Responsible Functions
· Requirements Management: Analyze and develop business requirement document (BRD) for
client/business reference. Translate Business Requirements to user Stories to create, prioritize in
backlog, sprint, DOD and releases using Jira for development consumption. Perform requirements
review with external and internal stakeholders and resolve issues while suggesting corrective actions.
· Functional Solution Development: Responsible for end-to-end functional solution. Analyze
the business problem and validate the key business requirements to create a complete picture of
workflows and technical requirements fulfilled by existing and proposed software. Identify, define and
evaluate potential product solutions, including off-the-shelf and open-source components, and system
architecture to ensure that they meet business requirements.
· Communication & Collaboration: Act as a liaison between Business user and technical
solutions/support groups to ensure proper communication between diversified teams. Collaborate with
development team (including architecture, coding & testing teams) to produce/maintain additional
product and project deliverables in technical design, testing & program specifications, additional test
scenarios and project plan. Proactively manage expectation regarding roadblocks, in the critical path
to help ensure successful delivery of the solution.
· Business Value: Comprehend the fundamental solution being developed/deployed – its business
value & blueprint how it fits with the overall architecture, risks, and more. Drive business metrics that
will help optimize business & also deep dive into data for insights as required
· Team Mentoring: Train & Mentor juniors in the team on a need basis
Essential Functions · Technologist who enjoys executing and selling Healthcare solutions. Being on the front-line of client communications. · Good understanding of the US Healthcare value chain and key impact drivers [Payer and/or Provider] · Knowledgeable and cognizant of how data management and science is used to solve organizational problems in the healthcare context · Hands-on experience in at least one area of the data and analytics technical domains - Enterprise cloud data warehousing, integration, preparation, and visualization along with artificial intelligence, machine learning, data science, data modeling, data management, and data governance · Strong problem solving and analytical skills: ability to break down a vague business problem into structured data analysis approaches & ability to work with incomplete information and take judgment-driven decisions based on experience.
Primary Internal Interactions
· Review with the Product Manager & AVP for improvements in the product development lifecycle
· Assessment meeting with VP & above for additional product development features.
· Train & Mentor juniors in the team on a need basis.
Primary External Interactions
· Communicate with onshore stakeholder & Executive Team Members.
· Help the Product Management Group set the product roadmap & help in identifying future sellable
product features.
· Client Interactions to better understands expectations & streamline solutions. If required should be a
bridge between the client and the technology teams.
Technical Skills Required Skills – Good Knowledge of US Healthcare with at least 3 years of experience working with various US Healthcare Payer clients Skills Must Have · Good understanding of Software Development Life Cycle & Methodologies like Agile Scrum, Waterfall etc. · Strong experience in requirements elicitation techniques, functional documentation, stakeholder management, business solutions validation and user walkthroughs. · Strong documentation skills to create BRD, FSD, Process Flows, User Stories · Strong presentation skills. · Basic knowledge of SQL. · Knowledge of tools like Jira, Visio, Draw.io etc. Skills Nice to Have · Development experience of 1 or 2 years will be good to have · Experience on Big Data Tools – not limited to – Python, Spark + Python, HIVE, HBASE, Sqoop, CouchDB, MongoDB, MS SQL, Cassandra, Kafka · Knowledge of Data Analysis Tools – (Online analytical processing (OLAP), ETL frameworks) · Knowledge of Enterprise modeling tool and data integration platform (Erwin, Embarcadero, Informatica, Talend, SSIS, DataStage, Pentaho) · Knowledge of Enterprise business intelligence platform (Tableau, PowerBI, Business Objects, Microstrategy, Cognos) · Knowledge of Enterprise data warehousing platform (Oracle, Microsoft, DB2, Snowflake, AWS, Azure, Google Cloud Platform)
Process Specific Skills Delivery Domain - Software Development – SDLC & Agile Certifications Business Domain - US Healthcare Insurance & Payer Analytics Fraud, Waste & Abuse Payer Management Code Classification Management
Soft Skills · Understanding of Healthcare business vertical and the business terms within · Good analytical skills. · Strong communication skills - oral and verbal · Ability to work with various stakeholders across different geographical locations · Should be able to function as an Individual Contributor as well if required. · Strong aptitude to learn & implement healthcare solutions. · Ability to work independently
Working Hours General Shift – 12PM to 9 PM Will be required to extend as per project release needs
QualificationsEducation Requirements
· Master’s or Bachelor’s degree from top tier colleges with good grades, preferably in a relevant field
including Mathematics, Statistics, Computer Science or equivalent experience
About UsSkills Required
- Bachelor’s or master’s degree in mathematics, statistics, computer science, or a related field, or equivalent experience
- At least 3 years of experience working with US healthcare payer clients
- Knowledge of the US healthcare value chain, particularly payer and provider operations
- Knowledge of software development lifecycle methodologies, including Agile Scrum and Waterfall
- Experience with requirements elicitation, functional documentation, stakeholder management, solution validation, and user walkthroughs
- Ability to create BRDs, FSDs, process flows, and user stories
- Strong presentation, communication, analytical, and problem-solving skills
- Basic knowledge of SQL
- Knowledge of Jira, Visio, and Draw.io
- Ability to work with geographically distributed stakeholders and independently when needed
- Development experience of one or two years
- Experience with big data tools such as Python, Spark, HIVE, HBASE, Sqoop, CouchDB, MongoDB, Microsoft SQL Server, Cassandra, and Kafka
- Knowledge of OLAP and ETL frameworks
- Knowledge of enterprise modeling and data integration tools such as Erwin, Informatica, Talend, SSIS, DataStage, and Pentaho
- Knowledge of enterprise business intelligence platforms such as Tableau, Power BI, Business Objects, MicroStrategy, and Cognos
- Knowledge of enterprise data warehousing platforms such as Oracle, DB2, Snowflake, AWS, Azure, and Google Cloud Platform
What We Do
Choosing a digital partner is about more than capabilities — it’s about collaboration and character. Unrealistic overhauls and off-the-shelf products ignore what matters most — your unique needs, culture, goals, and your legacy data and technology environments. At EXL, our collaboration is built on ongoing listening and learning to adapt our methodologies. We’re your business evolution partner—tailoring solutions that make the most of data to make better business decisions and drive more intelligence into your increasingly digital operations. Whether your goals are scaling the use of AI and digital, redesign operating models, or driving better and faster decisions, we’re here to partner with you to help you gain—and maintain—competitive advantage with efficient, sustainable models at scale. Our expertise in transformation, data science, and change management helps make your business more efficient and effective, improve customer relationships and enhance revenue growth. Instead of focusing on multi-year, resource- and time-intensive platform designs or migrations, we look deeper at your entire value chain to integrate strategies with impact. We use our specialization in analytics, digital interventions, and operations management—alongside deep industry expertise — to deliver solutions that help you outperform the competition. At EXL, it’s all about outcomes—your outcomes—and delivering success on your terms. Share your goals with us and together, we’ll optimize how you leverage data to drive your business forward. For more information, visit www.exlservice.com.
