Jobs at Tegria

Configure, test, implement, and maintain the TriZetto Facets core claims processing system. Translate business requirements into system configurations for benefits, claims, provider, products, pricing, and eligibility. Support UAT, production support, upgrades, integrations, impact analysis, testing, documentation, and regulatory compliance while partnering with business, operations, and IT teams.

Serve as a senior delivery lead on client engagements, providing consulting services in product, operations, and project areas. Mentor junior staff, manage client communications and expectations, apply change management and QA methods, support sales efforts, and operate independently with broad judgment and accountability.

Configure, maintain, and support provider reimbursement and pricing within TriZetto Facets and NetworX. Translate provider contracts into system configurations, build and test reimbursement models, run SQL queries and reports, troubleshoot claims/pricing issues, perform testing and validations, document configurations, and collaborate with contracting, claims, data, and IT teams for upgrades and process improvements.

The Director of Payer manages client engagements, operational management, business development, and people management while overseeing P&L, driving profitability, and ensuring team success.