Facets Networx Pricing
2 months ago
**Job description**:
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, provider/DOFR/Capitation, WF would be desired.
3) Perform the impact analysis on the change required to agreements and propose the solution & finalize through JAD sessions with onsite
4) Prepare the Configuration Design Documents for the requirement & obtain client approval
5) Provide build and QA support with configuration design defect/query resolutions
Should have hands on experience in Product or benefits configuration with Networx skill set
Exposure on pricing will be an added advantage.
-
Facets Networx Pricing
2 weeks ago
Chennai, Tamil Nadu, India Cognizant Full time**Facets Networx pricing**: **Job description**: 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,...
-
Facets Networx Pricing
5 months ago
Chennai, Tamil Nadu, India Cognizant Technology Solutions Full time**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...
-
Deputy Manager Purchase
4 weeks ago
tamil nadu, India Matrimony.com Limited Full timeTitle: Deputy Manager - PurchaseRole Overview:Purchase Manager specializes in ensuring cost-effective purchase of all materials and services as required by the procurement plan of the organization, whilst ensuring quality control and compliance with the organization's policies and procedures.Job Description:Key Responsibilities:- Managing daily purchase...
-
Deputy Manager Purchase
3 weeks ago
tamil nadu, India Matrimony.com Limited Full timeTitle: Deputy Manager - PurchaseRole Overview:Purchase Manager specializes in ensuring cost-effective purchase of all materials and services as required by the procurement plan of the organization, whilst ensuring quality control and compliance with the organization's policies and procedures.Job Description:Key Responsibilities:Managing daily purchase...
-
Hc & Insurance Operations Associate
6 months ago
Coimbatore, Tamil Nadu, India NTT DATA Full time**Req ID**: 281034 We are currently seeking a HC & Insurance Operations Associate to join our team in Coimbatore, Tamil Nādu (IN-TN), India (IN). **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...
-
Customer Service Representative
6 months ago
Chennai, Tamil Nadu, India Element Solutions Inc Full time**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...
-
Hc & Insurance Operations Associate
6 months ago
Chennai, India Hashmap Full time**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...
-
Hc & Insurance Operations Associate
6 months ago
Chennai, India NTT DATA Full timeRoles 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 Consultant
1 month ago
Chennai, India Sanash Advisory Full timeJob Description :- Experience in ECC and S/4 HANA SAP Sales & Distribution - 9+ Years of total experience.- Cross-module integration knowledge - FICO, MM, etc.- Should be able to handle L3 Support, change management activities, and represent and drive a technical team in CAB meetings.- Should have knowledge of Project lifecycles, methodologies, SLAs,...
-
HC & Insurance Operations Associate
5 months ago
Chennai, India NTT DATA Full timeJob Description Roles and Responsibilities:Process Adjudication claims and resolve for payment and Denials.Knowledge 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...
-
Deputy manager purchase
1 month ago
Chennai, India Matrimony.com Limited Full timeTitle: Deputy Manager - Purchase Role Overview: Purchase Manager specializes in ensuring cost-effective purchase of all materials and services as required by the procurement plan of the organization, whilst ensuring quality control and compliance with the organization's policies and procedures. Job Description: Key Responsibilities: Managing daily...
-
Deputy Manager Purchase
4 weeks ago
Chennai, India Matrimony.com Limited Full timeTitle: Deputy Manager - PurchaseRole Overview:Purchase Manager specializes in ensuring cost-effective purchase of all materials and services as required by the procurement plan of the organization, whilst ensuring quality control and compliance with the organization's policies and procedures.Job Description:Key Responsibilities:Managing daily purchase...
-
Procurement Specialist
4 weeks ago
Chennai, Tamil Nadu, India Matrimony Limited Full timePurchase ManagerDescription:Purchase Manager plays a vital role in ensuring the effective procurement of materials and services required by the organization’s procurement plan, while ensuring quality control and compliance with the organization’s policies and procedures.Key Responsibilities:Managing daily purchase activities and supplier...
-
Deputy Manager Purchase
1 month ago
Chennai, India Matrimony.com Limited Full timeTitle: Deputy Manager - Purchase Role Overview: Purchase Manager specializes in ensuring cost-effective purchase of all materials and services as required by the procurement plan of the organization, whilst ensuring quality control and compliance with the organization's policies and procedures. Job Description: Key Responsibilities: ...
-
Deputy Manager Purchase
2 months ago
Chennai, India Matrimony.com Limited Full timeTitle: Deputy Manager - PurchaseRole Overview:Purchase Manager specializes in ensuring cost-effective purchase of all materials and services as required by the procurement plan of the organization, whilst ensuring quality control and compliance with the organization's policies and procedures.Job Description:Key Responsibilities:Managing daily purchase...
-
Deputy Manager Purchase
1 month ago
chennai, India Matrimony.com Limited Full timeTitle: Deputy Manager - Purchase Role Overview: Purchase Manager specializes in ensuring cost-effective purchase of all materials and services as required by the procurement plan of the organization, whilst ensuring quality control and compliance with the organization's policies and procedures. Job Description: Key Responsibilities: Managing daily...
-
Sr Business Analyst
5 months ago
Chennai, India Gainwell Technologies Full timeSummaryGainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are a new company (divested from DXC Technologies) with over 50+ years of proven experience, a reputation for service excellence and unparalleled industry expertise with approximately $1+...
-
Chennai, India Gainwell Technologies LLC Full timeSummaryGainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are a new company (divested from DXC Technologies) with over 50+ years of proven experience, a reputation for service excellence and unparalleled industry expertise with approximately $1+...
-
Senior Professional Business Analyst
5 months ago
Chennai, India Gainwell Technologies Full timeSummaryAs at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve a communitys most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. Here are the...
-
Sr Business Analyst with US Healthcare, Medicaid
1 month ago
Chennai, India Gainwell Technologies LLC Full timeSummaryGainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are a new company (divested from DXC Technologies) with over 50+ years of proven experience, a reputation for service excellence and unparalleled industry expertise with approximately $1+...