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10.0 - 12.0 years
35 - 50 Lacs
chennai
Work from Office
Job Summary We are seeking a seasoned Product Consultant with 10 to 12 years of experience to join our team. The ideal candidate will have expertise in Facets-Product and a strong understanding of healthcare domains such as QNXT and FACETS. This hybrid role requires a proactive individual who can effectively contribute to our projects during day shifts without the need for travel. Responsibilities Lead the analysis and design of product solutions using Facets-Product to meet client requirements and improve operational efficiency. Oversee the implementation of healthcare solutions ensuring alignment with industry standards and best practices. Provide expert guidance on the integration of Face...
Posted 2 weeks ago
9.0 - 15.0 years
0 Lacs
andhra pradesh
On-site
Role Overview: As a Senior Test Lead specializing in EDI Testing, your primary responsibility will be to understand the functional requirements, lead the team, and create the test strategy. Your role will involve planning, monitoring, and controlling the Functional Test activities. Having knowledge of Facets will be an added advantage. You will also be expected to prepare risk mitigation plans in case of any foreseen delays, with healthcare domain knowledge being an additional asset. Key Responsibilities: - Lead the team and resolve any issues within the team effectively - Possess excellent troubleshooting skills - Demonstrate exceptional problem-solving abilities, effective communication, a...
Posted 3 weeks ago
10.0 - 14.0 years
0 Lacs
andhra pradesh
On-site
Role Overview: As a Senior Test Lead specializing in EDI Testing, you will be responsible for understanding the functional requirements and leading your team effectively. Your main duties will include creating the test strategy, planning, monitoring, and controlling the Functional Test activities. Having knowledge of Facets would be an added advantage. Additionally, you will need to prepare risk mitigation plans and possess healthcare domain knowledge for better performance. Key Responsibilities: - Lead the team and resolve any issues within the team - Demonstrate excellent troubleshooting skills - Exhibit exceptional problem-solving abilities, effective communication, and strong influencing...
Posted 3 weeks ago
2.0 - 6.0 years
4 - 7 Lacs
hyderabad, chennai, bengaluru
Work from Office
Role Summary: Leads testing efforts for complex software systems, ensuring high quality and reliability. Roles & Responsibilities: Design comprehensive test strategies and plans. Mentor junior test engineers. Perform advanced testing (performance, security). Collaborate with cross-functional teams. Qualifications: Bachelors or Master’s in Computer Science. 5+ years of experience in software testing. Key Skills: Test automation frameworks Performance testing tools Agile and DevOps practices CI/CD integration Defect management
Posted 1 month ago
8.0 - 13.0 years
6 - 10 Lacs
hyderabad
Work from Office
Ability Gather, analyse, and document business and technical requirements for healthcare Programs Experience on core business applications in Enrolment, Claims. Payment areas (Facets, QNXT , NASCO etc ) Knowledge of CMS rating standards (STAR) and quality measures reporting Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) to system data models and ITX transformations. Conduct gap analysis, impact analysis, and facilitate design walkthroughs with business and technical teams. Collaborate with QA teams to define test scenarios, acceptance criteria, and assist in defect triage. Coordinate across cross-functional teams (product, ops, compliance, provider...
Posted 1 month ago
12.0 - 15.0 years
20 - 25 Lacs
chennai
Work from Office
12 -15+ years of experience as a Lead Consultant/Business Architect/Program Manager/ Product Manager with Healthcare Payer domain. Excellent Communication Skill and managing client stakeholders Experience in creating Business solutions . Worked on consulting presales activities Experience in executing Consulting Assessment programs Ability Gather, analyse, and document business and technical requirements for healthcare Programs Experience on core business applications in Enrolment, Claims. Payment areas (Facets, QNXT , NASCO etc ) Knowledge of CMS rating standards (STAR) and quality measures reporting Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999) ...
Posted 1 month ago
12.0 - 15.0 years
9 - 13 Lacs
chennai
Work from Office
12 -15+ years of experience as a Lead Consultant/Business Architect/Program Manager/ Product Manager with Healthcare Payer domain. Excellent Communication Skill and managing client stakeholders Experience in creating Business solutions . Worked on consulting presales activities Experience in executing Consulting Assessment programs Ability Gather, analyse , and document business and technical requirements for healthcare Programs Experience on core business applications in Enrolment, Claims. Payment areas (Facets, QNXT , NASCO etc ) Knowledge of CMS rating standards (STAR) and quality measures reporting Ability to Interpret and map HIPAA X12 EDI transaction sets (e.g., 270/271, 837, 835, 999)...
Posted 1 month ago
8.0 - 13.0 years
17 - 22 Lacs
kochi, chennai, thiruvananthapuram
Work from Office
Design, architect, and implement solutions within the US Healthcare Payor domain (CAPS environment). Work extensively on Facets (or similar systems like QNXT / HRP) to develop and optimize healthcare administration solutions. Leverage AWS cloud services for deployment, scalability, and integration of core applications. Collaborate with cross-functional teams for requirements gathering, architecture review, and delivery planning. Ensure compliance with healthcare standards and EDI formats (834, 837, 835). Provide technical leadership and mentoring to development and integration teams. Participate in technical and managerial reviews to ensure solution quality and performance. Strong experience...
Posted 1 month ago
10.0 - 20.0 years
35 - 40 Lacs
kochi, chennai
Hybrid
We have an urgent opening for a Solution Architect/Lead (8+ Years) specializing in the US Healthcare Payor domain. Your background in this area is an excellent match! Key Requirements: Strong experience in US Healthcare Payor and CAPS (Core Admin Processing Systems) . Expertise in platforms like Facets, QNXT, or HRP . Technical skills: AWS and Java . Familiarity with EDI formats: 834, 837, 835 . Client : UST Global Location: Chennai/Kochi/TVM Notice Period: As early as possible (High Priority)
Posted 1 month ago
8.0 - 12.0 years
0 Lacs
karnataka
On-site
You will be responsible for developing and maintaining software applications for the US Healthcare industry, specifically focusing on EDI and QNXT modules. Your key responsibilities will include: - Demonstrating strong proficiency in .Net, SQL, and in-depth knowledge of the Enrolment module, particularly EDI 837 and EDI 835 within the QNXT platform. - Utilizing your expertise in developing Claims applications using EDI 837 and EDI 835 resources, along with your skills in DotNet and SQL. - Engaging in excellent client communication as you will be required to interact with US clients effectively. To excel in this role, you should possess the following qualifications: - A minimum of 8 years of ...
Posted 2 months ago
0.0 - 2.0 years
2 - 4 Lacs
hyderabad, chennai, bengaluru
Work from Office
Role Summary: Leads testing efforts for complex software systems, ensuring high quality and reliability. Roles & Responsibilities: Design comprehensive test strategies and plans. Mentor junior test engineers. Perform advanced testing (performance, security). Collaborate with cross-functional teams. Qualifications: Bachelors or Master’s in Computer Science. 5+ years of experience in software testing. Key Skills: Test automation frameworks Performance testing tools Agile and DevOps practices CI/CD integration Defect management
Posted 2 months ago
10.0 - 15.0 years
17 - 30 Lacs
pune, chennai, mumbai (all areas)
Hybrid
10-15 years experience in any one or more sub-sectors of Healthcare such as Payers i.e. Health Insurance preferably in the US market as Healthcare Consultant. • More than 5 years hands-on experience on TriZetto’s platforms (either Facets or QNXT) – in a PM/BA/TA/Config capacity • Navigate complexities and ambiguities with client ask or industry trend to clearly document & present CitiusTech solution & expertise • Ability to understand the client Problem statement and strong analytical skills for identifying the possible solution • Ability to build professional relationships, a spirit of co-operation, and a flexible approach to work are required • Self-motivated and strong team player • Abili...
Posted 2 months ago
9.0 - 14.0 years
15 - 30 Lacs
pune, chennai, bengaluru
Work from Office
Responsibilities: - Demonstrate deep understanding in Payor workflows such as Claims, Enrolment and Provider workflows Experience with Medicare and Medicaid claims preferred. Experience in healthcare plan operations (e.g., claim adjudication life cycle/workflows, network contracting, provider relations, medical management, audit, compliance) Work independently under guidance from the client and possess good communication skills Should be able perform due diligence in understanding client current system Strong experience in business analysis, requirements gathering, client communication Hands on experience with design, build, implementation, and support of healthcare payer IT systems Experien...
Posted 3 months ago
5.0 - 9.0 years
0 Lacs
chennai, tamil nadu
On-site
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...
Posted 3 months ago
5.0 - 9.0 years
0 Lacs
chennai, tamil nadu
On-site
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...
Posted 3 months ago
8.0 - 12.0 years
0 Lacs
rajasthan
On-site
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...
Posted 3 months ago
6.0 - 9.0 years
8 - 16 Lacs
kolkata, hyderabad, chennai
Hybrid
1.Functional testing in US Healthcare Payer domain 2.QNXT product expertise in Enrollment & Claims module testing 3.Strong experience in EDI transactions preferably 834, 837 4.Strong SQL skills
Posted 3 months ago
5.0 - 9.0 years
0 Lacs
andhra pradesh
On-site
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...
Posted 5 months ago
11.0 - 15.0 years
25 - 40 Lacs
Pune, Chennai, Bengaluru
Hybrid
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...
Posted 5 months ago
11.0 - 15.0 years
16 - 31 Lacs
Pune, Chennai, Bengaluru
Hybrid
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...
Posted 5 months ago
10.0 - 15.0 years
15 - 30 Lacs
Pune, Chennai, Bengaluru
Hybrid
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...
Posted 5 months ago
11.0 - 15.0 years
16 - 31 Lacs
Pune, Chennai, Bengaluru
Hybrid
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...
Posted 5 months ago
3.0 - 6.0 years
27 - 42 Lacs
Chennai
Work from Office
Role: QNXT Configuration and SI Mandatory Skill: QNXT, Config, SQL Responsibilities To analyze and understand requirements, design, develop, unit test and document test results for Facets/FACETS interfaces development tasks. Exposure to QNXT / QNXT data model, QNXT core batches & SQL & .Net skills required. Hands on experience in QNXT claims & Enrolment QNXT system implementation role to analyze and understand requirements, design, develop, unit test and document test results for QNXT interfaces and reports development tasks Exposure and basic understanding of core QNXT functions such as claims, membership, and provider would be desired along with working knowledge on underlying data models....
Posted 6 months ago
1.0 - 6.0 years
3 - 7 Lacs
Hyderabad, Chennai, Bengaluru
Work from Office
Role & responsibilities Preferred candidate profile 1-6 years experience in Benefits configuration Mandate skills: Qnxt,Facets,SQL,Benefits configuration Mode: WFH Any Graduates Flexible to work night shifts
Posted 6 months ago
1.0 - 4.0 years
2 - 4 Lacs
Hyderabad, Chennai, Coimbatore
Hybrid
Role & responsibilities Preferred candidate profile 1-5 years experience in claims with facets US Healthcare Flexible to work US shifts Work location: Chennai/ Hyd/Coimbatore Work Mode: WFH (Temporary)
Posted 6 months ago
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