Healthcare Functional Lead

Job Summary

A company is looking for a Healthcare Functional Lead to serve as a strategic liaison between business stakeholders and delivery teams in the healthcare sector.

Key Responsibilities

• Act as a subject-matter expert and lead functional strategy for healthcare payor and provider initiatives
• Drive business transformation, regulatory compliance, and operational alignment across healthcare workflows
• Translate business needs into scalable functional and technology solutions

Required Qualifications

• Deep experience in healthcare payor and provider landscapes
• Expertise in claims, enrollment, utilization management, and value-based care
• Experience with EHR/EMR systems and revenue cycle management
• Ability to lead functional discovery sessions and translate business requirements into functional specifications
• Strong background in regulatory compliance related to healthcare