Associate III - BPM(Provider Configuration)

Role Description UST Title – Associate III - BPM Who We Are At UST, we help the world’s best organizations grow and succeed through transformation. Bringing together the right talent, tools, and ideas, we work with our client to co-create lasting change. Together, with over 30,000 employees in 30+ countries, we build for boundless impact—touching billions of lives in the process. Visit us at .

Summary Job Description - Analyst / Sr. Analyst Process: Product Config (US Healthcare - Payer)

Experience: 5+ Years (Mandatory)

Shift: 5:30 PM - 2:30 AM IST (Night Shift)

Work Mode: 5 Days Work from Office

Location: India (Trivandrum /Chennai)

Joining: Immediate

We are looking for a Product Config Analyst to support US Healthcare operations in a BPO environment. The role focuses on creation, validation, and maintenance of member-facing benefit documents (Contracts & Booklets) aligned with benefit configuration and product setup . The candidate must have strong benefit interpretation skills and hands-on experience in payer-side configuration and documentation processes .

Key Responsibilities

• Contract & Booklet Creation

• Create Product Setup documents & designs

• Develop document components such as:

• Schedule of Benefits (Copay, Deductible, Coinsurance)

• Riders and benefit sections

• Preventive schedules and plan details

• Ensure documents meet client formatting, regulatory, and compliance standards

• Benefit Configuration Alignment

• Interpret benefit designs from product configurator / payer systems

• Convert system configurations into accurate member-facing documents

• Validate cost share elements against configured benefits:

• Copay / Coinsurance / Deductible / OOP

• Ensure alignment across configuration, schedule, and filing documents

• Validation & Quality Assurance

• Perform QA validation of contracts and booklets before production release

• Conduct checks such as:

• Schedule vs Product Config comparison

• Filing vs Template validation

• Maintain high accuracy and quality benchmarks

• Workflow & Production Handling

• Manage end-to-end workflow:

• Intake via ticketing system

• Template extraction and mapping

• Document creation and QA

• Final production release

• Handle volumes with SLA adherence and turnaround commitments

• Collaboration & Stakeholder Coordination

• Work closely with:

• Benefit Configuration teams

• QA and Testing teams

• Client stakeholders (onshore/offshore)

• Support testing, appeals, and audit queries with document references

• Continuous Improvement

• Identify gaps in documentation and configuration mapping

• Support automation, standardization, and process efficiency initiatives

• Contribute to SOPs, QA checklists, and process documentation

Required Skills Domain Skills

• Strong knowledge of:

• Health plan benefits (Copay, Deductible, Coinsurance, OOP, Accumulators)

• Commercial / Medicare plan structures

• Understanding of:

• Benefit configuration workflows

• Plan design & document mapping

Technical Skills

• Experience with payer tools like:

• Product Configurator / Benefit Systems

• HighRoads / P2A / FOS (or similar platforms)

• Good working knowledge of:

• MS Word (document editing & formatting)

• Excel (validation & mapping)

Behavioral Skills

• High attention to detail and accuracy
• Analytical thinking and problem-solving ability
• Strong written and verbal communication
• Ability to work in fast-paced production environment

Preferred Skills

• Experience in:

• Contract & Booklet creation / audit

• Benefit testing / appeals support

• Exposure to payer platforms:

• Facets / QNXT / HealthRules

• Knowledge of compliance and regulatory guidelines

Key Competencies

• Accuracy & Quality Focus
• Benefit Interpretation Expertise
• Stakeholder Communication
• SLA & Delivery Ownership
• Continuous Improvement Mindset

Desired Qualifications Any Graduate (Mandatory) Required skills: Care Management, Healthcare, Leadership, Program Management Experience (Mandatory) 3+ years in US Healthcare Payer operations Mandatory experience in Benefit Configuration / Product Configuration Hands-on Exposure To Contracts & Booklets Benefit documentation / Plan setup What We Believe We’re proud to embrace the same values that have shaped UST since the beginning. Since day one, we’ve been building enduring relationships and a culture of integrity. And today, it's those same values that are inspiring us to encourage innovation from everyone, to champion diversity and inclusion and to place people at the centre of everything we do. Humility We will listen, learn, be empathetic and help selflessly in our interactions with everyone. Humanity Through business, we will better the lives of those less fortunate than ourselves. Integrity We honour our commitments and act with responsibility in all our relationships. Equal Employment Opportunity Statement UST is an Equal Opportunity Employer. We believe that no one should be discriminated against because of their differences, such as age, disability, ethnicity, gender, gender identity and expression, religion, or sexual orientation. All employment decisions shall be made without regard to age, race, creed, colour, religion, sex, national origin, ancestry, disability status, veteran status, sexual orientation, gender identity or expression, genetic information, marital status, citizenship status or any other basis as protected by federal, state, or local law. UST reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

• To support and promote the values of UST.
• Comply with all Company policies and procedures

Digital Transformation Solutions Company | UST

UST helps the world’s best organizations succeed through digital transformation, crafting disruptive solutions and strategies bringing our clients’ vision to life.

Skills healthcare payor,us healthcare,regulatory domain,qnxt,coinsurance,benefits configuration,quality assurance,