41 Facets Jobs

In-depth Knowledge and Experience in the US Health Care Payer System. 4 - 9 years of experience in Benefit Configuration . With over 1 year of experience as a Supervisor . Proven track record in managing processes, streamlining workflows and excellent people management skills. Need to be a people centric manager who could articulate the employee challenges to the management as well as motivate the team towards desired project goals. Circulate quality dashboards at agreed periodic intervals to all relevant stake holders Adhering to various regulatory and compliance practices. Maintaining and Ownership of reports both internal as well as for the clients. Presenting the data and provide deep in...

Job Title: Software Test Engineer Location: Hyderabad OR Bangalore About the Role ' We are looking for talented Software Test Engineers to join our weekend testing team. This is an excellent opportunity to work on diverse projects, cutting-edge tools, and complex domains such as healthcare and enterprise applications. We have various testing roles bellow for you are refernces. Required Skills & Experience 5 to 12 years of experience in Software Testing across web, API, backend, or mobile applications. Strong skills in Java Automation (Selenium) and/or Java/Python API testing . Knowledge of ETL testing and database validation. Experience in performance testing tools (JMeter/LoadRunner/Gatling...

Job Description: You will be responsible for leading Facets/QNXT architecture design, configuration, and implementation for enterprise healthcare clients. Your role will involve driving product roadmap, backlog management, and release planning in alignment with business goals. Additionally, you will define and implement Facets/QNXT data models, data governance, and data management strategies. It will be your responsibility to oversee integration with upstream and downstream systems ensuring compliance with healthcare standards. Collaboration with stakeholders to capture business requirements and translate them into functional/technical specifications is a key aspect of your role. You will al...

You will be responsible for leading Facets/QNXT architecture design, configuration, and implementation for enterprise healthcare clients. Your role will involve driving product roadmap, backlog management, and release planning to align with business goals. Additionally, you will define and implement Facets/QNXT data models, data governance, and data management strategies. You will oversee integration with upstream and downstream systems to ensure compliance with healthcare standards. Collaborating with stakeholders to capture business requirements and translating them into functional/technical specifications will be a key part of your role. Providing hands-on leadership in Facets/QNXT implem...

Job Description: Understand Business priority, requirements and implement Facets solutions. Manage Facets upgrade projects , install Facets, provision Facets Batch, HIPAA gateway servers, end-end testing of facets upgrade, co-ordinate with business stakeholders and cross application. Translate Business requirements to High Level & Detailed Designs Design, Build Solutions using NET/ C#, Angular and other Technologies as applicable for the Business Scenarios. Build Applications/ Services using Service Oriented Architecture/ Micro Services Drive refinement discussions with Stakeholders Reengineer Monolithic/ SQL Heavy Applications & Modernize as Cloud Ready Solutions - Azure experience preferre...

As a Senior Performance Tester, you will collaborate with the Development, Functional Test Team, business analysts, and Technical Leads to implement releases. Your responsibilities will include understanding nonfunctional requirements, creating the performance test strategy, analyzing and reviewing nonfunctional requirements, creating performance test scripts and test data, and prioritizing based on business needs. You will be involved in planning, monitoring, and controlling nonfunctional test activities, reporting application capabilities, making recommendations to the technical team and business, and preparing risk mitigation plans if delays are foreseen. Knowledge of the healthcare domai...

Overall IT Experience - Must Have 8+ Years exp in total Must Exp - 5+ years of Senior level Applications Developer with relevant experience Must Exp- 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI Must exp- 4+ years of experience working with SQL Database , Stored Procedures Must have - + years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development Must have .NET Full Stack including Angular Cloud Experience, Docker, Kubernetes, Kafka Responsible for design, development, and support activities in core Facets Applications within Claims Domain. Exhibit strong ownership and ability to work in global te...

Role: QA Engineer Exp. 10+ years Location: Bangalore & Chennai Job type: 1 year contract. Skills Required: Preferred: Relevant 5+ years of experience in health Care Claims, Facets experience (Mandatory) Facets experience, claims processed through facets , Data Testing, Skill Search - Claims , Facets , EDI837 , EDI 835 , Quality Assurance / Quality Analyst / Quality Tester . Interested candidates, kindly share your resume on "vipul@vishusa.com".

As a Manual Testing professional with expertise in Facets, you will be responsible for applying your knowledge of quality assurance methodologies in software development. This includes utilizing tools, methods, planning, design, defect management, and implementation while adhering to industry best practices. Your role will involve developing, writing, and executing test plans, covering areas such as functional and integration testing. Proficiency in HP ALM (Application LifeCycle Manager) & AGM is essential for this position. In addition, automation experience in tools like NUnit, Selenium, and White will be advantageous. Familiarity with DBMS platforms such as MS SQL, Oracle, and Sybase is r...

The ideal candidate will be responsible for developing and maintaining complex PL/SQL scripts to support various business functions. You will oversee the management and optimization of MS SQL Server databases to ensure high performance and reliability. Your expertise in Oracle database management will be crucial in ensuring data integrity and security. Utilizing Facets, you will efficiently manage and process healthcare claims. Collaborating with cross-functional teams, you will analyze and resolve issues related to Medicare & Medicaid Claims. Implementing best practices for claims processing will be essential to improve accuracy and efficiency. You will conduct thorough testing and validati...

Note: Healthcare domain experience is Mandatory Facets Developer - (Facets, C#.Net, SQL Server) Location: Chennai, Hyderabad, Coimbatore, Bangalore CWR Notice Period: Immediate to 15days Experience: 6 11 yrs Job Description: Extensive understanding of Facets underlying data structure, Facets functional modules and customization-Batches, Extension, ITS Home and Host claims processing Experienced in using Facets APIs, AccumSync, creating and supporting customized batch and online extensions Responsible for designing, developing, and maintaining .NET applications using C#.Net, .NET Core, and ASP.Net MVC frameworks. Develop and expose Web APIs and RESTful services with attention to security, mai...

Role & responsibilities We are looking for Facets Developer (Dot net fullstack ) permanent position with MNC company for PAN location. Preferred candidate profile

As the Claims Processing Team Lead, you will be responsible for overseeing and optimizing the efficient processing of claims using Facets to ensure accuracy and compliance. You will lead the team in automating routine tasks through UiPath to enhance productivity and reduce manual errors. Your expertise in claims adjudication processes will be crucial in ensuring timely and accurate settlements. Collaboration with cross-functional teams will be key as you streamline workflows and improve overall service delivery. Developing and implementing strategies to optimize claims processing and reduce turnaround times will be part of your responsibilities. Monitoring system performance, identifying imp...

Dotnet with Facets Developer - (Facets, .NET, SQL Server) Location: Chennai, Hyderabad, Coimbatore, Bangalore CWR Notice Period: Immediate to 15days Experience: 6 11 yrs Job Description: Extensive understanding of Facets underlying data structure, Facets functional modules and customization-Batches, Extension, ITS Home and Host claims processing Experienced in using Facets APIs, AccumSync, creating and supporting customized batch and online extensions Responsible for designing, developing, and maintaining .NET applications using C#.Net, .NET Core, and ASP.Net MVC frameworks. Develop and expose Web APIs and RESTful services with attention to security, maintainability, and extensibility. Colla...

Role & responsibilities We are looking for Dot Net Fullstack Developer position with facets, angular, dot net ,US healthcare domain for PAN location.

You will lead the development and implementation of data solutions using MS Power BI to enhance business insights and decision-making processes. Your responsibilities will include overseeing the design and maintenance of SSIS Database solutions to ensure data integrity and accessibility. You will provide expertise in creating and managing SSRS Reports to deliver accurate and timely information to stakeholders. Utilize ANSI SQL to perform complex data analysis and support various business functions. Collaboration with cross-functional teams is essential to integrate Facets into existing systems optimizing performance and efficiency. Developing strategies to improve data management processes w...

Overall IT Experience - Must Have 8+ Years exp in total Must Exp - 5+ years of Senior level Applications Developer with relevant experience Must Exp- 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI Must exp- 4+ years of experience working with SQL Database , Stored Procedures Must have - + years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development Must have .NET Full Stack including Angular Cloud Experience, Docker, Kubernetes, Kafka Responsible for design, development, and support activities in core Facets Applications within Claims Domain. Exhibit strong ownership and ability to work in global te...

We are seeking an experienced EDIFECS/FACETS/EDI Specialist to join our team in Hyderabad. With over 5 years of experience, you will play a crucial role in supporting our healthcare integration, claims processing, and data exchange platforms. As an EDIFECS/FACETS/EDI Specialist, you will be responsible for designing, configuring, and maintaining EDIFECS transaction processing flows, maps, and rules. Your expertise in handling HIPAA EDI X12 transactions such as 834, 837, 835, 270/271, and 276/277 will be essential. You will conduct testing, troubleshoot issues, and coordinate with trading partners for seamless connectivity setup. In addition to EDI, you will support the integration of EDI pro...

As a Test Lead in our team, you will be responsible for leading testing activities within the Healthcare Industry. With 8-10 years of experience in Manual and Automation Testing, your role will involve working extensively on Agile Methodology. Your expertise in SQL, functions, views, and procedures will be crucial, along with a deep understanding of FACETS or QNXT modules such as Claims and Enrollments. You will play a key role in Healthcare, focusing on EDI files processing, managing a small team, and resolving issues efficiently. Exceptional problem-solving and troubleshooting skills are essential for this position. Your responsibilities will include managing Testing Scope, SLAs, communica...

Job Title: Business Analyst (Candidate must have experience in to US Healthcare Domain Adjudication System) Job Summary: We are seeking a motivated and detail-oriented Business Analyst with 3+ years of experience, preferably in the US healthcare domain , to join our dynamic team in Pune. This is a full-time, on-site position ideal for someone who thrives in a collaborative environment and is passionate about driving process improvement and delivering value through data-driven insights. The ideal candidate will work closely with cross-functional teams including operations, technology, and client stakeholders to understand business needs, analyze processes, and contribute to high-impact health...

Title/Designation : Product Consultant/ Payer Integration Lead/Architect Role : Payer Core Solutioning Location : Navi Mumbai/ Pune/ Bangalore/ Chennai/ Gurgaon/ Hyderabad Work Mode: Hybrid Exp: 12 to 15 years Role & responsibilities: Candidate will be part of our Payer consulting team, responsible for working with clients on implementing key solutions, work closely with client account leads in identifying new transformational opportunities with accounts and develop proactive proposals thereby contributing to overall account growth and client success Actively participate in client presentations, proposal walkthroughs, demos to convey CitiusTech solution & value proposition Work with customer...

FACETS Developer Job Description: Overall IT Experience - 8+ Years 5+ years of Senior level Applications Developer with relevant experience 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI 4+ years of experience working with SQL Database , Stored Procedures 4+ years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development 2+ years of Agile experience CI/CD Experience .NET Full Stack including Angular Cloud Experience, Docker, Kubernetes, Kafka Responsible for design, development, and support activities in core Facets Applications within Claims Domain. Exhibit strong ownership and ability to work in glob...

Role & responsibilities : Test Strategy & Planning: Independently plan, design, and execute test strategies for Facets UI, Backend and Batch Applications . Develop comprehensive test plans and detailed test cases based on business and technical requirements. Team Leadership: Ensure high-quality deliverables and adherence to testing best practices. Execution & Reporting: Perform manual and automated testing of Facets applications. Conduct Facets modernization and cloud migration testing . Track and report defects using tools like JIRA or Rally Collaboration: Work closely with developers, business analysts, and stakeholders. Participate in Agile ceremonies and contribute to continuous improvem...

Role & responsibilities : FACETS Developer Job Description: Exp-6-12 Years Location: Pan India Mode of Work : Hybrid NP-Immediate -30 Days Overall IT Experience - 6+ Years 5+ years of Senior level Applications Developer with relevant experience 3+ TriZetto Facets Development Experience mainly with Claims Domain and EDI 4+ years of experience working with SQL Database , Stored Procedures 4+ years of development and testing experience in C# / .Net programming language 2+ years of REST API/micro services development 2+ years of Agile experience CI/CD Experience, .NET Full Stack including Angular Cloud Experience, Docker, Kubernetes, Kafka Responsible for design, development, and support activit...

Role- US Healthcare Configuration Specialist Type-Permanent Chennai/Coimbatore 3+ yrs Skills- Configuration on both benefit and healthcare provider CAPS configuration platforms-Facets, HealthRules etc AxisCore platform Testing of the configurations