Facets + Networx pricing

1) To review and analyze the Business Requirement( provider contracts/compensation grids); schedule discussion with the business to better understand the requirements and resolve open clarifications2) Exposure and SME knowledge on NetworX Pricer/Analytics/Modeler, core Facets functions such as Benefits, claims, membership, billing, provider/DOFR/Capitation,...

Lead Product ConsultantQualification:Science / Engineering graduateResponsibility:Pre Sales:Participate in the pre sales stage (eg preparation of marketing materials and collaterals, client calls, demos) proposals and business development activities to ensure technical feasibility.Create solutions based on the customer needs and review estimates to prepare...

## : HC & Insurance Operations Associate- Date: May 10, 2024- Location: Chennai, TN, IN- Company: NTT DATA Services### Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including...

Not ApplicableQualification:Bachelor's degree in a business, journalism/writing, technology, or healthcare related disciplineResponsibility:1 Opportunity Management:Follows and Applies team best practices for managing the responses to RFPs, RFIs, questionnaires to support opportunity development (with minimal management help on less complex bids) Acts as...

JOB PURPOSE: The Upstream Revenue Accounting Senior Specialist role is responsible for managing the Revenue Accounting activities which encompassesHigh-level Validation of Revenue, Royalty covering gas/oil / condensate-related recordings Involved in activities related to revenue set-up of new fields/wells and review for compliance in line with applicable...

Job purpose: The Upstream Revenue Accounting Senior Specialist role is responsible for managing the Revenue Accounting activities which encompassesHigh-level Validation of Revenue, Royalty covering gas / oil / condensate related recordingsInvolved in activities related to revenue set-up of new fields / wells and review for compliance in line with applicable...

**Lead Product Consultant** **Qualification**: Science / Engineering graduate ** Responsibility**: **Pre Sales**: - Participate in the pre sales stage (eg preparation of marketing materials and collaterals, client calls, demos) proposals and business development activities to ensure technical feasibility. - Create solutions based on the customer needs and...

**Facets Configuration** **Job Location**:Chennai, Bangalore, Pune, Hyderabad, Coimbatore** **Introduction** **Responsibilities** - Should have hands on experience in Product or benefits configuration with Networx skill set - Exposure on pricing will be a added advantage. - Exposure and basic understanding of core Facets functions such as claims,...

**Product Consultant** **Qualification**: Science / Engineering graduate ** Responsibility**: **Pre-sales**: - Participate in presales interactions with customers when showcasing solution etc. - Participate in solution response teams to ensure technical feasibility. - Provide support to the Product Consultant by creating case studies, solution etc under...

Summary   The primary responsibility of a Sr. Business Analyst (QNXT/Facets) is to analyze and document business processes, gather and define requirements, and collaborate with stakeholders to ensure the successful implementation of solutions that meet the unique challenges and requirements of the healthcare industry. The successful candidate will be an...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

**Position**:Health Care & Insurance Operations Associate **Experience**: 1 to 4 Years **Location**: Remote **Notice Period**:Immediate to 15 days **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of...

**Position**:Health Care & Insurance Operations Associate **Experience**: 1 to 4 Years **Location**: Remote **Notice Period**:Immediate to 15 days **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of...

Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

**Lead Product Consultant** **Qualification**: Science / Engineering graduate ** Responsibility**: **Pre Sales**: - Participate in the pre sales stage (eg preparation of marketing materials and collaterals, client calls, demos) proposals and business development activities to ensure functional expertise. - Create solutions based on the customer needs and...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

Job Description Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside...

Job Description Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside...

Job Description Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum...

Job Description Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum...

Business OverviewElement Solutions Inc. (NYSE: ESI) is a leading specialty chemicals company whose operating businesses (see below) formulate a broad range of solutions that enhance the performance of products people use every day. Developed in multi-step technological processes, our innovative solutions enable our customers' manufacturing processes in...

Business Overview Element Solutions Inc. (NYSE: ESI) is a leading specialty chemicals company whose operating businesses (see below) formulate a broad range of solutions that enhance the performance of products people use every day. Developed in multi-step technological processes, our innovative solutions enable our customers' manufacturing...

**Business Overview**: **Element Solutions Inc. (NYSE: ESI) **is a leading specialty chemicals company whose operating businesses (see below) formulate a broad range of solutions that enhance the performance of products people use every day. Developed in multi-step technological processes, our innovative solutions enable our customers' manufacturing...

Manager/Senior Manager - Finance - Qualified Chartered Accountant with exposure to Deals/Transactions and Legal matters (for Chennai location only) Are you passionate about being a part of an impactful Finance Team in a high growth company? Do you believe that that there is no detail too small and are driven to get things done? Do you enjoy financial...