The role of technology in shaping the healthcare workforce

In an interaction with Express Healthcare, Shantanu Baruah, Global Head – Life Sciences, Healthcare & Insurance, Hexaware, discusses how intelligent technologies are reshaping healthcare roles, the emerging skillsets required for clinicians and technicians, and the policy and workforce frameworks needed to ensure that technology amplifies—rather than erodes—human empathy and clinical judgment

How are AI, ML, robotics, and automation changing healthcare jobs?

When I look across payers, providers, and life sciences, I see the same pattern. We are moving from manual throughput to insight-led work. On the provider side, AI now takes the first pass at notes, basic triage, imaging pre-reads, and care coordination prompts, so clinicians spend their time on judgment, procedures, and conversation with patients. Payers are using automation in claims and prior authorisation, which shortens cycles and improves auditability.

Robotics is no longer limited to the OR; automated pharmacies and hospital logistics are becoming routine. Continuous device data flows into the EHR and models flag risk or gaps in care. The job is changing, not disappearing. People validate data, handle exceptions, make shared decisions, and remain accountable for outcomes. Technology is a colleague that removes friction; the human still carries the responsibility.

Healthcare is undergoing a profound redesign. Across both the clinical side—doctors, nurses, and allied professionals—and the provider ecosystem—hospitals, payers, and life sciences organisations—AI and automation are expanding what the workforce can achieve rather than replacing it. Administrative and repetitive activities such as claims processing, appointment scheduling, or radiology pre-screening are being automated, freeing clinicians to focus on higher-order tasks: diagnosis, decision support, and patient engagement.

In parallel, predictive and cognitive systems are augmenting decision-making by analysing multimodal data—imaging, genomics, EHRs, and patient-reported outcomes—in near real time. Robotics in operating rooms, automated pharmacies, and remote monitoring devices have made precision, safety, and scalability achievable even in resource-constrained settings. The net effect is a shift from labour-intensive workflows to technology-intensive, insight-driven roles, where healthcare professionals partner with intelligent systems rather than compete with them.

What new skills and competencies are emerging for doctors, nurses, and technicians in a tech-driven healthcare environment?

Clinical mastery stays non-negotiable. On top of that, teams need to read a dashboard, question a model, and know its limits. That is basic data literacy and AI awareness. Nurses and technicians are running connected devices, remote patient monitoring panels, and following cybersecurity hygiene. Interoperability has become everyday work, so a working knowledge of HL7 FHIR helps data move across payers, providers, and diagnostics. “Soft tech” skills matter too. Digital empathy, clear telehealth communication, and coaching patients on device use and consent are now part of the job. New roles are appearing around them: clinical informatics, interoperability leads, AI safety, data stewardship. The modern clinician should be credible at the bedside and competent at the console. That combination is what gives technology its value.

Technology is changing not only how care is delivered but also the skills required to deliver it. Beyond medical expertise, today’s healthcare professionals need digital literacy, data interpretation, AI awareness, and workflow adaptability. Clinicians must learn to validate algorithmic recommendations, interpret dashboards, and understand the limits of machine-generated insights.

For nurses and technicians, competencies are expanding into connected device management, remote patient monitoring, cybersecurity hygiene, and interoperability standards such as HL7 FHIR. In addition, “soft tech” skills—digital empathy, communication through virtual interfaces, and patient education in telehealth environments—are becoming essential. The workforce of the future will combine compassion with computational understanding: professionals who are as comfortable navigating a clinical console as they are comforting a patient.

How are hospitals and healthcare organisations upskilling their workforce to adapt to digital transformation?

Most healthcare systems now treat upskilling as a strategic investment, not a compliance exercise. Leading providers are introducing microlearning and e-learning modules, simulation-based training, and continuous credentialing pathways. Many collaborate with technology companies, academic institutions, and certification partners to co-design curricula on AI ethics, digital imaging, health informatics, and robotic assistance.

Upskilling is also becoming more personalised. Role-specific learning journeys help clinicians, administrators, and technicians gain targeted competence without leaving the workplace. For example, AI-enabled learning management systems recommend short modules based on task profiles or clinical exposure. The overall direction is clear: the future-ready healthcare workforce will learn continuously, in smaller, faster cycles, embedded within their daily digital environment.

The best hospitals treat skills like a system, not a one-off workshop. We see microlearning and e-learning embedded in the workday, simulator labs for surgery and imaging, and continuous credentialing linked to new tools going live.

Providers co-create curricula with universities, certification bodies, and technology vendors on AI ethics, digital imaging, health informatics, robotic assistance, and privacy by design. It is role-specific. Physicians get short modules on decision support and explainability. Nurses train on remote monitoring, escalation thresholds, and virtual care etiquette. Technicians practice device QA and data quality. Revenue cycle teams learn automation operations and exception handling.

AI-enabled learning systems recommend five-to-ten-minute lessons based on what the person just did in the EHR. Upskilling becomes always on, and it moves at the same pace as the tools.

How does technology address India’s workforce gap in Tier 2 and Tier 3?

Our problem is distribution, not intent. Digital closes distance. Telemedicine, e-ICUs, teleradiology, and AI-assisted triage push specialist capacity beyond metros. A cardiologist in Mumbai can supervise care in Satara and get usable data in the EHR, not screenshots on chat apps. Multilingual assistants help with intake, follow-ups, and patient education in local languages. Portable diagnostics linked to cloud analytics enable early detection in primary health centres. These same capabilities create local jobs: telehealth coordinators, data technicians, digital health navigators, and remote monitoring case managers. With interoperable exchanges, payers, providers, and diagnostics networks coordinate instead of duplicating. The outcome is practical — earlier intervention, fewer avoidable transfers, and more issues resolved where people live.

India’s healthcare capacity challenge is primarily one of distribution, not intent. Technology is bridging that gap. Telemedicine, remote diagnostics, e-ICUs, and AI-enabled triage systems are extending specialist access far beyond urban centres. Through digital health platforms, physicians in metros can supervise procedures or review diagnostics performed hundreds of kilometres away.

AI-powered clinical assistants and multilingual chatbots are helping frontline workers in smaller towns handle documentation, appointment flow, and patient education in local languages. Portable diagnostic devices linked to cloud analytics now enable early disease detection even in primary health centres. Combined, these innovations are democratising expertise, ensuring that geography no longer defines the quality of care. The same tools also generate new local employment—telehealth coordinators, data technicians, and digital health navigators—expanding the talent pool while improving reach.

How can healthcare leaders ensure that technology enhances rather than replaces human empathy and clinical judgment?

Technology should never remove the human from the process — it should keep the human in the loop at every step. AI and automation must act as assistive tools that give doctors and caregivers more time to focus on patients. The idea is not to replace clinicians but to make them more efficient by automating repetitive or administrative tasks like documentation, appointment management, and claims.

AI should remain explainable and auditable. Clinicians must always have the final say in diagnosis or treatment, using AI-generated insights as decision support. To ensure this, there must be governance and regulatory guardrails—clear accountability on who reviews what, how algorithms are validated, and how bias is prevented.

When technology is built with these checks in place, it becomes a real partner in care delivery—enhancing accuracy, efficiency, and access while preserving the empathy, ethics, and human judgment that define healthcare.

By design, we keep the human in the loop. AI can draft, summarise, and alert. Clinicians review, add context, and decide. We use automation to remove the administrative load, so time returns to listening and explaining. We do not allow autonomous diagnosis or treatment decisions. We insist on explainable, auditable outputs with confidence ranges and provenance, and we set escalation rules so higher-risk cases go to senior clinicians. We train teams in digital empathy and AI literacy, and we maintain audit trails of prompts, outputs, and final human decisions. With explainability, bias checks, and clinical oversight in place, technology becomes a force multiplier for empathy and safety. It does not replace them.

What are the workforce and policy implications as healthcare becomes digital?

Scale needs guardrails. India should set clear rules for data sharing and interoperability, stronger cybersecurity expectations, and practical guidance on explainable and fair AI. Clinical-grade apps deserve the same clarity as devices on certification pathways. Reimbursement for telehealth and remote patient monitoring must be explicit, so adoption is sustainable for providers and acceptable to payers. On the workforce side, we should define the new digital roles and scopes of practice, keep skills verification continuous, and require post-deployment model monitoring. Incentives should track outcomes that matter, like time back to clinicians, diagnostic quality, safety events, and patient-reported experience. With that framework, payers, providers, and life sciences can move fast without losing trust, and India can expand quality care with the workforce it has and the skills it is building.

As digital healthcare scales, policy and governance frameworks must evolve equally fast. India needs clear standards on data interoperability, security, and ethical AI—akin to HIPAA and FHIR mandates in the US. Regulations must define how patient data can be shared securely, how algorithmic bias is detected and mitigated, and how digital devices and apps are certified.

Equally critical are reimbursement models for telehealth and remote patient monitoring, ensuring sustainability and fairness. The digital health ecosystem also calls for stricter cybersecurity norms, algorithm explainability requirements, and regulatory guardrails for GenAI tools entering clinical workflows. A cohesive national policy that balances innovation with accountability will help India’s healthcare workforce adopt technology confidently and responsibly.

artificial intelligence (AI)digital healthHealthcare ITmachine learning (ML)technology
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