Senior Healthcare Operations Associate
NTT DATA BUSINESS SOLUTIONS · Chennai · onsite · Posted 62d ago
Undisclosed6–11 yrsfulltimeSourced from
About a minute. You'll make an account on the way through.
About this role
Job Summary
Position's General Duties and Tasks
Responsibilities - Configuring client System for Pricing (Provider Contract) as per the requirement and according to defined business rules of new claims processing platform.
- Evaluation of Configuration Requirement and Formulation of Configuration Approach and Effectively include advanced configuration and additional functionality based on best practices
- Based on the business requirements and business rules gathered, evaluate and create rules and complete the configuration activities
- Participate in problem solving of Health Plan benefit, provider, pricing, reporting, operational and system issues
- Perform a variety of tasks related to the resolution of production support issues based on client configurations with the core administrative system
- Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Potential responsibilities include and may vary by system area of assignment
- Support fee schedule changes including terms, affiliations and contract maintenance
- Enable User Analysis Testing (UAT) and implement the modifications as suggested by the business owners and/or analyst
- Creating manual test cases from Use cases, Functional specs and other requirement documents.
- Resolve coding/QA issues by managing Master Issue Logs and Fixing the high priority change requests which require immediate attention
- Data Validation and Audit of existing plans and contracts in the client database(s)
- Database Management Maintenance
- Overall 5+ years experience in US healthcare Claims Payer.
- 6+ years experience in Configuring client System for Pricing (Provider Contract) and 2+ years UAT testing.
- High school diploma or equivalent required, Technical/ Non-Technical
- Associates degree, technical college or some college course work preferred
- Ability to work within a project-oriented environment.
- Experience in SQL 2+ years (Queries Writing)
- Exposure to VB.NET
Required schedule availability for this position is Monday-Friday (5:00am to 3:00pm EST). The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekends based on business requirement.
Sourced from naukri
Skills
QATest CasesBusiness RequirementsDatabase ManagementHealthcareSQLoperationsmaintenanceInsurance OperationsData ValidationClaims Processing
About NTT DATA Business Solutions
NTT DATA BUSINESS SOLUTIONS
IT Services & Consulting
4k+
employees
1989
37 years old
Hyderabad / Secunderabad, Telangana
India
About
NTT DATA Business Solutions helps clients innovate and transform through expert SAP solutions, advisory, implementation, and managed services.
Industries
IT Services & Consulting
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