Business Architect
Project Role Description : Identify opportunities to deliver tangible business value by assessing the current state, capturing high-level requirements, and defining business solutions. Translate business needs into technology-enabled solutions and operating models. Support transformation by developing business cases and guiding implementation of key initiatives.
Must have skills : Medicare Advantage
Good to have skills : Health Insurance Operations, Electronic Medical Records (EMR)
Minimum 5 year(s) of experience is required
Educational Qualification : 15 years full time education
Summary: As a Configuration Lead, you will identify opportunities to deliver tangible business value by assessing the current state, capturing high-level requirements, and defining business solutions in healthrules. Your typical day will involve collaborating with various stakeholders to understand their needs, analyzing existing processes, and proposing innovative solutions that align with the organization's strategic goals. You will also engage in discussions to translate business requirements into actionable technology-enabled solutions, ensuring that the initiatives you support are effectively implemented and deliver the desired outcomes. Roles & Responsibilities: -Lead the configuration of Pricing Team in HealthRules Payor. -Analyze business requirements and convert them into HRP configuration logic. -Configure fee schedules, provider contracts, pricing rules, and modifiers. -Collaborate with Product Owners, QA, and business teams throughout the SDLC. -Support UAT, testing, and post-production issue resolution. -Maintain configuration documentation and ensure regulatory compliance (e.g., CMS). -Mentor junior team members and help maintain best practices in configuration governance. Professional & Technical Skills: -4-6 years of HRP configuration experience. -Strong knowledge of payer pricing models (e.g., CMS, APC, DRG, RBRVS). -Experience with claims processing, 837/835 formats, and SQL/Excel for validation. -Strong analytical, documentation, and stakeholder communication skills. Additional Information: - The candidate should have minimum 7.5 years of experience in Medicare Advantage. - This position is based at our Chennai office. - A 15 years full time education is required.
Chennai
Equal Employment Opportunity Statement
All employment decisions shall be made without regard to age, race, creed, color, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law.
Please read Accenture’s Recruiting and Hiring Statement for more information on how we process your data during the Recruiting and Hiring process.
We work with one shared purpose: to deliver on the promise of technology and human ingenuity. Every day, more than 775,000 of us help our stakeholders continuously reinvent. Together, we drive positive change and deliver value to our clients, partners, shareholders, communities, and each other.
We believe that delivering value requires innovation, and innovation thrives in an inclusive and diverse environment. We actively foster a workplace free from bias, where everyone feels a sense of belonging and is respected and empowered to do their best work.
At Accenture, we see well-being holistically, supporting our people’s physical, mental, and financial health. We also provide opportunities to keep skills relevant through certifications, learning, and diverse work experiences. We’re proud to be consistently recognized as one of the World’s Best Workplaces™.
Join Accenture to work at the heart of change. Visit us at www.accenture.com.
We have been alerted to the existence of fraudulent messages asking job seekers to set up payment to cover various costs associated with establishing employment at Accenture. No one is ever required to pay for employment at Accenture. If you are contacted by someone asking for payment, please do not respond, and contact us at india.fc.check@accenture.com immediately.