Movate - Techno Functional Lead - Healthcare Domain

Position: Permanent

Role: Techno functional Lead

Experience: 7-10 Years

Location: Chennai

Shift: 02:30PM - 11:30PM

Work Mode: WFO

Key Skills: EHR, RCM, SQL, .Net

About the Company:

Movate, formerly called CSS CORP, is a new age services company that harnesses the power of digital technologies to reimagine customer engagements.

We enable businesses to anticipate and face disruptions effectively through our digital, technology and support services.

We are a global customer experience and technology consulting services provider and a digital transformation partner of choice for its clients, which includes the world's top innovators across industries, from mid-market players to large enterprises. We have a diverse team of over 11,500 customer-centric thinkers, collaborators, and co-creators across 20 global locations.

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, RabbitMQ, 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:

- 7-10 years in IT, with 7-10 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/NoSQL 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).

- DevOps/CI-CD: Agile/Scrum, JIRA, Confluence, Git, automated testing pipelines.

Preferred Qualifications:

- Salesforce certifications such as Administrator, CPQ Specialist, Service Cloud Consultant, or Field Service Consultant - Exposure to ITIL practices in support environments

Pay range and compensation package: Competitive salary based on experience and qualifications.

Equal Opportunity Statement:

- We are an equal opportunity employer and are committed to creating a diverse and inclusive workplace.

- We encourage applications from all qualified individuals regardless of race, gender, age, sexual orientation, disability, or any other characteristic protected by law.

Qualification: Bachelor's degree in computer science, Information Technology, Engineering, or a related field.