Role: Javelina Module Consultant – Claims Pricing & Provider Contracts

Location: Pheonix, Arizona (Remote)

Job Summary:

The configuration specialist will be responsible for the configuration of assigned areas.

The Consultant is responsible for the delivery of Claims, Contracts and Pricing Consulting Services to customers who are migrating to the Mphasis Javelina platform/s or are utilizing the platform to support their Healthcare Payer operations. This individual, thru depth of knowledge about the Mphasis Javelina platform, payer operations best practices and the client’s business objectives, works to develop individualized product utilization and process-rich strategies with the client.

This role requires the ability to analyze the client’s business requirements and design business process solutions, within the Claims Pricing and Contract modules, to allow clients to maximize the efficiencies of the Javelina system. Communication skills, both written and verbal are essential, as well as deep Healthcare Payer expertise and analytical/problem solving capabilities.

Years of experience needed:

 Minimum of 2-5-year experience utilizing the Javelina or HEALTHpac platforms.

 Experience with implementation consulting on other Core Administration Processing Systems will be considered.

Technical Skills:

 Javelina or HealthPac experience in configuration

 Detailed business knowledge of the business fundamentals of Health Plans and TPAs.

 Knowledge and understanding of Configuration in the following areas:

o Claims Processing

o Claims Pricing

o Claims Payment

o Provider & Facility Set-up

o Provider & Facility Contracts

 Strict attention to detail and adherence to project governance process.

 Understanding of product development methodologies and processes, strong communication skills, and effective presentation skills.

 Ability to perform reasoning to enable planning and tracking of complex implementation projects.

Certifications Needed:

 Business or technical college degree or equivalent work experience.

Skills

Equal opportunity Employer:

Mphasis is an equal opportunity/affirmative action employer. We provide equal employment opportunities to applicants and existing associates and evaluate qualified candidates without regard to race, gender, national origin, ancestry, age, color, religious creed, marital status, genetic information, sexual orientation, gender identity, gender expression, sex (including pregnancy, breast feeding and related medical conditions), mental or physical disability, medical conditions military and veteran status or any other status or condition protected by applicable federal, state, or local laws, governmental regulations and executive orders.