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Facets Configuration Analyst Resume

SUMMARY

  • About 11 years of experience in IT - Software industry, worked on various areas including US Healthcare with the help of Facets 5.60 - US Healthcare Product, Sybase ASE, SQL Server 2014 database.
  • Specialized in FACETS - Claims processing, Pricing Configuration, Benefits Configuration and hands on experience with Plan/Provider modules.
  • Strong knowledge in the database language Sybase ASE 15.7, SQL server 2019 and Object Oriented Concepts.
  • Worked in Business Intelligence and Data Warehousing tools (ETL and Reporting), Informatica 7.1, Business Objects XI-R2 - Management Console, Crystal Reports XI-R2, Data Stage 7.5, Oracle 11g-SQL/PLSQL, C#.NET and VB.NET
  • Worked on C# .Net automation project of provider contracting reports, pricing, and benefits in FACETS Configuration area, which potentially reduced lot of manual intervention, then in place.
  • Engineered the C# .Net script automation logics to perform Diagnosis Code and Procedure Code Remediation from ICD 9 to ICD 10 standards across FACETS configuration data model involving huge volume of data as part of ICD10 Conversion.
  • Designed a semi-automated tool using C#.Net in Facets Pricing area as part of conversion from Facets Core pricing to NetworX Integrated Pricing with automation logics, which includes Exclusions, R&C Fee Schedule, DRG pricing, Fee Schedule Profile, Auto Room Type, etc.
  • Automated NetworX Fee Schedule Pricing updates using C#.Net along with generation of various reports on Benefits and Pricing configuration and Claim data Move for one of the Medicaid customers.
  • Extensive knowledge on third party FACETS pricing tools integrated to Trizetto products.
  • Extensively worked with business consultation for Ohio Department of Medicaid on Behavioral Health with Carve-In program project configuration.
  • Have knowledge on .net programming and JSON scripting techniques.
  • Quick learner and adaptable to any environment.
  • Possess good communication and interpersonal skills in interacting with Business.

TECHNICAL SKILLS

  • Sybase ASE 15.7, isql
  • ORACLE-11g
  • SQL Server - 2018
  • Crystal Reports XI-R2
  • Informatica 7.1
  • Data stage 7.5
  • Microstrategy 8
  • Business Objects XI-R2 - Management Console
  • C, C++, VB 6.0, VB and C# .Net
  • Windows, DOS, Unix

PROFESSIONAL EXPERIENCE

FACETS Configuration Analyst

Confidential

Responsibilities:

  • Understand the business requirements by performing complete analysis of the client’s requirements and preparing possible approaches for the requirement accompanied with understanding doc before making the proposed configuration changes. This would be followed by configuration build, unit testing, UAT and post production support
  • Served as an SME in Facets’ pricing configuration and pricing modules. Also responsible for reviewing the technical challenges faced by team and mitigate the same
  • Worked in varying areas of configuration including Networx configuration and configuration automation build projects
  • Involvement and interaction with client regarding business requirements, clarifications, updates, ect and suggest best practices, pros and cons as well.

FACETS Configuration Analyst

Confidential

Responsibilities:

  • Understand the business requirements by performing complete analysis of the client’s requirements and preparing possible approaches for the requirement accompanied with understanding doc before making the proposed configuration changes. This would be followed by benefits configuration build, unit testing, UAT and post production support
  • Served as an SME in Facets’ benefits configuration and pricing modules. Also responsible for reviewing the technical challenges faced by team and mitigate the same
  • Worked in varying areas of configuration including Networx configuration and configuration automation projects
  • Involvement and interaction with client regarding business requirements, clarifications, updates, ect and suggest best practices, pros and cons as well.

AC Facets Config Support

Confidential

Responsibilities:

  • Understand the business requirements by performing complete analysis of the client’s requirements and preparing possible approaches for the requirement accompanied with understanding doc before making the proposed configuration changes. This would be followed by configuration build, unit testing, UAT and post production support
  • Served as an SME in Facets’ Configuration benefits and pricing modules. Also responsible for reviewing the technical challenges faced by team and mitigate the same.
  • Worked in varying areas of configuration including ICD10 conversion, Core to Networx conversion, Configuration automation build projects.

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