Leena John Email & Phone Number

Dynamic IT professional with 10+ years of specialized experience in Facets/NetworX Configuration, system analysis, Design, development, testing and Production support. Worked extensively with various business domains in healthcare system and have commendable knowledge in healthcare systems with Analytical & Problem Solving skills and a good team player. Has strong customer relationship experience, having worked closely with senior technical and business leaders in customer organizations, independently managing customers in/from US, Result-oriented, creative and customer-focused IT point of contact with a dynamic mix of functional and technical skills and has a proven performance record of translating critical business needs into IT requirements along with driving self & teams towards cost-effective innovative solutions Extensive experience in Facets Configuration of Class, Plan, Product, Limits ,Copay, Coinsurance, Deductibles, Supplemental Qualifier rules, Provider Agreements, Authorization and Referral setup, Service rules, Service definition, Service Pricing, Service Payment, Processing Control Agent, NetworX Pricing, Clinical Edits, Medical and Hospital Pricing setup and Claims Testing, Subscriber/Member, Network Set up in Facets Terminology New Business implementation in Facets platform with UNIX, SQL Server, Data Stage technologies Predominantly worked for customers on Facets platform and possess extensive experience maintenance support and version upgrade. Worked in processes involving modules like Providers, Claims processing, Capitation and Subscriber/ Membership Experience with specialization in ETL and data warehousing applications Experience with Provider system maintenance, Claims processing and Pharmacy management for health care industries Analysis, design, development, testing and implementation of applications for various business areas like HMO business and Medicaid Systems

Listed skills include Trizetto Facets, Sybase, Microsoft Sql Server, Sql, and 16 others.