Facets Networx Pricing

**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,...

**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,...

**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 Config JD**: **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, membership, and provider would be desired along with working knowledge on underlying data...

**Job Summary** **Responsibilities** - Analyze business requirements and translate them into detailed system specifications. - Collaborate with stakeholders to gather and document business needs and objectives. - Develop and maintain system documentation including process flows and data models. - Ensure the successful implementation of Oracle and Facets...

**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...

**About Us** At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. Responsible Growth is how we run our company and how we deliver for our clients, teammates, communities and shareholders every day. One of the keys to driving Responsible Growth is being a great place to work for our...

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...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing, and the 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...

Greetings from NTT DATA, 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...