Healthcare Claims GenAI Manager

Job Summary

A company is looking for a Sr Manager/Associate Director - GenAI (Healthcare Claims).

Key Responsibilities

• Gather requirements by analyzing Medicare and Medicaid processes, focusing on claims management
• Evaluate and recommend AI and analytics use cases to address client challenges
• Provide insights for solution design and ensure alignment with Medicare and Medicaid complexities

Required Qualifications

• 10-12 years of deep domain consulting experience
• Extensive understanding of US healthcare claims and Medicare/Medicaid regulations
• Experience with chatbot/GenAI solution implementation for claims configuration
• Master's/Bachelor's in Science/Engineering or MBA preferred
• Healthcare certifications preferred