#Trizetto networx software

Four (4) years relevant experience may be substituted for degree.

This individual must have experience in health insurance, and must have strong technical and analytical abilitiesīachelors degree required. Throughout the process the Claims Data Analyst is identifying potential issues, defects, financial impacts, and summarizing and reporting this information to the Configuration management team. This can often involve hundreds or even thousands of claims at a time, and so careful coordination with other departments is essential. The Claims Data Analyst is primarily responsible for ensuring that all claims affected by retrospective configuration changes are identified and adjusted accordingly.

CDPHP invests in employees who share these values and invites you to be a part of that experience. At CDPHP, the employees have a voice and are encouraged to make an impact at both the company and community levels through engagement and volunteer opportunities. The company values integrity, diversity, and innovation, and its corporate culture supports those values wholeheartedly. CDPHP was founded in Albany in 1984 as a physician-guided not-for-profit, and currently offers health plans in 29 counties in New York state. TriZetto is a privately held healthcare information technology company to the healthcare payer industry.CDPHP and its family of companies are mission-driven organizations that support the health and well-being of our customers and the communities we are proud to serve. It increases administrative efficiency and payment accuracy, and improves cycle times.

#Trizetto networx software

Specifically, the NetworX Pricer software can fully automate claims pricing associated with contracts that have many variables and terms price claims associated with contracts that have varying calculation and qualification codes and price claims associated with contracts that use multiple claim elements, rate sheets and associated priorities. In essence, the patent protects technology that allows payers the ability to manage broader and more complicated contracts with speed and accuracy. TriZetto noted that its patent covers the computerized method of repricing electronic claims for reimbursement according to a specific health plan's contract, including conversion, checking, review, and allowance of a claim. But our claims pricing innovations are just the beginning we expect to be awarded many more TriZetto patents in the future.' We are pleased the patent recognizes the uniqueness of our software, which simplifies the incredibly complex task payer's face when pricing incoming healthcare claims by taking the many rules and contracts governing them and arriving at an accurate, automatically priced claim that is ready for payment. 'This patent reinforces what our customers already know - that the NetworX Pricer software is an innovative and valuable application. 'This patent highlights the unique value that TriZetto's NetworX claims pricing engine provides our customers,' said Dave Pinkert, president of national accounts at TriZetto.