Facets + Networx pricing

FACETS+NETWORX PRICING Years of experience- 3 years – 9 years Location- Chennai, Bangalore, Hyderabad, Pune and CoimbatoreJob description:1. To review and analyze the Business Requirement (2. provider contracts/compensation grids); schedule discussion with the business to better understand the requirements and resolve open clarifications.3. Exposure and...

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,...

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 clarifications 2) Exposure and SME knowledge on NetworX Pricer/Analytics/Modeler, core Facets functions such as Benefits, claims, membership, billing,...

**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...

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...

**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...

**Position: HC & Insurance Operations Associate** **Location: Chennai/Coimbatore** **Experience: 1 to 3 years** **Notice period: Immediate joiners** **Roles and Responsibilities**: -      Process Adjudication claims and resolve for payment and Denials -      Knowledge in handling authorization, COB, duplicate, pricing and corrected...

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...

## : 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...

**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...

Hi, **Position**: Health Care & Insurance Operations Associate **Experience**: 1 to 3 Years **Location**: Chennai& Coimbatore **Mandatory Skills** : Claims adjudication, HIPPA& COB **Notice Period**: Immediate to 15 days **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling...

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...

## : 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...

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...