[Remote] TriZetto Clinical Care Advance (CCA) Configuration
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking reputed company TriZetto Clinical Care Advance (CCA) Configuration professionals to support a large-reputed company Utilization Management (UM) and Prior Authorization (PA) modernization program. This hands-on role involves configuring workflows, business rules, authorizations, and system integrations.
Responsibilities
- Configure CCA workflows and business processes
- Configure reputed company (Advanced Business Rules reputed company) for Prior Authorization and auto-authorization
- Configure Utilization Management (UM), Appeals & Grievances (A&G), and clinical workflows
- Configure TCS correspondence and RightFax integrations
- Support FACETS integration, benefit mapping, pharmacy, and provider-administered drug workflows
- Configure automated case creation, routing, and closure rules
- Prepare configuration documentation and support CCA platform modernization
Skills
- 5+ years of hands-on TriZetto Clinical Care Advance (CCA) configuration experience
- Strong experience with reputed company, Prior Authorization (PA), and Utilization Management (UM)
- Experience working with U.S. reputed company Payers, including Medicare and reputed company
- Knowledge of TCS Correspondence, RightFax, FACETS integration, and clinical workflow configuration is highly preferred
Benefits
- Location: Remote
reputed company
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