Configuration Analysis Specialist

NTT DATA, Inc.; Chennai District; On-site; INR 900,000 - 1,500,000; Full time

Job summary

NTT DATA, Inc. in Chennai seeks a Configuration Analysis Senior Specialist to join our team. The role centers on configuring pricing for US healthcare claims, performing UAT, integration testing, and audits to ensure accurate provider pricing configuration.

Responsibilities include configuring provider contracts, applying business rules, validating data, and supporting fee schedule changes. Strong SQL and VB.Net skills with 5+ years of experience are required.

Qualifications

• 5+ years’ experience in US healthcare Claims Payer.
• 6+ years in Configuring pricing (Provider Contract) and UAT testing – 2+ years.
• High school diploma or equivalent; Associates degree preferred.

Responsibilities

• Configure client system for pricing (Provider Contract) per business rules.
• Evaluate configurations and formulate approach with advanced functionality.
• Create rules and complete configuration activities from requirements.

Skills

SQL

VB.Net

US healthcare

UAT testing

Education

High school diploma

Associates degree (preferred)

Tools

VB.Net

SQL Server

Job description

At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

NTT DATA, Inc. currently seeks a “Configuration Analysis Senior Specialist” to join our team.

Client's business problem to solve?

Our client provides access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well. NTT is contracted to manage provider pricing configuration which involves Payor Platform configuration, perform UAT, Integration Testing and Audit. Our NTT Business Process Outsourcing (BPO) team has helped client to improve productivity, TAT and quality to strengthen the configuration area and help our customer relationship stay competitive and improve member and provider satisfaction.

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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