Techno Functional Lead

Creative Hands HR; Bengaluru, Chennai District; On-site; INR 3,500,000 - 7,000,000; Full time

Job summary

Creative Hands HR in Chennai seeks a seasoned Techno-Functional Lead to drive IT project management for web and mobile apps for USA healthcare clients. The role blends healthcare domain expertise with modern tech architecture, APIs, AI/ML, and full-stack delivery across front-end, back-end, and integrations.

Ideal candidates have extensive provider/payor operations experience, strong EHR/EMR integration knowledge, and a track record of leading cross-functional teams in a global setting.

Qualifications

• 15+ years in IT with 8–10 years in US Healthcare IT.
• Proven expertise in payor operations: claims adjudication, EDI 837/835/270/271/278.
• Strong knowledge of healthcare data standards and regulations (HIPAA, HITECH, 21st Century Cures).

Responsibilities

• Translate US healthcare requirements into functional specs, user stories and flows.
• Lead workshops with stakeholders to capture requirements and validate designs.
• Define API strategy and guide integration with EHR/EMR and payer systems.
• Mentor onshore-offshore teams and liaise with US-based stakeholders.

Skills

.Net

Angular/React

SQL

Healthcare Domain

Tools

Epic

Cerner

Athenahealth

Job description

Position: Permanent

Role: Techno functional Lead

Experience: 7-10 Years

Location: Chennai

Shift: 02:30PM 11:30PM

Work Mode: WFO

Key Skills: .Net, Angular/React , sql, Healthcare Domain

About the Role

We are seeking a highly experienced Techno-Functional Lead to drive IT project management for web and mobile application development initiatives serving USA-based healthcare provider and payor clients. This senior role requires deep domain expertise in healthcare operations combined with strong technical acumen in modern application architecture, systems integration, APIs, AI/ML, and full-stack technologies. The ideal candidate will act as the bridge between business stakeholders and technology teams, translating complex healthcare workflows into scalable, compliant digital solutions.

Roles & Responsibilities

Healthcare Domain Consulting Payor & Provider

• Provide deep functional expertise in provider operations: clinical workflows, RCM, credentialing, scheduling, EMR/EHR integration, patient engagement.
• Act as domain expert for payor operations: claims processing, enrollment & eligibility, prior authorization, utilization management, care management, member services.
• Translate US healthcare business requirements into functional specifications, user stories, and process flows.
• Conduct workshops and discovery sessions with stakeholders to capture requirements and validate solution design.

Technical Architecture & Integration Consulting

• Guide application architecture for healthcare web and mobile platforms (front-end, back-end, middleware, cloud).
• Oversee integrations with EHR/EMR systems (Epic, Cerner, Athenahealth), payer platforms, clearinghouses, and third-party vendors.
• Define API strategy (REST, SOAP, FHIR, HL7) for interoperability.
• Advise on middleware patterns (ESB, Kafka, RabbitMQ, microservices).
• Collaborate with UI/UX teams on front-end (React, Angular) and mobile (iOS, Android, React Native).
• Provide oversight on back-end stacks (.NET, Java, Node.js, Python).
• Guide AI/ML use cases: clinical decision support, prior authorization automation, NLP for coding, predictive analytics, patient/member engagement.

IT Project Management Support

• IT Project Management Support
• Define scope, timelines, and deliverables for healthcare IT engagements.
• Participate in Agile ceremonies: sprint planning, backlog grooming, reviews.
• Conduct gap analysis, feasibility studies, and impact assessments.
• Prepare/review BRDs, SRDs, solution design documents, and integration specs.
• Manage and mentor onshore-offshore teams, ensuring quality delivery.
• Liaise with USA-based stakeholders, ensuring clear communication across time zones.

Required Skills

Domain Expertise

• 15+ years in IT, with 8 to 10 years in US Healthcare IT.
• Proven expertise in payor operations: claims adjudication, EOB/ERA, EDI 837/835/270/271/278, prior authorization

workflows, provider/member experience.

• Strong knowledge of provider operations: CRM, clinical data management, RCM, charge capture, coding (ICD 10, CPT, HCPCS), billing, collections, provider portals.

• Hands-on with healthcare data standards: HL7 v2.x, HL7 FHIR R4, CCD/CDA, DICOM, X12 EDI.
• Understanding of US healthcare regulations: HIPAA, HITECH, 21st Century Cures Act, TEFCA, CMS Interoperability Rule.

Technical Expertise

• Web application architecture: microservices, REST APIs, serverless, containerization (Docker/Kubernetes).
• Full-stack environments: React/Angular (front-end), .NET Core/C#, SQL/NoSQL databases.
• Mobile applications: native (iOS/Android), cross-platform (React Native, Flutter).
• Integration with EHR/EMR platforms and payer systems.
• Middleware/integration platforms: Azure API Management, Logic Apps, Service Bus.
• AI/ML awareness: LLMs, NLP for clinical text, predictive modeling, AI-driven care management.
• Cloud: Azure (HIPAA-compliant architectures).
• DevOps/CI-CD: Agile/Scrum, JIRA, Confluence, Git, automated testing pipelines.