55 Facets Jobs - Page 2

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

Title/Designation : Product Consultant/Architect Role : Customer Success - 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 deli...

Title/Designation : Sr. Payer Integration Lead / Architect Role : Customer Success - 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 cus...

Title/Designation : Sr. Payer Integration Lead / Architect Role : Customer Success - 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 cus...

Dear Applicant, Hiring for US Healthcare (SQL) - TM Level : TM Location - Hyderabad Work mode : WFO Shift : US shift Years of exp : 7 yrs CTC - Up to 15lpa Qualification : any Graduate Notice period : Immediate , 30 days Skills : US Health Care Domain Knowledge. E.g. Encounters, EDI, HIPAA, 837 Layout, insights into Medicare and Medicaid Markets etc. Facets or any other healthcare adjudication system knowledge will be added advantage. SQL Server SSIS and SSRS plus any Microsoft cloud technologies will be added advantage. Analytical and Query Writing Skills(SQL) SQL Procedure and Packages Debugging skills. Knowledge on any reporting tools or software e.g. Tableau or Power BI etc. PPT Presenta...

Responsibilities: * Hiring Production Support (8+ yrs) | Skills: Facets, .Net (code understanding), Azure. *Strong Facets exp is a must. * Shift timing: 2-11 Pm. * Job location - Pune, Chennai, Bangalore, Hyderabad

Role & responsibilities QA with 7+ years of experience, Knowledge in Us healthcare domain and knowledge in facets and EDI process is required Advance knowledge in Testing Process to guide a team Experience in agile and Hybrid/waterfall methodologies Support QA coordinator on the defect management calls. Guide QA Testers on their Requirement/US analysis Test case design/execution review Bug retest assign/review Attend Client calls and able to take important notes Communicate and Support business users Can work independently with Good analytical skills, Adaptability and Flexibility. Requrements Identify data environment. Identify data set. Identify testing scope. Programs Previous experience i...

Required Skills and Experience: 8+ years of experience in Dot Net Core and Have worked on Production/Application Support roles, ideally in the healthcare industry (Optional). Strong knowledge of .NET Core and experience in debugging/troubleshooting .NET applications in production. Hands-on experience with Microsoft Azure services (App Services, Azure Functions, Azure SQL, etc.). Experience with Facets tools and understanding of healthcare claims processing, provider/member data, and HIPAA compliance. Note: This is a hybrid position in Bangalore, Chennai, Pune, Hyderabad & Vadodara. Candidates from these locations are welcome to apply.

Walk-in interview for Sr Executive - Facets Claims - US Healthcare Skill: Claims Facets (Mandatory) , excellent communication Experience : Minimum 1yr of experience in Claims- Facets is required (Mandatory) Education : Must have regular bachelor's degree Work timings : Night shift - US timings Notice period : Immediate to Max 15 days Note: Candidates with Facets experience from US Healthcare are only eligible for the position. Please carry a hard copy of your CV & original photo ID proof for security check

Walk-in interview for Sr Executive - Facets Claims - US Healthcare Job description: Skill: Claims Facets (Mandatory) , excellent communication Experience : Minimum 1yr of experience in Claims- Facets is required (Mandatory) Education : Must have regular bachelor's degree Work timings : Night shift - US timings Notice period : Immediate to Max 15 days Note: Candidates with Facets experience from US Healthcare are only eligible for the position. Please carry a hard copy of your CV & original photo ID proof for security check

Cognizant is hiring Senior Process Executive with Claims Facets experience. Skill: Claims Facets Experience : 1 Year to 4 Years Notice: Immediate to 15 days preferred Shift - Night Shifts (US Shift) Preferred Locations: Hyderabad, Chennai, Bangalore, Coimbatore, Pune, Noida Desired Profile: Minimum 12+ months of experience in Claims-Facets (Mandatory) Graduation is a must Should be willing to work in Night shift - US Shifts It is a WFH opportunity (temporary) but should be flexible to work from office if required Note: Candidates with Claims Facets experience from RCM-US Healthcare’ are only eligible for the position. Applicants with relevant experience can forward the cv to: Naga.SatyaTanuj...

Role & responsibilities We are looking for Dot Net Fullstack Developer permanent position with MNC company for Pune/Hyderabad/Bangalore/Chennai location. Note * : Notice period above 4th July,2025 don't apply . Mandatory skills : Core .Net + API + Frontend (Angular/jQuery) + SQL + US Healthcare experience.