on the HealthEdge ecosystem, including HealthRules Payer (HRP). Design future-state operating models spanning claims...: Remote – US Travel required for client sessions, workshops, and internal collaboration. HealthEdge commits to building...
platform, TPA system, or claims administration software (e.g., Facets, QNXT, HealthRules, HealthEdge, TriZetto, EZ-CAP...
, Zelis, HealthEdge Source, Machinify, Lyric, Gainwell/HMS, EXL, Myers and Stauffer, Conduent, Deloitte, Accenture, Public...
and/or contract modeling experience with at least of one of the following: Cognizant: Facets/NetworX, QNXT/NetworX;HealthEdge: Health... Rules Payer;Advantasure: iKA Claims;Epic: Tapestry;3M: GPCS;RAM: HealthSuite;and/or Conduent/HSP: MediTrac;HealthEdge...
, HealthEdge, Conduent, etc.) to inform differentiation strategy. Partner with sales, finance, and leadership to determine... including Optum/Change Healthcare, Cotiviti, Cognizant TriZetto, HealthEdge, Conduent, Gainwell Technologies, and emerging...
knowledge of HealthEdge and or AMISYS is a plus. Understands Data Warehouse design concepts, should know Kimball methodology...
environment TPA / self-funded / Fully Insured / ACA Systems such as HealthEdge, FOS, or similar Agile / hybrid delivery models...
with client team to analyze, solution and test pricing configuration defects in Healthedge Source. Required skills: 3-4 years... Healthedge Source pricing configuration. 3-4 years configuration defect remediation 3-4 years working in health insurance...
(e.g., Facets, QNXT, Epic Tapestry, HealthEdge) Effective written and verbal communication skills Intermediate working...