Job Details

Ajax_indicator
Facets database analyst - it sector
Job Type Pure Contract
No of Openings 1
Job Sector IT Sector
Experience - to - Years
Education BE / BTech
Job Description Understand customer requirement in building interface
between Facets Medicare application and RECON+ / RxRECON payment
reconciliation system Prepare the Requirement Specification
and Detail Design Document Perform the data mapping between
Facets Medicare data model and interface outbound file layout which is used as input for RECON+ / RxRECON payment reconciliation system
 Define the data extraction logic to extract the current and
retro enrollment and disenrollment membership records from Facets for
different Medicare plan types Ensure the accuracy,
performance and scalability of the interface Conduct QA and assist customer during system integration and acceptance testing
 Trizetto Facets 4.x Implementation experience in building
Interfaces and Extracts
Health plans send monthly file to IFOX for processing the Medicare Advantage and Part D Payments. IFOX uses RECON+ / RxRECON payment reconciliation system to process the file with the help of the data available from CMS. Trizetto’s batch job (in versions >= 4.31) which generates a flat file after extracting the required data from Facets.
This job currently has a significant number of issues in terms of performance, scalability and accuracy. Facets customers are unhappy with this batch job and IFOX has taken a proactive step in providing a generic interface engine which would mimic the Facets Reconciliation Batch job addressing the issues of Scalability, Performance and Accuracy.
Skills
Trizetto Facets Packaged Application Implementation Healthcare Payer Domain Oracle/MSSQL Server stored procedure – SQLs and scripting languages
Job posted on 03/23/2009 - 09:48 PM