Sunday, December 11, 2016

TriZetto Facets Tutorials

I have already published some facets tutorials in this site. And I will be publishing more in the coming days. This site may be helpful for those who want to be a facets configuration analyst or a facets business analyst or a facets quality analyst or a facets tester. Besides, this site will help to understand how facets is playing a very vital role in claims processing of healthcare payers. Healthcare domain knowledge is a bonus for the visitors of this site.

Typical requirements for a  Facets Configuration Analyst:
5+years of experience in TriZetto FACETS configuration across multiple modules- for example Claims Processing, Guided Benefit Configuration, Group, Product, Plan, Provider, Pricing, Subscriber/Member, Utilization Management, Finance, Billing, Accounting, Customer service, workflow, security, etc

Typical requirements for a  Facets Business Analyst
>5+ years of Facets experience
>Excellent knowledge of Facets front end, back end and batch jobs
>Experience with membership and billing modules is mandatory
>Any additional knowledge of Claims, provider, UM etc. is optional

Typical requirements for a  Facets Quality Analyst:
§  At least 4 years of experience in Core Functionalities of Facets which includes Membership, Provider Management, Claim Processing, Billing, Plan/Product, NetworX Pricing, Customer Service and Utilization Management Modules.
§  Working experience in extract file validations from FACETS and other systems.
§  Strong knowledge of the FACETS Data Model

§  Strong knowledge on Facets Architecture which includes Upstream and Downstream systems.

Typical requirements for a  Facets Tester:

At least 4-5 years of Experience in Facets Testing - Facets Tidal Batch Support knowledge/experience for testing support needs.

2 comments:

  1. very nice article. This is related to my insurance business website.

    ReplyDelete
  2. It would not be wrong to justify the fact that such a blog enhanced with very potential information, would always help an individual and group of companies to learn, understand and make a decision accordingly in their corporate world.
    Apparently I would like to give an overview of my company. We are HRSG “THE ULTIMATE CLOUD SOLUTIONS YOUR COMPANY NEEDS.” We help Multinational Companies to grow and give them a proven record support in “Recruiting, outsourcing, consulting, management software’s and Business solutions, enabling them to become a market leader.
    HRSG Insurance is a brokerage house providing you a one-window solution for all your corporate and individual insurance needs. We represent you, the client, and make sure that we provide a customized solution that matches your insurance requirements. Secure your business with our bespoke insurance solutions and minimize your administrative time and costs with competitive prices and products.

    Insurance Advisers Pakistan

    ReplyDelete