Current jobs related to Facets + Jiva Developer - philadelphia - Smart IT Frame LLC
-
Senior Data Architect
2 weeks ago
Philadelphia, United States Talent Inc. Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
Senior Data Architect
3 weeks ago
philadelphia, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
Senior Data Architect
3 weeks ago
philadelphia, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
Senior Data Architect
4 weeks ago
philadelphia, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
Senior Data Architect
4 weeks ago
philadelphia, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
Senior Data Architect
4 weeks ago
Philadelphia, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
Azure Data Architect
1 month ago
philadelphia, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire an Azure Architect to help run an enterprise Data Migration for a well-known healthcare...
-
Senior Data Architect
3 weeks ago
Philadelphia, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
Senior Data Architect
2 weeks ago
Philadelphia, PA, United States Talent Full timeWe have partnered with a prominent player in the IT services sector, offering end-to-end digital solutions to clients spanning various industries. They focus on emerging technologies like cloud computing, automation, AI, ML and much moreThey are looking to hire a Senior Data Architect (Azure) to help consultant and advise Payer Clients as they leverage data...
-
UiPath RPA Developer
4 weeks ago
Philadelphia, Pennsylvania, United States Compunnel Full timeJob Summary:The RPA Developer will be responsible for reviewing, analyzing, modifying, creating, debugging, designing, and testing applications using modern development methodologies and tools. This role will engage in all aspects of the application development life cycle to ensure project success and provide valuable insights during design and application...
-
Senior Associate Business Development
4 months ago
Philadelphia, United States Penn Medicine Full timeDescription Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines. Today...
-
Nursing Professional Development Specialist
2 weeks ago
Philadelphia, United States The Children's Hospital of Philadelphia Full timeReference #: 1012226 SHIFT:Rotating (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your...
-
Philadelphia, United States Children's Hospital of Philadelphia Full timeSHIFT: Day (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your...
-
Philadelphia, United States Children's Hospital of Philadelphia Full timeSHIFT: Day (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your...
-
Nursing Professional Development Specialist
2 weeks ago
Philadelphia, United States Children's Hospital of Philadelphia Full timeSHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your...
-
Nursing Professional Development Specialist
2 months ago
philadelphia, United States The Children's Hospital of Philadelphia Full timeNursing Professional Development SpecialistSHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your...
-
Nursing Professional Development Specialist
2 weeks ago
Philadelphia, United States The Children's Hospital of Philadelphia Full timeNursing Professional Development SpecialistSHIFT: Rotating (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your...
-
Clinical Nurse
3 weeks ago
Philadelphia, Pennsylvania, United States The Children's Hospital of Philadelphia Full timeJob Title: Clinical NurseDeliver compassionate, culturally effective care as a Registered Nurse in CHOP's Surgical Services Department.About the RoleRanging from advanced beginners to expert practitioners, our nurses coordinate all facets of patient care, collaborate with diverse healthcare professionals, and can progress to managing the most complex cases...
-
Project Director
4 weeks ago
Philadelphia, Pennsylvania, United States Pyramid Consulting, Inc Full timeProject Manager Job DescriptionWe are seeking a highly skilled Project Manager to join our team at Pyramid Consulting, Inc. As a Project Manager, you will be responsible for coordinating, tracking, and executing projects for our clients.Key Responsibilities:Provide coordination, tracking, and compliance administration support for externally-facing elements...
-
Customer Service Operations Analyst
4 weeks ago
Philadelphia, Pennsylvania, United States Comcast Full timeJob SummaryAs a key member of the Customer Service team at Comcast, you will play a critical role in supporting operations and driving efficiencies. Your responsibilities will include developing, analyzing, and interpreting performance data, project costs, and subscriber activity to increase the effectiveness of departmental projects.Core Responsibilities...
Facets + Jiva Developer
2 months ago
Role: Facets + Jiva Developer
Location: Remote
Duration: Long Term
Job Description:
Required Qualifications:
Skill set: Facets, Jiva, Cactus, Case Management, Utilization Management, Provider Management, SQL, .Net
Hands on experience with Safe agile methodology
Good communication skills.
Healthcare experience is required
Added advantage if the candidate has onshore – offshore model experience / must have interest to work in onshore offshore model
Responsibilities:
Minimum 8 years of experience in Healthcare and Trizetto Facets.
Minimum 4 years of experience in Jiva Platform and Cactus
Experience in Care Management, Utilization Management and Provider Management
Analyze business processes, implementing solutions to enhance efficiency and effectiveness of Jiva platform.
Develop and implement the authorization load from Jiva platform to Facets system
Analyze the authorization issues reported by member or provider in both Jiva and Facets
Develop processes to correct the authorization data in Jiva and load the corrected data into Facets for claims processing.
Experience in utilization management and claims processing in Facets.
Lead and participate in projects related to Jiva platform enhancements and updates.
Provide ongoing support and troubleshooting assistance to Jiva issues.
Perform system configuration required in Jiva.
Experience in Cactus provider management application.
Experience in provider data management and credentialing processes
Develop solutions to load and maintain provider data in Cactus
Support incidents and enhancements related to Cactus feed to Facets system
Analyze and gather business requirements and changes related to Cactus
Thorough knowledge of SDLC and best practices
Excellent communication skill and participates actively in team meetings discussions
Years of Experience: 10.00 Years of Experience
