BPM Product Configuration Analyst

Role & responsibilities

Product & Group Configuration

• Configure healthcare products, groups, accounts, sub-accounts, and benefit structures in TriZetto Facets.
• Implement new group setups, renewals, amendments, terminations, and maintenance requests.
• Configure benefit plans, accumulators, eligibility rules, and plan attributes.
• Maintain configuration components and related system parameters.
• Support implementation of new products and benefit changes. Requirements Analysis
• Review PDRs, benefit documents, implementation guides, contracts, and business requirements.
• Interpret product and group design requirements.
• Translate approved business requirements into TriZetto Facets configuration.
• Identify and escalate requirement gaps, conflicts, or dependencies. Validation & Testing • Conduct unit testing of completed configurations.
• Verify configuration accuracy against source requirements.
• Support QA testing and timely defect resolution.
• Address fallout and production support issues. Operational Support
• Monitor assigned configuration work queues.
• Meet service-level and turnaround-time requirements.
• Support implementation and deployment activities.
• Participate in issue resolution and production stabilization activities.

Documentation:

• Maintain configuration documentation and evidence.
• Update implementation logs and supporting records.
• Follow established configuration standards and procedures.
• Contribute to knowledge management repositories.

Mandatory Skills & Competencies

• Knowledge of healthcare benefit plan and group configuration in TriZetto Facets.
• Understanding of group setup and implementation processes.
• Ability to analyze benefit documents, contracts, and business requirements.
• Strong attention to detail and commitment to accuracy.
• Effective written and verbal communication skills.

Preferred candidate profile

• Hands-on experience with TriZetto Facets product, benefit, or group configuration. Domain Knowledge
• Healthcare payer operations.
• Benefit plan design.
• Enrolment and membership.
• Claims processing.
• Provider networks.
• Commercial, ACA, Medicare, and Medicaid products.