BPO Configuration Analysis Senior Specialist

About the role

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

What you'll do

• Configuring client System for Pricing (Provider Contract) as per the requirement and according to defined business rules of new claims processing platform
• 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
• Support fee schedule changes including terms, affiliations and contract maintenance

What you need

• 6–11 yrs of experience
• Claims processing
• Test cases
• SQL
• .NET
• Problem solving
• Diploma