Job Description

Ability Gather, analyse, and document business and technical requirements for healthcare Programs


Experience on core business applications in Care Management and Utilization


Management Areas (Pega, Innovacer, Nextgen, Salesforce tools )


Understanding of clinical, financial, administrative data in payers


Experience in Payer analytics tool building up new requirements


Knowledge of CMS rating standards (STAR) and quality measures reporting


Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) to system data models and ITX transformations.


Conduct gap analysis, impact analysis, and facilitate design walkthroughs with business and technical teams.


Collaborate with QA teams to define test scenarios, acceptance criteria, and assist in defect triage.


Coordinate across cross-functional teams (product, ops, compliance, providers) to ensure integration requirements are met.

About Virtusa

Teamwork, quality of life, professional and personal development: values that Virtusa is proud to embody. When you join us, you join a team of 27,000 people globally that cares about your growth -- one that seeks to provide you with exciting projects, opportunities and work with state of the art technologies throughout your career with us.



Great minds, great potential: it all comes together at Virtusa. We value collaboration and the team environment of our company, and seek to provide great minds with a dynamic place to nurture new ideas and foster excellence.



Virtusa was founded on principles of equal opportunity for all, and so does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.