhancements, and ongoing operations
+ Engage with 3rd party hardware, software and services vendors
+ Collaborate with Optum subject matter experts, industry research and advisory firms to understand industry direction, competitive landscape, business trends, and emerging solutions
+ Coordinate the solution, opportunity roadmap, value proposition, win plan, pricing, and executive deal reviews throughout the pursuit timeline
+ Collaborate with Solution Sales Leads, Consulting Leads, Delivery Leads, Optum's cross brand point solutions and offerings, and 3rd party software and hardware vendors as needed to support business opportunities and solutioning for commercial clients
+ Build relationships and leverages a network of experts - internal and external - that enhance innovation and performance
+ Comply with the terms and conditions of the employment contract, company policies and procedures, and any and all directives (such as, but not limited to, transfer and/or re-assignment to different work locations, change in teams and/or work shifts, policies in regards to flexibility of work benefits and/or work environment, alternative work arrangements, and other decisions that may arise due to the changing business environment). The Company may adopt, vary or rescind these policies and directives in its absolute discretion and without any limitation (implied or otherwise) on its ability to do so
**Required Qualifications:**
+ Bachelor's degree or equivalent experience (Master's degree preferred)
+ 8+ years of experience working with IT Outsourcing (ITO) functions leveraging a global sourcing model in either a consulting, account management, implementation or similar Client interacting role
+ 4+ years of experience working with US Health System/Hospital IT Products & solutions
+ Experience of creating and solutioning for application management services for healthcare clients (Provider preferred)
+ Experience in solutioning and managing complex programs that expand over multiple years across teams
+ Solid experience with proven work output of data analysis, data visualization and overall data management
+ Knowledge on Healthcare standards such as HL7, FHIR, ICD-9/10, CPT, LOINC and SNOWMED, EDI and general APIs
+ Deep knowledge and understanding of the US Healthcare Provider market and its business operations
+ Good understanding of clinical system processes, workflows and clinical applications/modules like EHR, LIS, etc.
+ Solid MS office (Excel, Word, PowerPoint) skill, Power BI and other data management skills
+ Demonstrated advanced communication skills (written and verbal) to interact with clients on all aspects of their Optum relationship
+ Demonstrated strategic vision to clearly understand and identify new opportunities to expand on existing relationships
+ Proven to be a successful individual contributor with the ability to collaborate across multiple teams including other solution architects, COEs, delivery and operations
+ Proven solid leadership skills with proven ability to foster and manage senior-level relationships in a highly matrixed environment
**Preferred Qualification:**
+ Experience of working and expertise with at least one Commercial Provider EHR/EMR system (Epic, Cerner etc.)
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
#Gen
US Healthcare SME (Payer Side)
Posted 3 days ago
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Job Description
About us
At R Systems, we are shaping the future of technology by designing cutting-edge software products, platforms, and digital experiences that drive business growth for our clients.
Our product mindset and advanced engineering capabilities in Cloud, Data, AI, and Customer Experience empower us to deliver innovative solutions to key players across the high-tech industry. This includes ISVs, SaaS, and Internet companies, as well as leading organizations in telecom, media, healthcare, finance, and manufacturing.
We are Great Place to Work® Certified™ in 10 countries where we have a full-time workforce - India, the USA, Canada, Poland, Romania, Moldova, Indonesia, Singapore, Malaysia, and Thailand. This means we are a dynamic, global team that values continuous learning, collaboration, and innovation. Join us and experience a workplace where your contributions are celebrated, and your growth, development, and well-being are at the heart of everything we do!
Company Link : A leading Digital Product Engineering Company | R Systems
Job description:
Experienced Subject Matter Expert (SME) on the US payer side to provide in-depth knowledge, strategic insights, and guidance to our teams. Candidate needs be an expert in U.S. healthcare insurance, including private insurers, Medicaid, Medicare, and other payer models.
Key Responsibilities:
- Payer Expertise:
- Understanding of U.S. Healthcare Payer Models:
Private Health Insurance - Comprehensive understanding of private insurance models like:
HMOs, PPOs, EPOs, POS plans.
- Government Payer Programs: Medicare (Parts A, B, C, D), Medicaid, Children’s Health Insurance Program (CHIP), Tricare and VA (Veterans Affairs)
- Dual Eligibles
2. Payment Models and Reimbursement Mechanisms
- Fee-for-Service (FFS) Models
- Capitation & Value-Based Care:
- Good Understanding of Quality Measurement and Metrics in Value Based Care like HEDIS, NCQA, PCMH, MIPS
- Risk-sharing Models- HCC model for Medicare or CCM model for Medicaid
Regulatory and Compliance Knowledge of CMS, ACA, HIPSS, State Specific Payer Regulations
3.Claims Processing & Payment Operations:
- Handling EDI formats for Eligibility, Pre-Authorization, 837P/I/D, 999, 276, 277, 835
- Claims Lifecycle, handling of Medical, Pharmacy, Dental, Vision and Behavioral Health Claims
- Coding Systems: Strong working knowledge of ICD-10, CPT, HCPCS, Revenue Codes and DRG coding for inpatient billing
- Claims Denial Management
- Payment Integrity and Fraud Prevention
4.Payer Trends & Emerging Models like SDOH. Predictive Analytics, HSAs, High-Deductible Plans
AR Caller - US Healthcare (HB/PB)
Posted 3 days ago
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Job Description
Greetings from CorroHealth!
Job Opportunity Alert
Role : AR CALLER (Sr. Caller ) in ( HB/PB ).
Open Position 1 : HB - Epic with IPDRG.
Open Position 2 : HB - Epic.
Open Position 3 : PB - ECW.
Relevant experience candidate only eligible.
Candidates should have strong knowledge in Denial (Hospital billing & Physician Billing ).
Responsibility Areas:
1. To review emails for any updates.
2. Call Insurance carrier document the notes in software and spreadsheet and take appropriate action.
3. Identify issues and escalate the same to the immediate supervisor.
4. Update Production logs.
Desired Profile:
1. Understand the client requirements and specifications of the project.
2. Meet the productivity targets of clients within the stipulated time.
3. Ensure that the deliverable to the client adhere to the quality standards.
4. Ensure follow up on pending claims.
5. Prepare and Maintain status reports.
6. Should be willing to work in night shifts.
Experience : 1 to 5 years
Shift : Night shift ( work from office)
Notice Period : Looking Immediate joiners.
Salary best in Industry
Ready to relocate.
Location : Noida
Healthcare Domain Technical Consultant
Posted 8 days ago
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Job Description
Job Title: Healthcare Domain Technical Consultant
Job Summary:
We are seeking a skilled and knowledgeable Healthcare Domain Technical Consultant with in-depth exposure to the U.S. healthcare market . The consultant will work closely with clients and internal teams to design, implement, and support technology solutions that align with healthcare operational needs, regulatory compliance, and digital transformation strategies. This position requires a deep understanding of healthcare processes, standards (e.g., HIPAA, HL7, FHIR), payer and provider systems, and health IT platforms.
Key Responsibilities:
1. Healthcare Domain Consulting
- Analyze and document business processes across U.S. healthcare organizations (e.g., payers, providers, PBMs, clearinghouses).
- Provide subject matter expertise on U.S. healthcare regulations, insurance models (Medicare, Medicaid, commercial), claims lifecycle, EHR/EMR systems, and care coordination workflows.
- Identify improvement opportunities for clinical, administrative, and operational systems through technology.
2. Technical Solution Delivery
- Collaborate with engineering and business teams to design and implement healthcare IT solutions.
- Translate complex business and compliance requirements into functional and technical specifications.
- Support the configuration, customization, and integration of EHR systems (e.g., Epic, Cerner), payer platforms, or health information exchanges (HIEs).
- Lead data mapping and transformation efforts for claims (EDI X12 837, 835), enrolment (834), eligibility (270/271), and HL7/FHIR-based interfaces.
3. Regulatory Compliance & Security
Ensure solutions comply with U.S. healthcare regulations such as HIPAA , HITECH , CMS mandates , and NCQA standards .
- Advise on data privacy, security best practices, and role-based access controls.
- Participate in security audits, risk assessments, and compliance reporting.
4. Stakeholder Engagement & Communication
- Serve as the liaison between business users (e.g., clinicians, billing teams) and technical staff (developers, system integrators).
- Conduct stakeholder workshops, gap analysis, and user training.
- Present architecture and solution proposals to leadership, clients, and regulatory bodies.
5. Testing & Support
- Design and execute test cases for functional, integration, and compliance testing.
- Support UAT, go-live, and post-deployment activities, including troubleshooting and change management.
- Document workflows, integration points, and business logic for ongoing support.
Required Skills and Experience:
Domain Expertise:
- Deep understanding of U.S. healthcare payer/provider workflows.
- Knowledge of claims processing, revenue cycle management (RCM), utilization management, and clinical decision support.
- Familiarity with care models (ACO, PCMH), population health, and value-based care metrics.
Technical Skills:
- Proficiency in health data exchange standards : HL7 v2.x, CDA, FHIR , X12 EDI (especially 837/835/270/271).
- Experience with EHR/EMR systems: Epic, Cerner, Allscripts, Meditech, or similar.
- Integration experience using APIs, middleware (e.g., Mirth Connect, Cloverleaf), and data warehouses.
- Strong data analysis and transformation skills using SQL, XML/JSON, or Python preferred.
- Experience with analytics/reporting tools (Power BI, Tableau) a plus.
Project & Methodology:
- Experience working in Agile or Scrum environments.
- Familiarity with business analysis tools (JIRA, Confluence, Visio, etc.).
- Strong documentation, requirement-gathering, and use-case creation skills.
Education and Certifications:
- Bachelor's degree in healthcare informatics, Computer Science, Information Systems, or related field.
- Master’s degree or healthcare certification preferred (e.g., CPHIMS, PMP, RHIA, HL7/FHIR Certification).
- Minimum 4–8 years of relevant experience in healthcare IT consulting or domain-focused technical roles.
Soft Skills:
- Strong verbal and written communication skills, particularly in cross-functional and regulated environments.
- Ability to distill complex information for both technical and non-technical audiences.
- Problem-solving mindset with strong attention to detail and regulatory implications.
- Adaptability in fast-paced environments with evolving requirements.
Healthcare Assistant
Posted 8 days ago
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Job Description
On behalf of a client, Acquire Human Capital is hiring a Healthcare Assistant for a Rehabilitation Centre in Muscat, Oman. The Healthcare Assistant will be responsible for tasks related to the provision of basic healthcare/patient care, and maintenance of health and safety protocols.
Qualifications
- ANM/GNM from a reputed institute (2-year-long program) or equivalent
- At least 3 years of proven experience in a healthcare setting
- Strong communication and organisational skills
- Conversational English Language Skills
Additional Benefits:
- Annual Leave with 1 month's Leave Salary
- Annual Ticket (to home country)
- Medical Insurance
- Life Insurance
- Accomodation
Inside Sales Representative - Healthcare (US) - (Noida/Pune)
Posted 8 days ago
Job Viewed
Job Description
About the Company
At R Systems, we are shaping the future of technology by designing cutting-edge software products, platforms, and digital experiences that drive business growth for our clients.
Our product mindset and advanced engineering capabilities in Cloud, Data, AI, and Customer Experience empower us to deliver innovative solutions to key players across the high-tech industry. This includes ISVs, SaaS, and Internet companies, as well as leading organizations in telecom, media, healthcare, finance, and manufacturing.
We are Great Place to Work® Certified™ in 10 countries where we have a full-time workforce - India, the USA, Canada, Poland, Romania, Moldova, Indonesia, Singapore, Malaysia, and Thailand. This means we are a dynamic, global team that values continuous learning, collaboration, and innovation. Join us and experience a workplace where your contributions are celebrated, and your growth, development, and well-being are at the heart of everything we do!
Company Link : R Systems | Digital Product Engineering
Job Description:
We are looking for a high-performing Inside Sales Representative (ISR) having experience with Healthcare Industry to join our GTM team. In this role, you will be responsible for driving lead engagement, qualifying prospects, and setting up high-quality meetings for our Field Sales team. You will also support direct deal closures for low-value, productized offerings.
Experience : 3-9 years
Responsibilities :
Roles & Responsibilities- Lead Engagement
- Execute structured multi-channel outreach (email, phone, LinkedIn).
- Personalize messaging based on account research and buyer persona.
- Qualify leads using frameworks like BANT or MEDDIC.
- Identify pain points, decision-makers, and buying timelines.
- Book high-quality meetings with relevant stakeholders for Field Sales.
- Ensure meeting readiness (e.g., notes, insights, handoff).
- Maintain clean, updated records in Salesforce (dispositions, notes, next steps).
- Log daily activities and outcomes accurately.
- Work closely with Sales and Marketing for lead feedback, campaign execution, alignment.
- Execute follow-up cadences for non-responsive or long-tail leads.
- Use marketing content to re-engage and nurture prospects
Must-Have Skills:
- Strong communication and consultative selling ability
- Proficiency in CRM tools (preferably Salesforce)
- Account research and personalized outreach skills
Required Skills
Lead Generation, Demand Generation, Cold Calling
Preferred Skills
Online Lead Generation, Email Marketing, business development
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