Healthcare Payer Solutions Lead - GuidingCare & Interop

Infosys; Hartford (CT); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Medical/Dental/Vision/Life Insurance

401(k) plan and employer contributions

Paid holidays and PTO

Job summary

Infosys is seeking a Domain Consultant 2 in the healthcare space to analyze client processes, benchmark against industry standards, and coordinate cross-functional teams for implementation and SOP development. The role emphasizes documentation, product research, and alignment with payer operations and digital transformation initiatives.

Preferred experience includes HealthEdge GuidingCare, FACETS, portals, and EDI integrations, with relocation/travel as needed.

Qualifications

• Experienced Healthcare Product Owner and Business Solutions Lead with deep expertise in Healthcare Payer operations, Care Management, Prior Authorization, Utilization Management, Grievances & Appeals, and Digital Transformation initiatives.

Responsibilities

• Analyze client business processes to identify optimization opportunities and align with industry standards.
• Facilitate benchmarking studies with stakeholders to align solution performance with domain insights.
• Collaborate with technical teams and document system customizations and workflows aligned with functional requirements.
• Conduct in-depth research on third-party products for feature, cost, and scalability comparisons.
• Coordinate solution implementation and address issues during setup and integration, supporting SOP development and maintenance.

Skills

Healthcare domain expertise

Process optimization

Cross-functional collaboration

Documentation & SOP creation

Benchmarking & research

System implementation support

Education

Bachelor’s degree or foreign equivalent

Tools

HealthEdge GuidingCare

FACETS

FHIR interoperability

EDI (278, 834, 835, 837)

Job description

Infosys is seeking a Domain Consultant 2 in the healthcare space to analyze client processes, benchmark against industry standards, and coordinate cross-functional teams for implementation and SOP development. The role emphasizes documentation, product research, and alignment with payer operations and digital transformation initiatives.

Preferred experience includes HealthEdge GuidingCare, FACETS, portals, and EDI integrations, with relocation/travel as needed.