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 current 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

• Ab

📌 BPO Configuration Analysis Senior Specialist (Chennai)
🏢 NTT DATA Services
📍 Chennai