Description:

About ScaleHealthTech:

ScaleHealthTech is a Healthcare IT consulting and solutions firm that empowers healthcare stakeholders in their digital transformation journey.

Backed by industry-recognised leaders, we specialize in building the digital foundation essential for enterprise-wide innovation.

Our Center for Digital Health Innovation (CDHI) reimagines healthcare technology and business processes to deliver cost efficiency, improved patient outcomes, exceptional user experiences, and equity in care.

We serve leading health systems, healthcare software providers, non-profit organizations, and health plans globally.

Website: https://scalehealthtech.com/

Position Overview:

Location: Bangalore, Hyderabad, Noida, Gurgaon, Pune, Chennai.

Function: Delivery & Engineering Leadership.

Reports to: Founder and CEO.

Company credentials: CHIME Foundation Partner. HIMSS GA & DV Chapter Member. HQ: Atlanta, GA. Digital Delivery Center Noida (Center for Digital Health Innovation).

Role Summary:

- Own end-to-end delivery for multi-program healthcare software portfolios serving the U.S. providers, payers, and healthcare ISVs.

- Convert CMS/ONC/TEFCA requirements into clear roadmaps; orchestrate engineering, EHR integrations, data platforms, and release governance to ship secure, reliable products that measurably improve patient, clinician, and payer outcomes.

Core Responsibilities:

Delivery, Governance & Commercials:

- Build and Accelerate ScaleHealthTechs offshore delivery capability, focusing on US-based Health Systems, Health Plans, and ISVs.

- Establish KPIs/OKRs, drive utilisation, margin, forecasting, and P&L hygiene.

- Be a key leader in the CIO discussion, understand customers challenges, come up with a hypothesis, business use case that solves customers problems.

- Own end-to-end delivery responsibilities opportunity identification, use case formulation, pre-sales, proposal submission, closure, delivery, team recruitment, customer satisfaction.

Candidate should have strong experience and background across the following, but not limited to:-

Product & Domain Leadership:

- Patient Engagement / Digital Front Door: portals, telehealth, self-scheduling, check-in, messaging/SMS, RPM, billing & payments.

- Population Health & Care Management: risk stratification, registries, care plans, gaps-in-care, HEDIS/MIPS/Stars, SDoH & closed-loop referrals.

- Clinical & Operational Apps: orders/results, documentation/CDS, eRx, peri-op, imaging, throughput/bed mgmt, clinician experience.

- Payer/RCM & UM: eligibility/benefits, prior auth (medical & pharmacy), claims (837/835), COB, provider data mgmt, utilization review.

- Interoperability Products: FHIR R4/R5 & Bulk, SMART-on-FHIR apps, ADT/eventing, QHIN/HIE connectivity, HL7 v2 and X12 EDI gateways.

EHR & Integration Expertise:

- Epic: Cadence, Prelude/ADT, Resolute PB/HB, EpicCare IP/AMB, MyChart; Interconnect & FHIR/SMART; Bridges/Cloverleaf/Rhapsody/Mirth.

- Cerner / Oracle Health: Millennium/PowerChart workflows, RevCycle; Ignite APIs/FHIR, OpenEngines HL7; CareAware, MPages.

- Other ecosystems: MEDITECH, Allscripts/Altera, athenahealth; LIS/RIS/PACS; device/IoMT; payer platforms; Carequality/CommonWell.

- Lead interface-platform strategy, canonical data models/mappings, monitoring/alerting, replay/error handling, cutovers & versioning.

Healthcare Data & Analytics:

- Architect HIPAA-grade EDW/data lakes (Snowflake/Databricks/BigQuery), streaming (Kafka/Kinesis), semantic layers (dbt/LookML).

- FHIR-native stores, C-CDA ingestion, OMOP/CDM; terminology (SNOMED CT, LOINC, RxNorm, ICD-10, CPT/HCPCS); EMPI & tokenization.

- Analytics & ML: quality/cost-of-care dashboards, HCC risk, PA cycle analytics, throughput/OR block, NLP on notes; robust MLOps for PHI.

- Data governance: lineage, catalog, role-based access, auditability, retention; SOC 2/HITRUST-aligned controls.

Regulatory Alignment & Security:

- Operationalize CMS Interoperability & Patient Access and CMS Prior Authorization (Provider Access API, Prior Auth API, Payer-to-Payer).

- Plan/execute TEFCA readiness (QHIN connectivity, Common Agreement/QTF updates).

- Embed HIPAA Security & Privacy Rule controls in SDLC; coordinate risk assessments, vulnerability management, incident response, DR.

Engineering Excellence:

- Scale Agile/SAFe, CI/CD, DevSecOps, trunk-based development; SRE with SLOs & error budgets.

- Establish reference architectures for FHIR APIs, eventing, data pipelines, and zero-trust security.

- Drive test automation, non-prod parity, performance/chaos testing, and release/runbooks.

Client Leadership & Growth:

- Executive stakeholder management (CIO/CMIO/CNIO/CDO/CFO); roadmap co-creation, value cases, and outcomes storytelling.

- Pre-sales & solutioning: RFPs, estimates, SOWs, transition-in plans; partner/EHR vendor orchestration.

People & Operating Model:

- Build offshore/near-shore CoEs (AI/ FHIR/HL7/EDI guilds, data/cloud/platform CoEs); mentor EMs/SDMs; succession plans.

- Follow-the-sun with U.S teams; strong comms hygiene, meeting cadences, and documentation standards.

Qualifications:

- 15+ years in the US healthtech space; 7-10+ years leading offshore delivery at scale for U.S. providers/payers/ISVs.

- Proven delivery across Patient Engagement and Population Health, Prior Auth/UM, RCM/Claims, Care Mgmt, Telehealth/RPM, Clinical Documentation/CDS.

- Deep hands-on with Epic and Cerner/Oracle Health workflows & integrations; comfort with environment mgmt and vendor governance.

- Expertise in FHIR/HL7/X12 integration and HIPAA-compliant data/analytics platforms.

- Executive-level communication and value narrative; strong financial acumen (margin/utilization/forecasting).

Nice to Have:

- HITRUST/SOC2 leadership; payer data standards (e.g., CARIN, Da Vinci) and QHIN/HIE rollouts.

- Cloud certifications (AWS/Azure/GCP); experience with Snowflake/Databricks/BigQuery.

- GenAI/ML guardrails for PHI, evaluation frameworks, and ethical AI in clinical/RCM contexts.

Working Style & Travel:

- Offshore-based with daily U.S. overlap; occasional U.S. travel for executive governance, events.