Overview
Remote
Depends on Experience
Contract - W2
Contract - 6 Month(s)
Skills
Health Care
Pega
TriZetto Facets
Documentation
LSA
Pega PCS
Pega Product Composer System Framework
Job Details
Requirements:
- Must have experience with the Pega PCS (Product Composer System) framework for healthcare
- Prior experience with TriZetto Facets is a plus but not mandatory
- Pega CSA, CSSA, and LSA certification if done would be a plus but not mandatory
- Experience in configuring the Benefit Summary in the Pega PCS (Product Composer System) framework
- Recent Health Care Domain Experience is must
Responsibilities:
- Design, configure, and build various product and benefit components in the PCS application
- Leverage knowledge of benefit plans and documents to gather detailed information for creating or updating applicable product configuration elements
- Identify, analyze, and resolve configuration issues
- Research and address configuration gaps; update standard operating procedures (SOPs) as needed
- Audit configurations to ensure alignment with benefit plan requirements, Evidence of Coverage (EOC), and other source documentation
- Configure the Benefit Summary in the PCS application based on source documents
- Troubleshoot PCS-related issues and provide effective solutions
- Review configurations in PCS to validate accuracy and compliance with plan documentation
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