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HEDIS and STAR Product Owner

Infosys Limited

Domain|Healthcare|Regulatory Compliance & Standards Technical Skills 2 Domain|Healthcare Payer|Claims Lifecycle Technical Skills 3 Technology|Healthcare|Provider Revenue Cycle Management & Clinical mgmt Overview The Infosys Healthcare unit is dedicated to transforming the healthcare industry by leveraging cutting‑edge AI‑driven solutions to simplify complexities and enhance patient experiences. We focus on creating connected ecosystems, optimizing operations, and delivering superior care across all touchpoints. Join us to be a part of a team that is at the forefront of healthcare innovation, driving down costs while improving patient outcomes. In the assigned Job Role of Product Project Lead 2, your Area Of Responsibility will be as below: Define project scope, goals, and deliverables that support business goals in collaboration with internal and client stakeholders. Monitor project performance reports that provide insights into progress, challenges, and outcomes. Establish and maintain relationships with mid level and senior client stakeholders and provide update on sprint planning and project progress. Monitor and manage the product lifecycle by translating business needs into technical requirements, while defining product roadmap and driving development and quality assurance, aligning resources and schedules, and ensuring seamless delivery and deployment of scalable solutions for client engagements. Proactively identify potential risks and issues that could affect project success. Implement mitigation strategies for identified risks and collaborate with quality assurance teams to integrate quality planning into the core activities. Develop project estimates in line with project scope, approach, milestones and manage change requests. Monitor estimates v/s actuals and oversee the allocation and management of project resources, including personnel, technology, and budget, to maximize efficiency and effectiveness. Assist in preparing technical and commercial proposals for upcoming client engagements. Develop resource plans and define role requirements that anticipate future project needs and address potential shortages. Conduct performance appraisals for team members. Your contribution to the team: Demonstration of strategic mindset for delivering impactful, client‑aligned projects Problem‑solving expertise and ability to run project economics and delivery Strong relationship with mid and senior level client stakeholders Strong leadership abilities to foster team performance and growth Commitment to cultivating a culture of learning and innovation Required Skill and Experience Experience supporting Medicare Advantage Stars, HEDIS, quality improvement, population health, or healthcare quality programs. Experience with SQL. Proficient ICD‑10‑CM coding knowledge Comprehensive understanding of HCC recapture, suspecting, and provider outreach initiatives. Familiarity with CMS risk adjustment regulations and guidance. Strong knowledge of CMS Medicare Advantage Star Ratings methodology, HEDIS measures, NCQA standards, and healthcare quality reporting. Extensive experience developing and executing quality improvement and performance management strategies. Strong understanding of Medicare Advantage operations, quality governance, regulatory requirements, and healthcare analytics. Ability to analyze complex data sets and translate findings into actionable business recommendations. Experience presenting quality performance results and strategic recommendations to senior leadership and executive stakeholders. Preferred Skill and Experience Clinical background preferred (RN) Advanced project management and execution skills Excellent communication, presentation, and interpersonal skills Additional Required Qualifications Bachelor’s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of education. This position may require relocation and/or travel to work/project location. Candidates authorized to work for any employer in the United States without employer‑based visa sponsorship are welcome to apply. Infosys is unable to provide immigration sponsorship for this role now or in the future. Along with competitive pay, as a full‑time Infosys employee you are also eligible for the following benefits: Long‑term/Short‑term Disability Health and Dependent Care Reimbursement Accounts Insurance (Accident, Critical Illness , Hospital Indemnity, Legal) 401(k) plan and contributions dependent on salary level About Us Infosys is a global leader in next‑generation digital services and consulting. We enable clients in more than 50 countries to navigate their digital transformation. With over four decades of experience in managing the systems and workings of global enterprises, we expertly steer our clients through their digital journey. We do it by enabling the enterprise with an AI‑powered core that helps prioritize the execution of change. We also empower the business with agile digital at scale to deliver unprecedented levels of performance and customer delight. Our always‑on learning agenda drives their continuous improvement through building and transferring digital skills, expertise, and ideas from our innovation ecosystem. EEO Infosys provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. #J-18808-Ljbffr Infosys Limited

Vacancy posted 5 days ago
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