02 Oct
|
UST
|
Thiruvananthapuram
02 Oct
UST
Thiruvananthapuram
Role Description
At UST, we help the world’s best organizations grow and succeed through transformation. Bringing together the right talent, tools, and ideas, we work with our client to co-create lasting change. Together, with over 30,000 employees in 30+ countries, we build for boundless impact—touching billions of lives in the process. Visit us at .
Summary:
UST is looking for….
Lead II BPM - Configuration Lead – Healthcare Payer (FACETS) | BPM 8+ years of Healthcare Payer and BPM (Business Process Management) experience with solid understanding of Claims, Enrollment, Billing, Provider, and Benefit Administration processes. Hands-on TriZetto FACETS Configuration experience, including Product Configuration, Group Setup, Benefits Configuration, and Claims Adjudication Rules. Proven experience configuring: Product Shells & Finals Benefit Plans BQT Templates Deductibles, Copays, Coinsurance Network and Service Payment Rules Group, Subgroup, Class Plan, and Billing Structures Strong knowledge of FACETS Claims Processing, Benefit Interpretation,
and Configuration-driven Adjudication. Experience leading Configuration Analysts and cross-functional teams, including work planning, mentoring, reviews, and stakeholder management. Experience supporting Healthcare BPM operations, process optimization, operational governance, SLA adherence, quality management, and continuous improvement initiatives. Working knowledge of Healthcare EDI transactions (834/837), SQL, ServiceNow, Azure DevOps, and configuration migration processes. Strong understanding of HIPAA, healthcare compliance, audit controls, quality standards, and BPM operational frameworks. Excellent communication and stakeholder management skills with the ability to translate business requirements into FACETS configuration solutions. Experience collaborating with business, technology, and BPM delivery teams to implement scalable FACETS configuration solutions and support transformation initiatives. Preferred: FACETS C
📌 Lead II (Thiruvananthapuram)
🏢 UST
📍 Thiruvananthapuram