Technical Recruiters QNXT/Facets Benefits configuration Analyst Urgent need can get an interview in a week

QNXT/Facets Benefits configuration Analyst:

 

configuration - To configure products, benefits and plans

® Benefit configuration setup and maintenance
® Plan/Product Build
® Determine and document product build requirements
® Create and Attach Product Components
® Validate current benefit configuration
® Review provider contracts and validate benefits
® Complete analysis of Facets for benefits and medical definitions
® Cleanup of Supplemental tables within product builds
® Document benefits and medical definitions in Facets
® Product Build Audits
® Provider Contract and Pricing Analysis

 

Must Have Skills:

Healthcare, Facets, SQL, NetworX Pricing Configuration, Good Communication skills

 

 

QNXT/Facets Pricing configuration Analyst : -4

Analyze Provider Contracts, Design/Configure Provider agreements, Configuration Validation, Configuration Peer Review.

 

Must be able to configure agreements in NetworX

Must be able to configure Qualifier Groups in NetworX

Must be able to use/configure DRG related groupers

 

Must Have Skills:

Healthcare, Facets, SQL, NetworX Pricing Configuration, Good Communication skills

 

 

QNXT/Facets Testing configuration Analyst: - 2

 

Review Benefits/Pricing configurations and perform high level testing to check if optimal configurations is done.

 

Validate agreements in NetworX

Validate CDNP, claims for appropriate payment

Validate QGs, Groupers, Explanation codes

 

Must Have Skills:

 

Healthcare, Facets, SQL, NetworX Pricing QC /Benefit Configuration QC, Good Communication skills

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Thanks and Regards,
Bhushan Rao

Sr.IT Analyst
Kalven Technologies Inc.

2300, E Higgins Rd, Elk Grove Village, IL-60007 | 1701 E. Wood field Rd, Schaumburg, IL 60173
|Email id : Bhushan@kalventech.com | work: 847-893-5191

http://www.kalventech.com                                      
Product Engineering | Systems Integration | Professional Service