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Actively Looking - Facets + Jiva Developer - Remote at Remote, Remote, USA
Email: [email protected]
Hello,

Hope you are doing well today! My name is Ajay Reddy, and I am a senior recruiter working with ITech US Inc. If you are currently looking for new opportunities. I have an exciting opportunity
with one of our clients Remote. Please let me know if you are interested. Below are the job details for your review.

Role: Facets + Jiva Developer

Location: Remote

Duration: Long term Contract

Must Have Skills:

Facets, Jiva, Cactus, Case Management, Utilization Management, Provider Management, SQL, .Net

Hands on experience with Safe agile methodology

Good communication skills.

Healthcare experience is required

Job Description:

Minimum 8 years of experience in Healthcare and TriZetto Facets.

Minimum 4 years of experience in Jiva Platform and Cactus

Experience in Care Management, Utilization Management and Provider Management

Analyze business processes, implementing solutions to enhance efficiency and effectiveness of Jiva platform.

Develop and implement the authorization load from Jiva platform to Facets system

Analyze the authorization issues reported by member or provider in both Jiva and Facets

Develop processes to correct the authorization data in Jiva and load the corrected data into Facets for claims processing.

Experience in utilization management and claims processing in Facets.

Lead and participate in projects related to Jiva platform enhancements and updates.

Provide ongoing support and troubleshooting assistance to Jiva issues.

Perform system configuration required in Jiva.

Experience in Cactus provider management application.

Experience in provider data management and credentialing processes

Develop solutions to load and maintain provider data in Cactus

Support incidents and enhancements related to Cactus feed to Facets system

Analyze and gather business requirements and changes related to Cactus

Thorough knowledge of SDLC and best practices

Excellent communication skill and participates actively in team meetings discussions

Regards:

Ajay Reddy

iTech US Inc.

Linked IN:
https://www.linkedin.com/in/ajay-reddy-29225918a/

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Keywords: access management information technology
Actively Looking - Facets + Jiva Developer - Remote
[email protected]
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Tue Oct 08 19:01:00 UTC 2024

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