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Configuration Manager (7941)

Zoek Pin Pune, Pune Division, Maharashtra

Permanent (Full time)

Posted 41 days ago

Information Technology Configuration Manager Pune, Maharashtra, India Job Title: Manager, Configuration of years of required experience: > 8 years Work Location  Pune Shift position will be required to work (if applicable): Please specify shift time Max until 1:30 am IST (Based on client request If Any) It’s Time For A Change… Your Future Evolves Here Evolent Health has a bold mission to change the health of the nation by changing the way health care is delivered. Our pursuit of this mission is the driving power that brings us to work each day. We believe in embracing new ideas, testing ourselves and failing forward. We respect and celebrate individual talents and team wins. We have fun while working hard and Evolenteers often make a difference in everything from scrubs to jeans. Are we growing? Absolutely. We have seen about 30% average growth over the last three years. Are we recognized? Definitely. We were named one of “Becker’s 150 Great Places to Work in Healthcare” in 2016, 2017, 2018 and 2019 and are proud to be recognized as a leader in driving important Diversity and Inclusion (D&I) efforts: Evolent achieved a 95% score on its first-ever submission to the Human Rights Campaign's Corporate Equality Index, was named on the Best Companies for Women to Advance List 2020 by , and we publish an annual Diversity and Inclusion Annual Report to share our progress on how we’re building an equitable workplace. We recognize employees that live our values, give back to our communities each year, and are champions for bringing our whole selves to work each day. If you’re looking for a place where your work can be personally and professionally rewarding, don’t just join a company with a mission. Join a mission with a company behind it. We are seeking a Grievance and Appeals Coordinator to be a key member of the team. The Grievance and Appeals Coordinator is responsible for receiving, investigating, and resolving member administrative appeals, grievances and provider administrative appeals and supporting the clinical team with clinical appeals. All tasks willbe in compliance withregulatory and accrediting agency standards. Position summary Evolent is looking for motivated and engaged individuals to join the Configuration Team in Health Plan Services. If you have experience in Health plan configuration maintenance processes. Also have experience or in depth knowledge about Pricing, Benefit configuration experience & claims processing. Essential functions Understands and/or learns the client’s business requirements, the impact of the new solution(s) on business processes, and translating that into detailed configuration requirements Develops detailed business requirements documenting the needs of the client department/agency Works to optimize business performance by recommending balanced approaches to configuration/system design and maintenance Facilitates system/configuration design sessions, crafts agendas and takes meeting minutes as necessary Assists with development of business requirements and technical design for reports, letters, conversions, interfaces, extracts and file inputs Maintains business documentation Facilitates and/or participates in the business process alignment sessions Provides support for training curriculum development Performs data analysis using database query tools Identifies risk and/or issues and escalates them appropriately Assists the Project Manager with planning and development of the system configuration and other business activities associated with the project schedule Identifies change requests and presents change control documentation for the client to submit for consideration Maintains a favorable working relationship with all project stakeholders to foster and promote a cooperative and harmonious working climate which will be conducive to maximum employee morale, productivity, and efficiency/effectiveness Keep leadership promptly and fully informed of all problems or unusual matters of significance and takes prompt corrective action where necessary or suggests alternative courses of action Develop and mentor junior staff individuals, if applicable Academic Qualification Education Requirements: Bachelor’s Degree or equivalent work experience Knowledge of medical claims adjudication and editing Prior experience with Facets/RI Work Environment : The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position primarily works in a climate controlled based setting. The noise level and the work environment are moderately quiet. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines Physical demand: Include the physical demands of the job, including bending, sitting, lifting and driving. For example, while performing the duties of this job, the employee is regularly required to talk or hear. The employee frequently is required to stand; walk; use hands to finger, handle or feel; and reach with hands and arms. Why Join Evolent? Named among Forbes’ 2014 America’s Most Promising Companies and Glassdoor’s 2015 Best Places to Work, Evolent provides an opportunity to work with top talent in an organization committed to career development. While we come from a variety of backgrounds, we pursue a singular mission: to change the health of the nation by changing the way health care is delivered

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