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Provider Contract Configuration Analyst - Remote US

NTT DATA Group Corporation
St. Louis, MO Remote Full Time
POSTED ON 2/6/2025
AVAILABLE BEFORE 5/2/2025

Sr. Configuration Analyst (Functional)

Start : 2 / 17 / 25

Type : Contract 6-mo to 1 year

Rate : $30.00 hour W2

Corp to Corp is not considered for this role.

United States REMOTE

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 :

  • 4 years of experience in Configuring client System for Pricing (Provider Contract).
  • 1 year of User Acceptance Testing
  • 1 year of medical claims knowledge
  • 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.
  • Preferred Experience :

  • 6 month Amysis claims system
  • 6 month DST pricer experience
  • Medicaid, Medicare knowledge
  • About NTT DATA :

    NTT DATA is a $30 billion trusted global innovator of business and technology services. We serve 75% of the Fortune Global 100 and are committed to helping clients innovate, optimize and transform for long term success. As a Global Top Employer, we have diverse experts in more than 50 countries and a robust partner ecosystem of established and start-up companies. Our services include business and technology consulting, data and artificial intelligence, industry solutions, as well as the development, implementation and management of applications, infrastructure and connectivity. We are one of the leading providers of digital and AI infrastructure in the world. NTT DATA is a part of NTT Group, which invests over $3.6 billion each year in R&D to help organizations and society move confidently and sustainably into the digital future. Visit us at us.nttdata.com

    NTT DATA endeavors to make accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at . This contact information is for accommodation requests only and cannot be used to inquire about the status of applications. NTT DATA is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. For our EEO Policy Statement, please click here . If you'd like more information on your EEO rights under the law, please click here . For Pay Transparency information, please click here .

    Salary : $4

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