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• EAD (OPT/CPT/GC/H4)

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• UG :- - Not Required

• PG :- - Not Required

• No of position :- ( 1 )

• Post :- 27th Feb 2025

We are looking for a Solution Architect/Engineer to support our clients’ 2025 project portfolio. We are looking for a Solution Architect/Engineer that has healthcare payer experience. Initial projects include Zelis Payment Integrity solution implementation and Third-Party Administrator (TPA) implementation.  (This is what we have from the client)

A Solution Architect/Solution Engineer with healthcare payer experience specializes in designing and implementing technology solutions specifically for healthcare insurance companies (payers). Here are some key aspects of their role:

Understanding Healthcare Payer Systems: They have in-depth knowledge of healthcare payer systems, including claims processing, member management, and provider networks

Compliance and Regulations: They ensure that solutions comply with healthcare regulations such as HIPAA (Health Insurance Portability and Accountability Act) and other relevant standards

Data Integration: They manage the integration of various data sources, ensuring seamless data flow between different systems, such as Electronic Health Records (EHRs) and payer systems

Analytics and Reporting: They design solutions that provide robust analytics and reporting capabilities to help payers make informed decisions and improve operational efficiency

Stakeholder Collaboration: They work closely with stakeholders, including business leaders, IT teams, and external vendors, to ensure the solution meets business needs and technical requirements

These professionals need a mix of technical skills, industry knowledge, and the ability to navigate complex regulatory environments