Address
Form of workDescription
PURPOSE:
Contribute as an experienced team member on client or internal assignments and projects such as product configuration implementation, design, configuration support and maintenance and staff augmentation. Utilizes professional concepts, company objectives, and business rule requirements to develop configuration solutions and resolve configuration issues in core product systems. Provides design, knowledge and expertise on core system functionality as it applies to the client's business, drawing on the analyst's managed care, application system technology and business experience.
ESSENTIAL RESPONSIBILITIES:
Perform systems configuration analysis, design, coding, unit testing on customer specific solutions during the client product implementation stage and ongoing support and maintenance of quality custom solutions
Identifying gaps between external expectations and system limitations and suggests configuration improvements or streamlined maintenance processes and techniques if applicable
Follow established processes, standards and procedures designed to minimize service level agreement violations
Analyze complex customer business requirements and software/product objectives; designs, configures, supports and maintains complex application designs to meet the customer needs
Estimate time frames, quality and quantity of resources required to successfully complete activities; develops project plan incorporating all project variables
Provide periodic status checks with clients and and internal teams on all project activities in order to assess progress against project plan; provides regular and concise status reports to direct manager
Address and resolve escalated issues in the appropriate manner within the appropriate timeframe and escalates as appropriate
Other duties as assigned
TRAINING & EXPERIENCE:
Bachelor's Degree in Health Care Management, Computer Science, or other related field required; Equivalent work experience will be taken into consideration in leiu of degree
3-5 years of business experience in system configuration
Experience with TriZetto processing platforms, FACETS and/or QNXT and/or QicLink, NetworX Pricer
Experience with Excel
Experience with query building using Rapid SQL, MS Access and/or other technical analysis tools
Strong technical and mathematical aptitudes
Healthcare industry knowledge a plus
Experience with Third Party apps a plus, i.e. Optum CES Clinical Editing System, Optum Pricer, Microdyn, etc.
Skill Set Preferred:
Multi-task and organize work effectively
Conduct root cause analysis to determine issues related to basic system configuration
Evaluate adequacy of test plans compared to business requirements
Understand relationship and dependencies among contract, benefit, adjudication, claims and payment systems
Knowledge of CMS/State Guidelines and Billing Codes
Develop, share, and incorporate organizational best practices into business applications
Diagnose problems and identify opportunities for process redesign and improvement
Serve as the subject matter expert on the assigned function product to ensure operational performance
WORKING CONDITIONS (Location, travel, etc.):
This position is remote; The ability to stage a remote office is required
Minimal travel may be requested
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
What is in it for you? Well, at Cognizant, we offer a competitive compensation package including excellent benefits such as insurance (available day 1 of employment), great work life balance, 401k with matching component, and many other benefits.
An inclusive environment embracing diversity: for the second time, Cognizant has been named to the Forbes list of Best Employers for Diversity based on survey responses from its employees!
The compensation for this position is between $60,000.00 - $70,000.00 a year, depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan
Qualifications
Domain Skills
SNo
Primary Skill
Proficiency Level *
Rqrd./Dsrd.
1
Claims
PL3
Required
* Proficiency Legends
Proficiency Level
Generic Reference
PL1
The associate has basic awareness and comprehension of the skill and is in the process of acquiring this skill through various channels.
PL2
The associate possesses working knowledge of the skill, and can actively and independently apply this skill in engagements and projects.
PL3
The associate has comprehensive, in-depth and specialized knowledge of the skill. She / he has extensively demonstrated successful application of the skill in engagements or projects.
PL4
The associate can function as a subject matter expert for this skill. The associate is capable of analyzing, evaluating and synthesizing solutions using the skill.
PURPOSE:
Contribute as an experienced team member on client or internal assignments and projects such as product configuration implementation, design, configuration support and maintenance and staff augmentation. Utilizes professional concepts, company objectives, and business rule requirements to develop configuration solutions and resolve configuration issues in core product systems. Provides design, knowledge and expertise on core system functionality as it applies to the client's business, drawing on the analyst's managed care, application system technology and business experience.
ESSENTIAL RESPONSIBILITIES:
Perform systems configuration analysis, design, coding, unit testing on customer specific solutions during the client product implementation stage and ongoing support and maintenance of quality custom solutions
Identifying gaps between external expectations and system limitations and suggests configuration improvements or streamlined maintenance processes and techniques if applicable
Follow established processes, standards and procedures designed to minimize service level agreement violations
Analyze complex customer business requirements and software/product objectives; designs, configures, supports and maintains complex application designs to meet the customer needs
Estimate time frames, quality and quantity of resources required to successfully complete activities; develops project plan incorporating all project variables
Provide periodic status checks with clients and and internal teams on all project activities in order to assess progress against project plan; provides regular and concise status reports to direct manager
Address and resolve escalated issues in the appropriate manner within the appropriate timeframe and escalates as appropriate
Other duties as assigned
TRAINING & EXPERIENCE:
Bachelor's Degree in Health Care Management, Computer Science, or other related field required; Equivalent work experience will be taken into consideration in leiu of degree
3-5 years of business experience in system configuration
Experience with TriZetto processing platforms, FACETS and/or QNXT and/or QicLink, NetworX Pricer
Experience with Excel
Experience with query building using Rapid SQL, MS Access and/or other technical analysis tools
Strong technical and mathematical aptitudes
Healthcare industry knowledge a plus
Experience with Third Party apps a plus, i.e. Optum CES Clinical Editing System, Optum Pricer, Microdyn, etc.
Skill Set Preferred:
Multi-task and organize work effectively
Conduct root cause analysis to determine issues related to basic system configuration
Evaluate adequacy of test plans compared to business requirements
Understand relationship and dependencies among contract, benefit, adjudication, claims and payment systems
Knowledge of CMS/State Guidelines and Billing Codes
Develop, share, and incorporate organizational best practices into business applications
Diagnose problems and identify opportunities for process redesign and improvement
Serve as the subject matter expert on the assigned function product to ensure operational performance
WORKING CONDITIONS (Location, travel, etc.):
This position is remote; The ability to stage a remote office is required
Minimal travel may be requested
Cognizant will only consider applicants for this position who are legally authorized to work in the United States without requiring company sponsorship now or at any time in the future.
What is in it for you? Well, at Cognizant, we offer a competitive compensation package including excellent benefits such as insurance (available day 1 of employment), great work life balance, 401k with matching component, and many other benefits.
An inclusive environment embracing diversity: for the second time, Cognizant has been named to the Forbes list of Best Employers for Diversity based on survey responses from its employees!
The compensation for this position is between $60,000.00 - $70,000.00 a year, depending on experience and other qualifications of the successful candidate.
This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans.
Benefits: Cognizant offers the following benefits for this position, subject to applicable eligibility requirements:
• Medical/Dental/Vision/Life Insurance
• Paid holidays plus Paid Time Off
• 401(k) plan and contributions
• Long-term/Short-term Disability
• Paid Parental Leave
• Employee Stock Purchase Plan
Qualifications
Domain Skills
SNo
Primary Skill
Proficiency Level *
Rqrd./Dsrd.
1
Claims
PL3
Required
* Proficiency Legends
Proficiency Level
Generic Reference
PL1
The associate has basic awareness and comprehension of the skill and is in the process of acquiring this skill through various channels.
PL2
The associate possesses working knowledge of the skill, and can actively and independently apply this skill in engagements and projects.
PL3
The associate has comprehensive, in-depth and specialized knowledge of the skill. She / he has extensively demonstrated successful application of the skill in engagements or projects.
PL4
The associate can function as a subject matter expert for this skill. The associate is capable of analyzing, evaluating and synthesizing solutions using the skill.
