Understanding the Business requirements and Change Requirements.
Configuring/ Building the product based on the customer needs and requirements Quality check of the products configured by other team members
Creating and executing test cases for different modules in Facets
Tracking and Reporting the Defects
Attending the daily scrum calls
Involve in defect calls & status meetings
Updating the daily status to project manager
Attending weekly Onshore/offshore conference calls
At least 7 years of experience in Healthcare IT in Payer domain.
2 to 5 years of experience with Facets on the following modules Claims, Benefit Plans / Product, Membership, Provider, Billing, Capitation, Commissions, Utilization Management (UM), Enrollment, Network Management, Profile Pricing, Customer Service, Letters
2 to 5 of experience on configuration and testing on the above mentioned modules
2+ Years of general consulting experience.
Experience in end-to-end Facets implementations
Interpret and configure & test the provider contracts and pricing methodologies
Experience in converting the client requirement into user stories and business requirement
Hands on experience on Facets configuration and testing of the facets claims system, must have an in-depth understanding of the claims adjudication process.
Proven ability to support complex system configuration changes and new configuration requirements, including configuration analysis, and product design, build and test.
Experience working with EDI systems and good knowledge of the HIPAA 5010 transactions.
Experience in client facing consulting experience and leading multiple Facets engagement are added advantage
Good knowledge of Facets claim system data structure schema preferred
Ability to work with Facets using SQL & Experience in running complex SQL queries and data integration is a plus
Experience with commercial, group/individual, Medicare, Medicaid plans are plus
Enrollment experience, Claims test pro experience, Knowledge of the networX pricing tool is an added advantage
AHM-250 or PAHM certification from the Professional Academy for Healthcare Management is a plus.
Strong written and verbal communication and presentation skills, organizational and comprehension capabilities for communication on project status and issues interface with Client and internal stakeholders.
Salary: INR 15,00,000 - 30,00,000 P.A.
Role Category:Programming & Design
Role:Team Lead/Technical Lead
Employment Type:Permanent Job, Full Time
Desired Candidate Profile
UG:B.Tech/B.E. - Any Specialization
Recruiter Name:Jagjit Kaur
Contact Company:Mastermind Network
Reference Id:Facets/ Config