Jobs · Legal · Arizona

Medicare Advantage Regulatory Consultant

Infosys · Tempe, AZ · 1 mo ago
LegalFull-time
We need to output HTML fragment with sections: h3 headings for sections present: About the role? Actually overview includes description. We need to include sections only if real content. We have: - Overview: description of unit and role. Could be "About the role" maybe. - Responsibilities: list of duties (the long list after "In the assigned Job Role..."). - Requirements: maybe "Required Skill And Experience" and "Additional Required Qualifications". Could combine. - Preferred Skill And Experience: could be part of Requirements or separate "Preferred Qualifications". But we can include a section "Preferred Qualifications" if content. - Benefits: present. - Pay: not specified (only "competitive pay" but no specifics). According to rule: do NOT create Pay section unless posting actually states them. It says "competitive pay" but no numbers; that's vague. Probably we should not create Pay section because it's not specific. The rule: never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. "competitive pay" is vague but still states that there is competitive pay. Might be considered stating pay exists but not amount. I'd interpret that as not enough detail to create a Pay section. Safer to omit Pay. - Schedule: not mentioned. - Skills: could be a section but we have Required Skill and Experience and Preferred Skill and Experience. Could combine into Requirements and Preferred Qualifications. We need to use

for section headings. Use
  • for any list of duties/requirements/benefits. Use

    for prose. We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate: EEO, navigation, etc. Also remove "About Us" maybe? It's not boilerplate but could be considered generic company description; but it's substantive? It's about Infosys. Might be considered boilerplate? The instruction: Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not explicitly listed but could be considered boilerplate? It's generic company description; but it's part of posting. Might keep? The instruction says preserve ALL substantive information; "About Us" is substantive about company. However many job postings include generic company description; but it's still part of posting. I'd keep it as a section maybe "About the Company". But we only have headings for specific list: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. The instruction says use

    for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It gives examples but not limited to those. Could also add "About the Company". But safer to stick to those headings if content matches. We have overview about the role and unit; could be "About the role". Responsibilities list. Requirements: Required Skill And Experience plus Additional Required Qualifications. Could be "Requirements". Preferred Skill And Experience could be "Preferred Qualifications". Benefits: we have benefits list. Thus sections: About the role, Responsibilities, Requirements, Preferred Qualifications, Benefits. We need to output only HTML fragment. Let's extract content. About the role: The overview paragraphs: "Overview The Infosys Healthcare unit is dedicated to transforming the healthcare industry by leveraging cutting-edge AI-driven solutions to simplify complexities and enhance patient experiences. We focus on creating connected ecosystems, optimizing operations, and delivering superior care across all touchpoints. Join us to be a part of a team that is at the forefront of healthcare innovation, driving down costs while improving patient outcomes. In the assigned Job Role of Product Consultant 2, your Area Of Responsibility will be as below:" Actually the "In the assigned Job Role..." starts responsibilities. So About the role could be first two sentences before that. Let's capture: "The Infosys Healthcare unit is dedicated to transforming the healthcare industry by leveraging cutting-edge AI-driven solutions to simplify complexities and enhance patient experiences. We focus on creating connected ecosystems, optimizing operations, and delivering superior care across all touchpoints. Join us to be a part of a team that is at the forefront of healthcare innovation, driving down costs while improving patient outcomes." We should not repeat job title as heading. Responsibilities: list after "In the assigned Job Role of Product Consultant 2, your Area Of Responsibility will be as below:" then a series of sentences each ending with period. We need to turn each into
  • . Let's extract each bullet: - Assist in analyzing functional and non-functional requirements and technical feasibility of product features to be implemented. - Document customer requirements and analyze the requirements gathered, ensuring that all relevant information is captured for further development. - Conduct market study and analysis to enable definition of product requirements and features. - Actively participate in competitive analysis and risk assessments. - Assist in creation of architectural designs and structure of the product, while supporting the evaluation of technology frameworks. - Participate in product scalability and product performance assessments and assist in planning for integration with existing system. - Identify and define product design concepts, create prototypes and structure user experience elements. - Collaborate with cross-functional teams to ensure alignment with design goals. - Participate in the development of small features and enhancements, while contributing to specific tasks within the development process. - Collaborate with internal stakeholders to gather specific customer needs and translate them into actionable development tasks. - Maintain documentation of the development process, ensuring alignment with customer expectations. - Conduct quality checks on development activities, while ensuring defined standards are met. - Conduct customer discussions to understand their requirements, while identifying customization options. - Contribute to creation of structured proposals and assist in developing tailored solutions that meet customer needs. - Refine documentation of the customization processes and co-ordinate with cross-functional teams to ensure alignment. - Develop implementation checklist to ensure all necessary steps and requirements are addressed during the integration process. - Assist in gathering system specifications, documenting integration procedures, and supporting the setup of necessary tools and resources. - Coordinate with stakeholders to facilitate smooth communication throughout the implementation phase. - Participate in production issue analysis and support resolution processes by logging incidents and validating fixes. - Maintain SOPs and operational user manual to ensure system stability. - Interact with client stakeholders when required, to resolve issues, ensuring timely responses and product fixes, along with internal stakeholders. - Draft SOPs, user guides, and workflow documentation based on team inputs. - Collaborate with team members to maintain accuracy in documentation repositories. - Maintain detailed records of work completed, learnings captured, and product behavior observed during rollouts. - Participate in knowledge transfer sessions and contribute to internal repositories. - Your Contribution To The Team Foster a collaborative spirit and demonstrate excellent communication skills with both internal teams and client stakeholders. The ability to collaborate in all phases of the product lifecycle, from requirement gathering and architecture through customization and implementation. The passion to create user-centric design and bring hands-on experience to prototyping, enhancing, and refining features. Play a proactive role in testing, troubleshooting, and maintaining product quality and operational stability. The ability to coordinate across cross-functional and client teams to ensure effective product rollouts and solution success. Wait the last paragraph seems like "Your Contribution To The Team" maybe part of responsibilities or separate? It's still under responsibilities? It seems like a continuation of responsibilities but could be considered "Your Contribution To The Team". Might be better to treat as part of responsibilities as it's still duties. We'll keep as list items? It's prose not bullet. Could be a paragraph. We'll treat as

    after list? But instruction: Use

    • for any list of duties/requirements/benefits. The "Your Contribution..." is not a list but prose. We'll keep as

      . Thus responsibilities: list items for the bullet points before that paragraph, then a

      for the contribution paragraph. Now Requirements: Required Skill And Experience and Additional Required Qualifications. Required Skill And Experience text: "Medicare related regulations, FDR oversight and audit requirements, HIPAA , FHIR. Strong understanding of healthcare payer operations. 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 in compliance program administration including risk assessments, policy creation, training, monitoring and reporting, audits and investigations." We need to preserve all detail. Could turn into

      • each sentence? Might be better as

        but instruction says use

        • for any list of duties/requirements/benefits. This is a list of requirements, so we should use list. Split into items: - Medicare related regulations, FDR oversight and audit requirements, HIPAA, FHIR. - Strong understanding of healthcare payer operations. - 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 in compliance program administration including risk assessments, policy creation, training, monitoring and reporting, audits and investigations. Additional Required Qualifications: "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. This position may require relocation and/or travel to work/project location. Candidates authorized to work for any employer in the United States without employer-based visa sponsorship are welcome to apply. Infosys is unable to provide immigration sponsorship for this role now or in the future." We need to keep all. Could be list items. - 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. - This position may require relocation and/or travel to work/project location. - Candidates authorized to work for any employer in the United States without employer-based visa sponsorship are welcome to apply. - Infosys is unable to provide immigration sponsorship for this role now or in the future. Now Preferred Skill And Experience: "Experience working in cloud technologies and implementing controls for BPaaS scenarios Ability to influence cross functional teams without direct authority. Strong analytical and risk-based decision-making skills. Excellent communication, presentation, and interpersonal skills." We need to split: - Experience working in cloud technologies and implementing controls for BPaaS scenarios - Ability to influence cross functional teams without direct authority. - Strong analytical and risk-based decision-making skills. - Excellent communication, presentation, and interpersonal skills. Now Benefits: "Along with competitive pay, as a full-time Infosys employee you are also eligible for the following benefits: Medical/Dental/Vision/Life InsuranceLong-term/Short-term DisabilityHealth and Dependent Care Reimbursement AccountsInsurance (Accident, Critical Illness , Hospital Indemnity, Legal)401(k) plan and contributions dependent on salary levelPaid holidays plus Paid Time Off" We need to parse benefits list. It's a bit jammed. Let's split by commas? Actually it's: 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. We'll make list items. Now About the role paragraph we already have. We also have "About Us" section after benefits. Should we include? It's generic company description. Might be considered boilerplate but it's substantive about Infosys. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. "About Us" is not those. Could keep as a section maybe "About the Company". But we only have defined headings examples; but we could add "About the Company" as h3. However the instruction says use

          for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It doesn't forbid other headings

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