Proider Data Configuration Analyst

NTT DATA Services•Houston, TX

About The Position

NTT DATA is seeking a "TEMP BPO Advisor" to join their team. The role involves managing provider pricing configuration for a client in the healthcare sector. This includes Payor Platform configuration, User Acceptance Testing (UAT), Integration Testing, and Auditing. The NTT Business Process Outsourcing (BPO) team aims to improve productivity, turnaround time (TAT), and quality in the configuration area to maintain competitiveness and enhance member and provider satisfaction.

Requirements

Over all 5+ years’ experience in US healthcare Claims Payer.
8 + year(s) experience in Configuring client System for Pricing (Provider Contract) and UAT testing – 2+ Years.
High school diploma or equivalent required, Technical/ Non-Technical
Ability to work within a project-oriented environment.

Nice To Haves

Associates degree, technical college or some college course work preferred
Experience in SQL 2+ Years (Queries Writing)
Exposure on VB/Vb.net.

Responsibilities

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.