BPO Configuration Analysis Senior Specialist

NTT
Chennai
Workplace: OnsiteFull timeFunction: Solutions Engineering & Sales EngineeringExperience: 5+ yearsEducation: high_schoolSkills: []

Configure client system pricing for provider contracts in a new claims processing platform, using business rules and configuration requirements. Evaluate configuration needs, create pricing/fee schedule rules, and support problem solving across health plan, provider, pricing, reporting, and operational issues. Execute UAT and integration-related testing, create manual test cases, fix high-priority change requests, and perform data validation and audits of plans and contracts in client databases.

Loading

Loading job details...

Preparing the role view and application actions.

FursaFursa
NTT
NTT
1 month ago

BPO Configuration Analysis Senior Specialist

âś“ Verified Job

Canonical indexed version, validated from employer's careers page.

Source: Company careers pageValidated by: Fursa AI
Last checked: 23 hours agoStatus: Live
Reposted: similar role first listed 1 month ago

Job Summary

Configure client system pricing for provider contracts in a new claims processing platform, using business rules and configuration requirements. Evaluate configuration needs, create pricing/fee schedule rules, and support problem solving across health plan, provider, pricing, reporting, and operational issues. Execute UAT and integration-related testing, create manual test cases, fix high-priority change requests, and perform data validation and audits of plans and contracts in client databases.
Location: Chennai
Workplace: Onsite
Employment Type: Full time
Job Function: Solutions Engineering & Sales Engineering
Seniority: Mid level

Key Responsibilities

  • •Configure the client system for pricing (provider contract) according to business rules for a new claims processing platform.
  • •Evaluate configuration requirements and develop a configuration approach, including advanced configuration and functionality based on best practices.
  • •Create rules and complete configuration activities based on gathered business requirements and business rules.
  • •Enable UAT, implement modifications from business owners/analysts, and create manual test cases from use cases, functional specs, and requirement documents.
  • •Resolve coding/QA issues by managing master issue logs and fixing high-priority change requests; perform data validation and audits of existing plans and contracts.

Key Requirements

  • •5+ years’ experience in US healthcare Claims Payer.
  • •6+ years configuring provider pricing (provider contract) and UAT testing (2+ years).
  • •High school diploma (or equivalent) is required.
  • •Associates degree/technical college or some college course work is preferred.
  • •Ability to work in a project-oriented environment.
Experience:5+ yearsHealthcareUS healthcareClaims processingBPO
Education:High School
Tech Stack:SQLVB.NET

Company Brief

NTT
Dimension Data, operating under NTT Ltd, provides managed IT services, cloud and data center solutions, networking, cybersecurity, and digital transformation services to enterprise customers worldwide.
Industry: Professional Services
Company Size: Enterprise (1,001+ employees)
Revenue: USD 1B+
Growth: Established Company
Valuation: Public Company (Market Cap in USD)
Headquarters: London, United Kingdom
Founded: 1983
WebsiteLinkedIn