Healthcare Payer Solutioning Head

Role: Healthcare Payer Solutioning Head

Experience: 15+ years

Location: Pune, Greater Noida, Hyderabad, WFO 5 days

Coforge is seeking a dynamic and experienced Presales Solutioning Leader to drive strategic initiatives in the health insurance (payer) segment within our Healthcare & Life Sciences (HCLS) business unit. This role demands a visionary thinker with deep domain expertise, strong techno-functional capabilities, and a passion for innovation. The ideal candidate will be instrumental in shaping go-to-market strategies, crafting differentiated solutions, and enabling business growth through strategic customer engagements.

Key Responsibilities:

• Solution & Offering Development: Drive the design/evolution of AI-led technology and BPaaS solutions for payers, TPAs, MCOs, and VBC.
• Industry & Technology Trend Monitoring: Track and align with HCLS industry and emerging technology trends to identify and position relevant solutions and offerings.
• Thought Leadership: Develop thought leadership POV, white papers, etc., represent the organization in industry forums, contribute to building a strong vertical brand presence.
• Customer Engagements: Lead customer meetings / workshops to assess gaps, identify needs, position / co-develop solutions, and secure stakeholder buy-in.
• Partner & Analyst Engagement: Work closely with partners, analysts, and sales teams to execute GTM strategies including joint solutioning and expand market reach.
• GTM Strategy & Marketing: Define/refine go-to-market strategies and lead marketing efforts in collaboration with internal stakeholders.

Role Competency:

• 12+ years of experience in the U.S. healthcare payer industry, including direct experience with payers like (e.g., BCBS, Aetna, Cigna).
• Proven experience/expertise in: Payer workflows, regulatory frameworks, and technology landscape
• Strong understanding of healthcare data standards and regulatory frameworks (HIPAA, ACA, CMS interoperability rules).
• Business analysis, solutioning, conceptualizing / driving AI-led techno-functional solutions
• BPaaS engagements for payers, TPAs, MCOs, and VBC models
• Preferably, strong track record in presales, GTM execution, and stakeholder management

Soft skills:

• Strong business acumen, strategic thinking and innovation orientation
• Entrepreneurial mindset with the ability to thrive in dynamic environments
• Excellent presentation, verbal, and written communication skills
• Ability to interface with prospects, partners, analysts, and internal teams across geographies
• Strong analytical and problem-solving capabilities