• US Citizen

• Green Card

• Corp-Corp

• Contract to Hire

• Consulting/Contract

• UG :- - Not Required

• PG :- - Not Required

• No of position :- ( 1 )

• Post :- 13th Dec 2022

•    10 years of software development experience

Mandatory Skills :

Very Strong in Healthcare and HRP

Job Responsibilities

Strong knowledge in health care. Knowledge of US Healthcare Payor work-streams including Premium Billing, HIPAA X12 transactions 837I/P/D,834, 270/271, 835, Provider Management, End to End Claims processing workflows, Member enrollment, EDI processing, Benefit plans etc. 
• In Depth knowledge and understanding of Health Rules Payor DW, Data model, Entity relationship, Designer, Manager, Answers, interfaces, Connectors & System Admin modules etc. 
• Directly / logically manage the leadership responsible for providing technology services, testing and configuration of Health Rules Payor product. 
• Good understanding of the SDLC and STLC processes. Have a good handle of leading methodologies like Waterfall, iterative and Agile / Scrum / Kanban approach 
• Good Client Communication, Negotiation, Analytical , Project Governance, and Program Management Skills. Desired Skills Certifications: HealthRules Payor Knowledge/ Certification 
• Provide estimates, SOWs, and project documentation in support of on-going client needs and new customer opportunities 
• Drive the conversation and assist the execution of the Sales team by combining both technical vision and business insight. 
• Play a key role in the client relationship management and handle escalations and sign-offs that demand a high degree of diplomacy, discretion, insight, and judgement 
• Experience on implementation of Systems / Solution Architect experience on Payor’s Core Administration Processing Systems e.g. HealthRules, Facets, QNTX etc. 
• Demonstrate proven experience in developing project plans, phase wise milestones and architecting in-time deliverables. 
• Should have experience integrating with Service Oriented Architecture / API / Web Services / (cloud based) SQL/NO-SQL databases. 
• Strong Technical knowledge in Programing (either .NET or JAVA technologies) / Automation / Defect Management life cycle / CICD etc. 
• Exposure to resolving risks / environment specific issues, faster coordinating with respective (client) teams.