Sr Manager/Associate Director - GenAI(Healthcare Claims) jobs in United States
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Tiger Analytics ยท 3 weeks ago

Sr Manager/Associate Director - GenAI(Healthcare Claims)

Tiger Analytics is pioneering what AI and analytics can do to solve some of the toughest problems faced by organizations globally. The Senior Manager/Associate Director role focuses on leveraging AI and analytics to address challenges in healthcare claims management, particularly within the Medicare and Medicaid domains.

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H1B Sponsor Likelynote

Responsibilities

Requirement gathering - Work closely with clients and business SMEs to analyze pain points in the Medicare and Medicaid processes (with greater focus on claims management) and provide detailed information on business procedures, industry regulations, and user needs
Evaluation and recommendation of use-cases - Evaluate and recommend AI, analytics, software, and engineering use cases to address client challenges with regards to complex business logics and user workflows
Solution design - Provide critical insights and guidance to project teams, ensuring that the solution accurately reflects the complexities and nuances of Medicare and Medicaid domain (specifically focused on claims management), when developing products, systems, or processes. Partner with analytics and technology consulting teams to share insights on key processes, personas, and tools, ensuring alignment on effective solutions
Validation and Review - Assess project deliverables, design documents, and test cases to ensure they align with domain knowledge and industry best practices
Training and Knowledge management - Educate project teams on Medicare/Medicaid domain-specific concepts, jargon, and industry standards. Support the development of capability assets (including documents, demos) for the Medicare & Medicaid LOB within Tiger's Consulting, DS, and Engineering Practice

Qualification

US healthcare claimsMedicareMedicaid regulationsChatbot/GenAI implementationStakeholder managementAnalytical skillsIndustry trends awarenessHealthcare certificationsProblem solvingCritical thinking

Required

10-12 years of deep domain consulting experience
Extensive understanding of US healthcare claims and Medicare and Medicaid industry and its specific regulations
Chatbot/GenAI solution implementation for claims configuration
Handling MBR, QBR, estimation process involving budget, Production support
Excellent analytical skills to identify potential issues and propose solutions by effectively conveying technical information to diverse teams
Excellent problem solving and critical thinking skills with diligence
Experience with managing stakeholder expectations to ensure effective communication and program success
Ability to stay updated on industry trends and emerging technologies
Masters/Bachelor of Science/Engineering

Preferred

MBA preferred
Healthcare certifications preferred

Benefits

Significant career development opportunities exist as the company grows.
The position offers a unique opportunity to be part of a small, fast-growing, challenging, and entrepreneurial environment, with a high degree of individual responsibility.

Company

Tiger Analytics

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Tiger Analytics offers data analytics and predictive modeling solutions for retail, social media, and online advertising sectors.

H1B Sponsorship

Tiger Analytics has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (259)
2024 (158)
2023 (93)
2022 (176)
2021 (123)
2020 (64)

Funding

Current Stage
Late Stage

Leadership Team

M
Mahesh Kumar
Founder and CEO
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Company data provided by crunchbase