Functional Lead

4 days ago

Kowloon, Hong Kong SAR China Cognizant Technology Solutions Hong Kong Limited Full time

Serve as the company’s functional lead for claims during all phases of the implementation. Act as the functional anchor for all claims-related requirements, workshops, and design validations—working directly with the customer and representing the company’s product with domain authority. Conduct and lead requirement workshops, including discovery, process validation, and data mapping sessions. Lead workshops with confidence, validate use cases, map requirements, and guide the customer through best practices—avoiding vague elicitation. Understand Hong Kong’s health claims landscape—including: VHIS products and top-up riders Pre-authorisation flows and provider billing logic Medical coding standards (ICD, PCS, TOSP) Provider networks and reimbursement models Claims SLAs, appeals, regulatory workflows, and audit readiness Provide clear, assertive guidance to customers—mapping their needs to the company’s product capabilities and identifying any configuration/localisation required. Act as a bridge between the customer’s business team and the company’s offshore implementation and product teams (India-based). Support test scenario definition, UAT planning, and go-live validation, ensuring alignment to the functional use cases. Review product enhancements or localisation requests to ensure they are truly needed and not a workaround for missing understanding. Document all validated requirements in collaboration with Business Analysts and maintain traceability. Required Skills & Experience 10+ years of experience in the health insurance claims domain. Deep understanding of end-to-end health insurance claims processing in Hong Kong, including: Pre-authorisation, Provider management, ICD/PCS codes, Adjudication rules, Regulatory expectations Strong domain knowledge across claims processing, provider management, benefit adjudication, and regulatory compliance. Prior experience working on claims platform implementations or transformation projects in Hong Kong or other APAC health insurance markets. Familiarity with: ICD, PCS, and surgical procedure codes, Medical necessity and coding validation, Claim-to-policy benefit mapping, Eligibility verification and co-pay/deductible logic Ability to lead workshops, navigate ambiguity, and guide business users confidently. Excellent communication skills in English; Cantonese proficiency is preferred but not mandatory. Ability to interact closely with Hong Kong-based business users and health claims teams. Ability to work with offshore teams and represent the product roadmap, configurability, and functional boundaries clearly. Preferred Qualifications Experience working with Hong Kong-based life and health insurers. Functional experience with auto-adjudication engines, pre-auth platforms, or provider portals. Exposure to regulatory guidelines from FHB, IA, or MOH in Hong Kong. Clinical coding background or familiarity with coding audit processes is a strong plus. Bachelor’s degree in Life Sciences, Insurance, Healthcare Administration, or equivalent. Location: Sha Tin District, HK Posted 2d ago #J-18808-Ljbffr

  • R&D & NPD Coordinator - Cross-Functional Project Lead

    2 days ago

    Kowloon, Hong Kong SAR China Kabushikigaisha Limited Full time

    A food production company in Hong Kong is seeking a candidate with a higher diploma and over 8 years of R&D or operation experience in the food industry. The ideal applicant will engage in new product development, collaborate with cross-functional teams, and manage project timelines. Strong project management and analytical skills are essential. This role...

  • Management Trainee: Cross-Functional Ops

    2 days ago

    Kowloon, Hong Kong SAR China Asahi Group Company Limited Full time

    A leading mechanical solutions provider is seeking a dedicated individual in Hong Kong to assist management with daily operations and various projects. The ideal candidate should be a university graduate with at least one year of working experience, possess strong communication and organizational skills, and be proficient in both English and Mandarin. This...

  • Project Coordinator: Cross-Functional Ops

    2 days ago

    Kowloon, Hong Kong SAR China Senko Advanced Components (HK) Ltd Full time

    A leading components company in Hong Kong is seeking a Project Coordinator / Assistant Project Coordinator to support project development and manage resource allocations. The ideal candidate will have a diploma or relevant qualifications along with strong interpersonal and collaborative skills. Responsibilities include maintaining project BOMs, issuing...

  • Senior Business Analyst: Data-Driven

    2 days ago

    Kowloon, Hong Kong SAR China Aacurapid (Hong Kong) Ltd Full time

    A leading conglomerate in Hong Kong is looking for a skilled Business Analyst to join their team. The role involves collaborating with stakeholders to understand user requirements, conducting feasibility studies, and managing projects effectively. Candidates should have a minimum of 5 years of experience in business analysis and technical knowledge in...

  • Head of Retail

    4 days ago

    Kowloon, Hong Kong SAR China CASETiFY Full time

    Head of Retail / Store Development Director - Global functions (Based in Hong Kong) Purpose of Position CASETiFY is one of the leading global lifestyle brands known for our customizable tech accessories that champion self‑expression. Since our launch in 2011, we have grown to be the most popular tech accessories company in the world (most searched tech...

  • Lead DevOps Engineer

    4 days ago

    Kowloon, Hong Kong SAR China Michael Page International (Hong Kong) Limited Full time

    Lead CI/CD Transformation AWS Expertise: Hands-on experience with key AWS services About Our Client To be successful, you should have experience with: Lead CI/CD Transformation: Guide teams through the three-phase pipeline adoption journey - build, deployment, and production release - ideally using GitLab. Promote trunk-based development, high test coverage,...

  • Lead DevOps Engineer

    11 hours ago

    Kowloon, Hong Kong SAR China Michael Page International (HK) Ltd Full time

    Responsibilities Development and delivery of high‑quality software solutions using industry‑aligned programming languages, frameworks, and tools. Ensuring the code is scalable, maintainable, and optimised for performance. Cross‑functional collaboration with product managers, designers, and other engineers to define software requirements, devise...

  • Lead DevOps Engineer

    11 hours ago

    Kowloon, Hong Kong SAR China Michael Page Full time

    Join to apply for the Lead DevOps Engineer role at Michael Page . 6 days ago Be among the first 25 applicants About Our Client To Be Successful, You Should Have Experience With Lead CI/CD Transformation: Guide teams through the three-phase pipeline adoption journey - build, deployment, and production release - ideally using GitLab. Promote trunk-based...

  • Operation Lead

    4 days ago

    Kowloon, Hong Kong SAR China ManpowerGroup Greater China Hong Kong and Macau Full time

    General Requirements Sales / CS experience 5 years of experience in service function Dynamic culture Our client is looking for Operation Lead. Job responsibilities Ensure achievement of quantitative and qualitative external customer satisfaction goals in order to meet excellent service quality. Own and drive the strategic resources planning and talent...

  • Administrative Operations Lead

    4 days ago

    Kowloon, Hong Kong SAR China Huawei Tech. Investment Co., Ltd Full time

    A leading technology firm in Hong Kong is seeking an administrative professional to manage daily office functions and support various departments. Responsibilities include preparing meetings, supervising supplier services, and creating promotional materials. The ideal candidate holds a Bachelor's degree and has relevant experience or is a promising fresh...