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Project Manager-FACETS (TriZetto Product for Health Insurance Payers)

Please email your resume to Strategic Talent Acquisition and Retention team at Click here for Email


Company: NASDAQ listed $25B SI (NASDAQ listed- 70,000 employees)
Compensation: Open
Type : Full Time
Locations: Chicago, IL, Hartford, CT, Indianapolis, IN, Minneapolis, MN, Santa ANA, CA

Role Description

  • Understand and document functional and technical requirements in multiple heath plan functional areas including enrollment, member administration, provider management, claims processing, benefits, provider reimbursement, premium billing and account payables on the FACETS platform
  • Responsible for Requirements Analysis, Technical Design, Development, Testing, and Implementation of business process configurations, customizations, interfaces and reports and Post-Implementation on FACETS platform
  • Take claims process workflows and configuration the Facets application to perform according to work flow.
  • Interface with the client for requirements gathering and for other activities in the development life cycle
  • Coordination with the offshore team
  • Track and report status of the tasks and deliverables

Experience

  • Should have 3-6 yrs of recent FACETS product knowledge and experience, including experience in developing custom solutions, reports, interfaces on FACETS platform
  • Should have sound knowledge of the FACETS data objects, FACETS APIs/Extensions
  • Must have good knowledge of Microsoft technologies including .NET, C#, SQL Server
  • Strong knowledge of relational database concepts
  • Strong Analytical capabilities
  • Strong understanding of design concepts
  • Good Problem-solving capabilities

Product Knowledge

  • FACETS knowledge and experience is a must; Other payor product experience will be a an added advantage
  • Extensive analysis on conversion of Claims, Members and Providers data from/to FACETS
  • Knowledge of FACETS integration with legacy or third party systems/applications
  • Business and/or technical configuration experience on FACETS
  • Must have good knowledge on Data Models and the relationship between all functional areas of FACETS

Technology Exposure

  • Microsoft .NET, C#, SQL Server
  • Relational Database

Domain Knowledge

  • Good knowledge of Health Care Domain

Location and Duration

  • Chicago, IL, Hartford, CT, Indianapolis, IN, Minneapolis, MN, Santa ANA, CA
  • Willing to relocate anywhere within U.S.
  • Duration at one place: 6 months-1 year or longer depending on the assignment. FULLY PAID RELOCATION if after joining we need to move you to a different location

Soft Skills

  • Excellent communication skills
  • Experience interfacing with the client
  • Good ability to handle multiple priorities, develop and deliver cost/time-effective solutions and results
  • Good team player.
  • Ability to work well in cross-functional teams
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