Medicare Advantage Professional

Logic Planet

Chennai

5-9 Years

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Job Description

Lead the configuration and management of pricing modules within HealthRules Payor (HRP) platform
Analyze business requirements and translate them into effective HRP configuration logic and business solutions
Configure fee schedules, provider contracts, pricing rules, and claim modifiers as per business and regulatory requirements
Collaborate with Product Owners, QA teams, business stakeholders, and cross-functional teams throughout the SDLC lifecycle
Support User Acceptance Testing (UAT), system validation, defect resolution, and post-production support activities
Maintain accurate configuration documentation, process workflows, and compliance records
Ensure compliance with CMS regulations and healthcare industry standards
Identify process improvement opportunities and recommend technology-enabled operational solutions
Assist in defining business cases and supporting transformation initiatives within healthcare operations
Mentor junior team members and promote best practices in configuration governance and operational excellence
Participate in stakeholder discussions to align system capabilities with organizational goals and business needs
Provide issue analysis, troubleshooting, and resolution support for configuration and operational challenges

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Indian

About Company

Logic Planet

Logicplanet IT Services (India) Pvt. Ltd., incorporated in 2007 and headquartered in Hyderabad, operates as a software publishing, consulting, and IT solutions provider. The company delivers enterprise technology services including software development, digital transformation, and IT staffing solutions. With expertise in areas such as embedded systems, QA automation, ERP, and cloud technologies, Logicplanet supports global clients by combining technical innovation with workforce solutions, positioning itself as both a technology partner and a recruitment facilitator.

Job ID: 147716655

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