Requirement gathering - Work closely with clients and business SMEs to analyze pain points in the Medicare and Medicaid processes (with greater focus on claims management) and provide detailed information on business procedures, industry regulations, and user needs.
Evaluation and recommendation of use-cases - Evaluate and recommend AI, analytics, software, and engineering use cases to address client challenges with regards to complex business logics and user workflows.
Solution design - Provide critical insights and guidance to project teams, ensuring that the solution accurately reflects the complexities and nuances of Medicare and Medicaid domain (specifically focused on claims management), when developing products, systems, or processes. Partner with analytics and technology consulting teams to share insights on key processes, personas, and tools, ensuring alignment on effective solutions.
Validation and Review - Assess project deliverables, design documents, and test cases to ensure they align with domain knowledge and industry best practices.
Training and Knowledge management - Educate project teams on Medicare/Medicaid domain-specific concepts, jargon, and industry standards. Support the development of capability assets (including documents, demos) for the Medicare & Medicaid LOB within Tiger’s Consulting, DS, and Engineering Practice.