Sr Product Manager

Sr Product Manager Job details Job Role Principal Consultant - US Work Location Tempe, AZ State / Region / Province Arizona Country USA Skills Domain|Healthcare|Healthcare - ALL Domain Consulting Interest Group Infosys Limited Company ITL USA Requisition ID 145647BR Infosys Helix is seeking a Sr. Product Manager- Regulatory and Compliance for this growing team. The Regulatory leader will provide leadership and oversight for the implementation and operations for Infosys Helix to ensure compliance with applicable regulations for Medicare advantage programs including CMS Audits for US health plans. This role will be the primary point of contact for the client for all aspects of compliance including regulatory updates, audits and quality and performance reporting. Key Responsibilities Serve as compliance partner for the client for the implementation and operation of Infosys Helix BPaaS services for Medicaid Advantage plans. Ensure that regulatory, contractual and other compliance requirements are translated into scalable, auditable operational controls embedded into applicable platform workflows and business processes for the client. Responsible for end-to-end management of compliance activities including compliance risk assessment, creation of policies, procedures and standards, training and awareness, monitoring and reporting, internal compliance audits and support for external audits, and incident management and notifications. Responsible for implementation of product capabilities required for Medicare Advantage compliance, including generation of audit universes, HEDIS and STAR reporting, monitoring frameworks. Periodic communication to Infosys Helix and client leadership on status of compliance program as well as applicable compliance risks. Responsible for regulatory research and implementation of regulatory updates across the platform and processes. Required Qualifications The candidate must be located within commuting distance of Tempe, AZ or be willing to relocate to this area. This position may require travel in the US. Bachelor’s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive experience in the specialty in lieu of every year of Education. 11 Yrs of Domain experience (Healthcare). Experience in regulatory compliance roles for US healthcare with deep expertise in Medicare Advantage programs. Experience in developing HIPAA compliant applications/ operational processes. Experience participating in CMS audits for Medicare advantage Experience working in cloud technologies and implementing controls for BPaaS scenarios Experience in compliance program administration including risk assessments, policy creation, training, monitoring and reporting, audits and investigations. Medicare related regulations, FDR oversight and audit requirements, HIPAA Strong understanding of healthcare payer operations. Excellent communication, presentation, and interpersonal skills Ability to influence cross functional teams without direct authority. Strong analytical and risk-based decision-making skills. Preferred Qualifications: Ability to elicit information from myriad of SMEs (technical & business). Ability to provide thought leadership and influence to implement strategic methods. Ability to switch between projects and maintain consistency. Ability to be a part of a diverse team/ multiple stakeholder environment. Working in an agile environment- with Scrum, Kanban, SAFe methodologies. Experience and desire to work in a Global delivery environment. Along with competitive pay, as a full-time Infosys employee you are also eligible for the following benefits: Medical/Dental/Vision/Life Insurance. Long-term/Short-term Disability. Health and Dependent Care Reimbursement Accounts. Insurance (Accident, Critical Illness, Hospital Indemnity, Legal). 401(k) plan and contributions dependent on salary level. Paid holidays plus Paid Time Off. The job entails sitting as well as working at a computer for extended periods of time. Should be able to communicate by telephone, email or face to face. Travel may be required as per the job requirements. About Us Infosys is a global leader in next-generation digital services and consulting. We enable clients in more than 50 countries to navigate their digital transformation. With over four decades of experience in managing the systems and workings of global enterprises, we expertly steer our clients through their digital journey. We do it by enabling the enterprise with an AI-powered core that helps prioritize the execution of change. We also empower the business with agile digital at scale to deliver unprecedented levels of performance and customer delight. Our always-on learning agenda drives their continuous improvement through building and transferring digital skills, expertise, and ideas from our innovation ecosystem. Infosys provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability.