Role Description

Who we are:

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 UST.com.

Summary:

BPM Configuration Lead 8+ years of Healthcare Payer and BPM 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. Solid 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 working in Healthcare BPM/BPO environments, supporting operational excellence, process governance, SLA adherence, 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, and quality standards. Excellent communication and stakeholder management skills with the ability to translate business requirements into FACETS configuration solutions. Preferred: FACETS Certification and prior experience supporting large-scale healthcare payer implementations and transformations. Experience in Healthcare BPM operations and process transformation initiatives is highly preferred.

What We Believe:

We’re proud to embrace the same values that ha

📌 Lead II (Thiruvananthapuram)
🏢 UST
📍 Thiruvananthapuram