Purpose
The Vendor shall provide personnel possessing the knowledge, skills, and experience necessary to successfully perform the services described below. The Vendor is responsible for ensuring that assigned resources have the appropriate qualifications.
Required Responsibilities, Services & Skills
Resources assigned to the engagement should demonstrate proficiency, as applicable to their assigned role, in the following areas:
- Participates in developing and/or modifying requirements, business design specifications, user training and documentation
- Tests and documents solutions
- Serves as liaison between users of the software and technical staff
- Conducts assessments of current processes, reports and procedures
- Collects data and performs quantitative analysis to substantiate assumptions
- Performs any necessary ad hoc reporting
- Measures outcomes of quality improvements using metrics and benchmarking criteria
- Health care claims experience that includes work flow design, data analysis, and/or systems automation and testing
- Perform any necessary configuration changes supporting claim hold
- Generate or gather needed test data
- Performs necessary validation in test and production environments according to business requirements
- Analytical, problem-solving, and decision-making capabilities
- Written and verbal communication skills are sufficient to interact effectively with business and technical stakeholders
- Collaboration skills across cross-functional teams
Role-Based Competencies
The Vendor shall identify the specific skills, certifications, experience levels, and responsibilities associated with each proposed resource. At a minimum, the Vendor should describe:
- Preferred experience in claims, provider, and pricing services
- Preferred Safe Agile certifications or 3+ years of experience as Product Owner
- Preferred experience in Fusion and/or Streamline
- Experience in QTest, JIRA
- Experience in mainframe and PEGA systems
- Experience supporting comparable projects or organizations
Resource Qualifications
Vendor personnel shall possess qualifications commensurate with the complexity of the work being performed. The Customer reserves the right to review proposed resource qualifications and request replacement of personnel who do not meet the agreed-upon skill requirements or whose performance does not satisfy the expectations of the engagement.
Knowledge Transfer and Continuity
The Vendor shall maintain appropriate documentation and knowledge transfer practices to ensure continuity of services and minimize disruption resulting from personnel changes. Replacement resources shall possess qualifications substantially equivalent to those of the individual being replaced.
Ongoing Skill Maintenance
The Vendor is responsible for maintaining the professional competency of assigned personnel throughout the engagement and ensuring that resources remain current with technologies, industry practices, and regulatory requirements applicable to the services provided.
About Cognizant:
Cognizant (Nasdaq: CTSH) is an AI Builder and technology services provider, bridging the gap between AI investment and enterprise value by building full-stack AI solutions for our clients. Our deep industry, process and engineering expertise enables us to build an organization’s unique context into technology systems that amplify human potential, drive tangible outcomes and keep global enterprises ahead in a fast-changing world. See how at cognizant.ai or @cognizant.
Additional employment information
Compensation information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law.
Applicants may be required to attend interviews in person or by video conference. In addition, candidates may be required to present their current state or government issued ID during each interview.
Cognizant is an equal opportunity employer. Your application and candidacy will not be considered based on race, color, sex, religion, creed, sexual orientation, gender identity, national origin, disability, genetic information, pregnancy, veteran status or any other characteristic protected by federal, state or local laws.
If you have a disability that requires reasonable accommodation to search for a job opening or submit an application, please email [email protected] with your request and contact information.
