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- As a Payor Domain SME, candidates will be responsible for providing expert guidance, insights, and thought leadership in the Payor domain, particularly within the healthcare industry.
- Candidates will play a pivotal role in advising on business strategies, industry trends, regulatory requirements, and technology solutions related to Payor operations, including claims processing, member enrollment, provider network management, and revenue cycle management.
- Stay informed about healthcare regulations, compliance standards, and industry mandates affecting Payor operations, such as HIPAA, HITECH, CMS regulations, and state-specific requirements.
- Evaluate and assess technology solutions, platforms, and vendors in the Payor space, including claims processing systems, enrollment platforms, provider network management tools, and revenue cycle management software.
- Mentor junior team members and contribute to the professional development of the organization.
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