Helix Healthcare Consultant

Infosys; Bengaluru; On-site; INR 900,000 - 1,300,000; Full time

Job summary

Infosys in Bengaluru seeks a regulatory compliance professional with deep expertise in US healthcare, Medicare Advantage programs, CMS audits, HEDIS/STAR, and HIPAA. The role involves risk assessments, policy creation, training, monitoring and reporting, audits and investigations, and implementing cloud controls for BPaaS scenarios.

The ideal candidate will influence cross-functional teams, possess strong analytical capabilities, and communicate effectively across stakeholders in a dynamic payer

Qualifications

• Experience in US healthcare regulatory compliance
• CMS audits for Medicare Advantage
• HIPAA regulation & program administration
• Experience developing HIPAA compliant applications/ processes

Skills

Regulatory compliance

Medicare Advantage

CMS audits

HIPAA

HEDIS/STAR

FDR oversight

Risk assessments

Policy creation

Training & monitoring

Audits & investigations

HIPAA compliant apps/ processes

Cloud controls for BPaaS

Cross-functional influence

Analytical thinking

Job description

• Experience in regulatory compliance roles for US healthcare with deep expertise in Medicare Advantage programs.
• Experience participating in CMS audits for Medicare advantage
• HEDIS and STAR rating experience
• Medicare related regulations, FDR oversight and audit requirements, HIPAA
• Strong understanding of healthcare payer operations.
• Experience in compliance program administration including risk assessments, policy creation, training, monitoring and reporting, audits and investigations
• Experience in developing HIPAA compliant applications/ operational processes.
• Experience working in cloud technologies and implementing controls for BPaaS scenarios
• Excellent communication, presentation, and interpersonal skills
• Ability to influence cross functional teams without direct authority.
• Strong analytical and risk-based decision-making skills.