BPO Configuration Analysis Senior Specialist

NTT DATA, Inc.; Chennai District; On-site; INR 900,000 - 1,200,000; Full time

Job summary

NTT DATA Services in Chennai, TN is seeking a BPO Configuration Analysis Senior Specialist to configure client systems for pricing and provider contracts, and to support UAT processes.

You will evaluate configuration requirements, create rules, and perform complex configuration tasks across health plan pricing and claims processing systems. Strong SQL and VB.net skills are preferred. A high school diploma with an associate degree is expected, with overtime/weekend shifts possible.

Qualifications

• 5+ years’ experience in US healthcare Claims Payer.
• 6+ years’ experience in configuring client system for pricing (Provider Contract) and UAT testing – 2+ Years.
• High school diploma or equivalent.
• Associates degree, technical college or some college coursework preferred.
• Ability to work within a project-oriented environment.

Responsibilities

• Configure client system for pricing (Provider Contract) per requirements and business rules.
• Evaluate configuration requirements and formulate configuration approach; implement advanced configuration.
• Create rules and complete configuration activities based on business requirements.
• Resolve production support issues related to client configurations with core admin system.
• Support updates to configuration within core claims processing system, especially Provider Pricing and fee schedules.
• Enable UAT testing and implement modifications as requested by business owners/analysts.
• Create manual test cases from use cases and functional specs.

Skills

US healthcare claims

SQL

VB/Vb.net

Education

High school diploma or equivalent

Associates degree or some college

Tools

VB/Vb.net

SQL

Job description

BPO Configuration Analysis Senior Specialist

Location: Chennai, TN, IN

Company: NTT DATA Services

Position's General Duties and Tasks

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.
• 6 + year(s) experience in Configuring client System for Pricing (Provider Contract) and UAT testing – 2+ Years.
• 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.

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 weekend’s basis business requirement.

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