vTech solution inc
Chantilly, VA
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Job Description :
Minimum Qualifications:

· A minimum of four (4) years of experience with Health Exchange EDI solutions.

· A minimum of four (4) years of experience in creating EDI X12 files for transactions sets such as 834, 999 and TA1.

· A minimum of four (4) years of experience in reviewing and understanding technical documents such as companion and implementation guides for Healthcare EDI formats 834 and 999.

· A minimum of four (4) years of experience in analyzing/testing Healthcare/Marketplace EDI Applications.

· A minimum of two (2) years of experience working with SQL databases/queries.

· Strong analytical and problem solving skills.

· Excellent communication skills including the ability to understand and communicate technical information to business users, and gather business requirements that can be translated into technical requirements.

· Ability to manage multiple critical priorities and tight deadlines.

· Preferred Qualifications:

· Six (6) years of experience with EDI validation tools such as Edifecs, WTX, EDI X12 files.

· Six (6) years of experience with transactions sets such as 834, 999 and TA1, SOA, EDI and EAI Applications.

· Strong knowledge in the Affordable Care Act (ACA) eligibility rules.

· Experience with or knowledge of 8001/IDB file processing.

· Knowledge of Medicaid coverage types, coverage span and eligibility rules.

· In-depth understanding of 834 enrollment transactions including Adds, Terminations, Cancellations and Life events.

· Strong knowledge of database and SQL scripts.


Client : Confidential
             

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