20 Oct
|
Growel Softech
|
Thripuraram
20 Oct
Growel Softech
Thripuraram
Role & responsibilities
Product & Group Configuration
Configure healthcare products, groups, accounts, sub-accounts, and benefit structures in TriZetto Facets.
Implement current group setups, renewals, amendments, terminations, and maintenance requests.
Configure benefit plans, accumulators, eligibility rules, and plan attributes.
Maintain configuration components and related system parameters.
Support implementation of new products and benefit changes. Requirements Analysis
Review PDRs, benefit documents, implementation guides, contracts, and business requirements.
Interpret product and group design requirements.
Translate approved business requirements into TriZetto Facets configuration.
Identify and escalate requirement gaps, conflicts, or dependencies. Validation & Testing • Conduct unit testing of completed configurations.
Verify configuration accuracy against source requirements.
Support QA testing and timely defect resolution.
Address fallout and production support issues. Operational Support
Monitor assigned configuration work queues.
Meet service-level and turnaround-time requirements.
Support implementation and deployment activities.
Participate in issue resolution and production stabilization activities.
Documentation:
Maintain configuration documentation and evidence.
Update implementation logs and supporting records.
Follow established configuration standards and procedures.
Contribute to knowledge management repositories.
Mandatory Skills & Competencies
Knowledge of healthcare advantage plan and group configuration in TriZetto Facets.
Understanding of group setup and implementation processes.
Ability to analyze benefit documents, contracts, and business requirements.
Robust attention to detail and commitment to accuracy.
Effective written and verbal communication skills.
Preferred candidate profile
Hands-on experience with TriZetto Facets product, benefit, or group configuration. Domain Knowledge
Healthcare payer operations.
Benefit plan design.
Enrolment and membership.
Claims processing.
Provider networks.
Commercial, ACA, Medicare, and Medicaid products.
📌 Bpm Product Configuration Analyst Thripuraram
🏢 Growel Softech
📍 Thripuraram