Facets Jiva Developer
Facets Jiva Developer
Posted on :
13-10-2024
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Job Description
Hi Team
Please find the below Requirement
Job Title: Facets Jiva Developer
Duration:11/4/202412/31/2025
Location: Remote (support CST)
OT: NO
BGV: Fully cleared
Laptop: Standard Cog
Years of Experience:10.00 Years of Experience
Top Must Haves:
Facets (8 yrs min) Jiva and Cactus 4 yrs
SQL .Net 8 yrs min
Responsibilities
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
Required Qualifications
Skill set: 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
Added advantage if the candidate has onshore offshore model experience / must have interest to work in onshore offshore model
Employment Type
Full Time
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