Job Description :
Facets applications and tables exp. required
§ Bachelor’s degree in computer science and 3 - 5 years of experience in a systems analyst role or equivalent combination of education and experience in a related field\role
§ Possess strong problem solving, analysis and diagnostic skills
§ Proficient working in collaborative, cross functional work teams comprised of business and technology participants and internal and external vendor partner resources
§ Experience using software development life-cycle methodology like (such as Agile, RUP, waterfall)
§ Experience in Healthcare EDI transaction sets like 834, 837, 835, 270/271, 276/277 & 278
§ Ability to understand carrier EDI or data companion guidelines.
§ Proven ability to manage complex technology projects
§ Excellent oral and written communication skills. Excellent interpersonal skills, including the ability to work with all levels of personnel including, but not limited to peers and Senior Management.
§ Health plan operations experience in one or more areas: enrollment and billing, claims and benefits, network management, medical policy and utilization management desired
§ Experience with complex workflows or business processes
§ Proficient in MS-Office applications (Word, Excel, Access, Project, Visio)
§ Knowledge of SQL, ETL scripts, Java, .Net is preferred
§ Self-directed and adaptive to changing priorities