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Healthcare Product Consultant – Medicare

Cognizant
Cognizant
5+ years
preferred by company
Remote, USA, Remote
1 May 13, 2026
Job Description
Job Type: Full Time Education: B.Sc./ M.Sc./ M.Pharm/ B.Pharm/ Life Sciences Skills: Data Analysis, Document Management, Life Science, Regulatory Compliance, Waterfall Model, Environment, Experiments Design, Health And Safety (Ehs), Laboratory Equipment, Manufacturing Process, Materials Science, Process Simulation, Sop (Standard Operating Procedure), Technical Writing, Wat, GCP guidelines, gmp knowledge, HSE Knowledge , Logistics and Transportation Management, Master Data, Operational Excellence, Sap Erp, supply chain management, Supply Planning, Warehouse Management, ICD-10 CM Codes, CPT-Codes, HCPCS Codes, ICD-10 CM, CPT, HCPCS Coding

Job Title: Healthcare Product Consultant – Medicare

Location: Remote, United States
Job Type: Full-Time (Work From Home)
Experience Required: 5+ Years (Freshers are not eligible)
Industry: Healthcare Consulting / Medicare Operations / Healthcare Technology / Payer Solutions / Digital Healthcare
Department: Healthcare Product Consulting / Government Programs

About the Role
We are seeking an experienced and client-focused Healthcare Product Consultant – Medicare to support healthcare payer transformation initiatives within government-sponsored healthcare programs. This strategic consulting opportunity is ideal for professionals with expertise in Medicare operations, healthcare product consulting, payer technology implementation, risk adjustment, enrollment operations, and healthcare regulatory compliance.

The ideal candidate will serve as a trusted product consultant, helping healthcare payer organizations implement and optimize advanced healthcare technology solutions for Medicare enrollment, reconciliation, encounters, and risk adjustment workflows.

This role is highly suited for experienced healthcare consulting professionals with strong Medicare domain expertise and product implementation experience.

Key Responsibilities

Healthcare Product Consulting & Client Advisory

  • Serve as a client-facing healthcare product consultant supporting payer organizations and healthcare executives.
  • Provide strategic consulting on healthcare technology implementation within government-sponsored healthcare programs, particularly Medicare.
  • Translate client business needs, regulatory requirements, and operational challenges into scalable product solutions.
  • Deliver trusted advisory support across implementation planning, optimization, and solution adoption initiatives.

Medicare Program Expertise & Regulatory Consulting

  • Interpret Medicare regulations, CMS guidelines, payer operational requirements, and healthcare policy changes to guide implementation strategies.
  • Support healthcare clients in aligning business operations with evolving Medicare compliance requirements.
  • Provide consulting expertise across Medicare enrollment, reconciliation, encounter management, and risk adjustment operations.

Solution Design & Product Implementation Support

  • Lead solution discovery, requirements analysis, gap assessments, workflow design, and implementation planning activities.
  • Define functional requirements, technical specifications, process flows, and solution documentation.
  • Support implementation teams throughout delivery lifecycles, ensuring successful translation of requirements into production-ready solutions.
  • Contribute to client acceptance, deployment readiness, and knowledge transfer activities.

Stakeholder Collaboration & Cross-Functional Leadership

  • Work closely with healthcare clients, product managers, project managers, implementation teams, delivery leadership, and internal business stakeholders.
  • Support multiple concurrent implementation programs in complex healthcare transformation environments.
  • Facilitate workshops, kickoffs, product demonstrations, consulting discussions, and stakeholder alignment sessions.

Product Strategy & Business Growth Support

  • Collaborate with internal leadership and product teams to shape healthcare product roadmaps, implementation methodologies, and client solution offerings.
  • Support proposal development, solution recommendations, effort estimates, and strategic business growth initiatives.
  • Provide product expertise during business development and client expansion opportunities.

Healthcare Innovation & Continuous Improvement

  • Monitor healthcare technology trends, regulatory developments, Medicare modernization initiatives, and payer transformation opportunities.
  • Recommend process improvements, scalable implementation strategies, and product optimization opportunities.

Required Qualifications

  • Bachelor’s degree or equivalent relevant professional experience.
  • Minimum 5+ years of relevant experience in healthcare consulting, Medicare operations, payer solutions, business analysis, or healthcare technology implementation.
  • Strong expertise in Medicare enrollment, reconciliation, encounter processing, and risk adjustment workflows.
  • Proven experience translating healthcare regulatory and operational requirements into technology-enabled business solutions.
  • Experience working directly with healthcare payer clients in regulated environments.
  • Strong business analysis, documentation, consulting, and stakeholder communication capabilities.
  • Ability to manage multiple concurrent projects and client priorities effectively.
  • Willingness to travel up to 20%, if required.

Preferred Qualifications

  • Certification in Medicare Fundamentals (TZU) preferred.
  • Experience with risk adjustment models such as CMS-HCC, HHS-HCC, CDPS, or similar frameworks.
  • Knowledge of Medicare Part D, Prescription Drug Events (PDE), and healthcare reporting processes.
  • Experience with cloud platforms, SaaS healthcare solutions, or service-oriented healthcare architectures.
  • Project management or delivery leadership experience is advantageous.

Compensation & Benefits
Annual Salary: USD $132,000 – $155,000 per year (based on experience and qualifications)