Description:
- Review requests for proposals (RFPs) and related documents
- Research and gather source information to determine the information needed for specific proposals. Contribute ideas regarding business solution based on own ideas, experience and research
- Effectively convey information about Facets products/services to all audiences
Inspect and edit own work for clarity and conformance to requirements; work with proposal leadership to address issues - Present information to, and effectively communicate with, senior leadership and other key individuals
- Participate in ongoing continuous improvement of the OBHICP platform.
Projects the candidate will be working on:
- New business and growth (RFP)
Ideal Background:
- Healthcare Specific and Trizetto Facets products
Team and Team size:
- 12 to 18
Top Responsibilities:
- Review requests for proposals (RFPs) and related documents
- Interview SMEs in business functions
- Research and gather source information to determine the information needed for specific proposals. Contribute ideas regarding business solution based on own ideas, experience and research
- Effectively convey information about products/services to all audiences
Inspect and edit own work for clarity and conformance to requirements; work with proposal leadership to address issues - Present information to, and effectively communicate with, senior leadership and other key individuals
- Participate in ongoing continuous improvement of the OBHICP platform.
Skills/attributes Required
- 10+ years of experience in Core Facets product ver 5.8 and above Claims, Members,
- Provider, Benefits, Payments , Workflow Configuration
- 12+ years of IT/healthcare experience
- 5+ years of Project Lead/Technical Lead / Solution Architect
- 2+ years of hands on experience in working in agile scrum/DevOps model.
- Experience with Medicare Advantage and Medicaid Products
- Experience with Rules engine – REDHAT DROOLS
- Substantial hands-on technology experience in Facets & Oracle
- Good understanding about the structure and significance of key /HIPAA X12 EDI transactions like 837, 277CA, 835, etc.
- Good understanding of Claims domain in Facets which includes Data Model, Core Claims processing batch jobs, Facets UI, Facets Workflow tool
Skills/attributes Preferred
- Facets core administration product, Trizetto optimizations products
Horizontal is proud to be an Equal Opportunity and Affirmative Action Employer. We seek to provide employment opportunities to talented, qualified candidates regardless of race, color, sex/gender including gender identity and/or expression, national origin, religion, sexual orientation, disability, marital status, citizen status, veteran status, or any other protected classification under federal, state or local law.
In addition, Horizontal will provide reasonable accommodations for qualified individuals with disabilities. If you need to request a reasonable accommodation in order to complete the application or interview process, please contact hr@horizontal.com.
All applicants applying must be legally authorized to work in the country of employment.
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