Chennai, IND
3 hours ago
Configuration Analysis Senior Analyst
In these roles you will be responsible for: • 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 Requirements for this role include: • Candidates must have Over all 5+ years’ experience in US healthcare Claims Payer. • 3 + year(s) experience in Configuring client System for Pricing (Provider Contract) and 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. Preferences: - • Experience in SQL 2+ Years (Queries Writing) • Exposure on VB/Vb.net.
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