HC & Insurance Operations Associate

Req ID: 376993

NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

We are currently seeking a HC & Insurance Operations Associate to join our team in Chennai, Tamil Nādu (IN-TN), India (IN).

NTT Data Services is Hiring! 

Position's Overview
At NTT DATA, we know that with the right people on board, anything is possible. The quality, integrity, and commitment of our employees are key factors in our company’s growth, market presence and our ability to help our clients stay a step ahead of the competition. By hiring, the best people and helping them grow both professionally and personally, we ensure a bright future for NTT DATA and for the people who work here.

Client's business problem to solve?

Our client provides access to high-quality healthcare, innovative programs and a wide range of health solutions that help families and individuals get well, stay well. NTT is contracted to manage provider pricing configuration which involves Payor Platform configuration, perform UAT, Integration Testing and Audit. Our NTT Business Process Outsourcing (BPO) team has helped client to improve productivity, TAT and quality to strengthen the configuration area and help our customer relationship stay competitive and improve member and provider satisfaction.

Position's General Duties and Tasks
In these roles you will be responsible for: 
•    Configuring client System for Pricing (Provider Contract) as per the requirement and according to defined business rules of new claims processing platform.
•    Evaluation of Configuration Requirement and Formulation of Configuration Approach and Effectively include advanced configuration and additional functionality based on best practices
•    Based on the business requirements and business rules gathered, evaluate and create rules and complete the configuration activities 
•    Participate in problem solving of Health Plan benefit, provider, pricing, reporting, operational and system issues
•    Perform a variety of tasks related to the resolution of production support issues based on client configurations with the core administrative system
•    Support activities to update configuration within the core claims processing system, typically within the areas of Provider Pricing. Potential responsibilities include and may vary by system area of assignment
•    Support fee schedule changes including terms, affiliations and contract maintenance
•    Enable User Analysis Testing (UAT) and implement the modifications as suggested by the business owners and/or analyst
•    Creating manual test cases from Use cases, Functional specs and other requirement documents.
•    Resolve coding/QA issues by managing Master Issue Logs and Fixing the high priority change requests which require immediate attention
•    Data Validation and Audit of existing plans and contracts in the client database(s)
•    Database Management & Maintenance
Requirements for this role include: 
•    Candidates must have Over all 5+ years’ experience in US healthcare Claims Payer.
•    5 + year(s) experience in Configuring client System for Pricing (Provider Contract) and UAT testing.
•    High school diploma or equivalent required, Technical/ Non-Technical
•    Associates degree, technical college or some college course work preferred
•    Ability to work within a project-oriented environment.

Preferences:  - 
•    Experience in SQL 2+ Years (Queries Writing)
•    Exposure on VB/Vb.net.  
Required schedule availability for this position is Monday-Friday (5:00am to 3:00pm EST).  The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend’s basis business requirement.

About NTT DATA

NTT DATA is a $30 billion business and technology services leader, serving 75% of the Fortune Global 100. We are committed to accelerating client success and positively impacting society through responsible innovation. We are one of the world's leading AI and digital infrastructure providers, with unmatched capabilities in enterprise-scale AI, cloud, security, connectivity, data centers and application services. our consulting and Industry solutions help organizations and society move confidently and sustainably into the digital future. As a Global Top Employer, we have experts in more than 50 countries. We also offer clients access to a robust ecosystem of innovation centers as well as established and start-up partners. NTT DATA is a part of NTT Group, which invests over $3 billion each year in R&D.

Whenever possible, we hire locally to NTT DATA offices or client sites. This ensures we can provide timely and effective support tailored to each client’s needs. While many positions offer remote or hybrid work options, these arrangements are subject to change based on client requirements. For employees near an NTT DATA office or client site, in-office attendance may be required for meetings or events, depending on business needs. At NTT DATA, we are committed to staying flexible and meeting the evolving needs of both our clients and employees. NTT DATA recruiters will never ask for payment or banking information and will only use @nttdata.com, @nttdatafed.com and @talent.nttdataservices.com email addresses. If you are requested to provide payment or disclose banking information, please submit a contact us form, 

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