Job Requirements
Knowledge of the US Healthcare sector specifically managing relationships between carriers, agencies, and agents.
Design, build, and configure SAP APM/APMe Calculation for Agent and Agency commission logic , Producer Onboarding , NIPR knowledge Management, Hold rules and complete knowledge of data models Configure of reports using Jasper reporting, custom extracts Commission payment schedules, tiered bonuses, credits, splits, and retroactive payouts for external producers and brokers.
File sweep, data model of SAP APM, integration to Advanced workflow and external application such as Workato Proficiency with SQL/PL-SQL and custom scripting frameworks (such as Groovy Scripting to configure calculation logic Knowledge of CMS files , filesweep process, API integration, enrollments, eligibility, disenrollments , etc..
Investigate payout discrepancies, resolve commission or agent hierarchy errors, and conduct root-cause analysis on critical system incidents.
Setting up batch entity, integration and administration fo SAP APM tool as per business requirements.
Automation of jobs using custom and batch entity processing.