Subject Matter Expert - Provider Management - Healthcare Insurance - InsuranceTech

Role : Subject Matter Expert (SME) - Provider Management ( Healthcare Insurance) - InsuranceTech

Location : Mumbai / Pune ( with International Project Travelling)

Job Summary:

Role Summary:

We are looking for a Provider Management SME with strong domain expertise and hands-on experience in configuring and implementing provider platforms for health insurers. This role supports requirement gathering, gap analysis, and configuration planning, working closely with product teams and senior SMEs.

Key Responsibilities :

- Assist in requirement discovery sessions with hospitals, clinics, and payer stakeholders.

- Define and document provider onboarding workflows, credentialing processes, and tariff configuration.

- Support platform configuration and user story creation aligned with business needs.

- Provide input for provider contract management features and compliance needs.

- Collaborate with technical teams to validate data structures and interface specifications.

Educational Qualification / Work Experience & Skills :

- PG / MBA / BE / B.Tech with 6+ years in health insurance or healthcare provider domain.

- Familiarity with provider contracting, credentialing, package/tariff management, and SLA compliance.

- Experience working with provider portals or network management systems.

- Understanding of regulatory considerations in APAC.

- Strong functional documentation skills and platform thinking.