NTT Data Information Processing Services - Pricing Configuration Engineer - System Administration (5-10 yrs) Bangalore/Chennai/Coimbatore/Gurgaon/Gurugram (DevOps)
NTT Data Information Processing Services
Coimbatore
22h ago
source : hirist.com

Role & 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 Pricing 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 pricing 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
  • Basic Requirements :

  • 6 to 8 years of experience completing the configuration and design of provider contracts
  • 4 to 5 years of Provider pricing configuration experience
  • 3+ years conducting UAT in provider contracts.
  • Preferred 3+ years of experience completing or working with business requirements and / or functional design documents
  • Possesses strong knowledge of claims processing and associated business processes
  • Prior experience working with DST system pricer and Amysis system knowledge is a plus
  • Ability to create and run basic system queries using SQL, Access or other tools is required
  • Preferred : Knowledge of US Government Health Care Plans Medicaid / Medicare
  • Pls feel free to reach me 9524797517 if you have queries.

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