Team Lead, IT​/Tech

About the Role We are seeking a highly experienced Techno-Functional Lead to drive IT project management for web and mobile application development initiatives serving USA-based healthcare provider and payor clients. This senior role requires deep domain expertise in healthcare operations combined with strong technical acumen in modern application architecture, systems integration, APIs, AI/ML, and full-stack technologies. The ideal candidate will act as the bridge between business stakeholders and technology teams, translating complex healthcare workflows into scalable, compliant digital solutions.

Roles & Responsibilities Healthcare Domain Consulting – Payor & Provider
• Provide deep functional expertise in provider operations: clinical workflows, RCM, credentialing, scheduling, EMR/EHR integration, patient engagement.
• Act as domain expert for payor operations: claims processing, enrollment & eligibility, prior authorization, utilization management, care management, member services.
• Translate US healthcare business requirements into functional specifications, user stories, and process flows.
• Conduct workshops and discovery sessions with stakeholders to capture requirements and validate solution design. Technical Architecture & Integration Consulting
• Guide application architecture for healthcare web and mobile platforms (front-end, back-end, middleware, cloud).
• Oversee integrations with EHR/EMR systems (Epic, Cerner, Athenahealth), payer platforms, clearinghouses, and third-party vendors.
• Define API strategy (REST, SOAP, FHIR, HL7) for interoperability.
• Advise on middleware patterns (ESB, Kafka, Rabbit

MQ, microservices).
• Collaborate with UI/UX teams on front-end (React, Angular) and mobile (iOS, Android, React Native).
• Provide oversight on back-end stacks (.NET, Java, Node.js, Python).
• Guide AI/ML use cases: clinical decision support, prior authorization automation, NLP for coding, predictive analytics, patient/member engagement.
• IT Project Management Support
• Define scope, timelines, and deliverables for healthcare IT engagements.
• Participate in Agile ceremonies: sprint planning, backlog grooming, reviews.
• Conduct gap analysis, feasibility studies, and impact assessments.
• Prepare/review BRDs, SRDs, solution design documents, and integration specs.
• Manage and mentor onshore-offshore teams, ensuring quality delivery.
• Liaise with USA-based stakeholders, ensuring clear communication across time zones. Required Skills Domain Expertise
• 15+ years in IT, with 8–10 years in US Healthcare IT.
• Proven expertise in payor operations: claims adjudication, EOB/ERA, EDI 837/835/270/271/278, prior authorization workflows, provider/member experience.
• Strong knowledge of provider operations: CRM, clinical data management, RCM, charge capture, coding (ICD 10, CPT, HCPCS), billing, collections, provider portals.
• Hands-on with healthcare data standards: HL7 v2.x, HL7 FHIR R4, CCD/CDA, DICOM, X12 EDI.
• Understanding of US healthcare regulations: HIPAA, HITECH, 21st Century Cures Act, TEFCA, CMS Interoperability Rule. Technical Expertise
• Web application architecture: microservices, REST APIs, serverless, containerization (Docker/Kubernetes).
• Full-stack environments:
React/Angular (front-end), .NET Core/C#, SQL/No

SQL databases.
• Mobile applications: native (iOS/Android), cross-platform (React Native, Flutter).
• Integration with EHR/EMR platforms and payer systems.
• Middleware/integration platforms:
Azure API Management, Logic Apps, Service Bus.
• AI/ML awareness: LLMs, NLP for clinical text, predictive modeling, AI-driven care management.
• Cloud:
Azure (HIPAA-compliant architectures).
• Dev Ops/CI-CD:
Agile/Scrum, JIRA, Confluence, Git, automated testing pipelines.