Akshaya Sahoo
Senior Product Specialist @Cognizant
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WORK HISTORY
Senior Product Specialist @Cognizant
Dayton, OH, US
Facet Configuration Analyst (Medicaid & Medicare-Health Plan)-• Configuration & Setup of new Plan & Product and its related Prefix in system• Facets Modules – Claims, Medical Plan, Membership, Provider, Application Support, Criteria Maintenance• Hands on experience in all kind of Benefit related configuration & Modification in existing setup • Hands on experience in Clinical Edit Setup & Authorization setup.• Configuration, modification and updating of NetworX Agreement • Conversion of Core-to-NetworX agreement• New NetworX Fee Schedule Configuration• Hand on Experience in All Kind of (Hospital, PCP, Specialist, DME & Ancillary) agreement configurationUsing MS Access & SQL Scripts (Via Sybase) & Front end approach-Facet Testing:(Benefit & NetworX Pricing)-Understanding the Configuration change in Benefit & NetworX.According to that creates test plan & execution.
SKILLS
ABOUT AKSHAYA SAHOO
10+ Years of Experience In Health Insurance Domain, with 5+ years experience in Facets…
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