| IT Senior Pharmacy BA Lead at Raleigh, North Carolina, USA |
| Email: [email protected] |
| From: dheeraj, webgeosolutions [email protected] Reply to: [email protected] Greetings from Web Geo Solutions, LLC. We have an exciting new job opportunity with our direct client, matching your skills. Please review the job description and respond with all the requested details if you are interested. Job Details JOB ID: DHHS- IT Senior Pharmacy BA Lead (698264) Client: NC - Last day to apply: 2/12 Initial Term: 12 Months+ Tentative start date: ASAP Interview mode: Webcam/In-Person Work location: Raleigh, NC Job Description: NC Dept of Health and Human Services (DHHS) is seeking a Senior Pharmacy BA Lead to perform Business Analysis work related to support the Managed Care Transition and MES Projects. This position is responsible for the following activities : Demonstrated knowledge in creating test scenarios/cases in consultation with the business owners, hands-on testing, test results review, and proactively identifying issues and providing resolutions/recommendations Proven knowledge in Medicaid or similar claims ( pharmacy) processing systems Extensive knowledge of pharmacy claims and business policies Thorough knowledge of system functional areas such as recipient, provider, prior authorization, reference, program integrity, financial and claims Thorough knowledge of Federal and State regulations, statutes, and rules Knowledge base/experience with encounter claims and be ready to lead any work effort pertaining to encounter claims Expert knowledge on SQL, EDI, X12, NCPDP, HL7, HIPAA PHI, ICD-10 Clear understanding of the deliverables process, e.g. System Documentation release, Working knowledge of defect process Proven experience with the system development life cycle (SDLC) Experience working on large Federal/State contracts Proficient with Microsoft Word, Excel, Visio, Project, OneNote, Outlook, and PowerPoint If you are interested, please reply with below details for further evaluation Please send all the requested below information for consideration Contact details (and employer details if C2C) Your full legal name (Must match with state issued ID or passport) Phone number Personal email id (this same id should be used to send E-RTR after submission) Desired hourly rate (above max advertised rate is not considered): W2: $ C2C: $ Work Status (H1B, EAD, GC, US Citizen), please attach a copy of work authorization: If H1B, who holds the visa (contact details, please include name, phone number and email) If selected, how soon would you be available to start Have you ever worked for this client If so, please provide team name, project name, reason for leaving and when the engagement ended. Upon selected, employment is subjected to 7-year national criminal background check. Will you be able to attend In-Person interview (Yes or No) Your current address Are you available to be on-site at clients location for the duration of the project Note: Payment for all approved hours will be paid at the straight hourly rate regardless of the total hours worked (regular and overtime hours) by the engaged resource. Do you accept this requirement Upon selection, candidate must be able to provide three (3) references from prior engagements before a final decision is made. Do you accept this requirement LinkedIn profile URL Skill Matrix DHHS- IT Senior Pharmacy BA Lead (698264) Skill Required / Desired Amount in years Your actual Experience in years (Please fill all of them) Experience with Healthcare Pharmacy Claims Processing Required 3 Experience in the review, analysis and reporting of test results. Required 5 Experience on testing web applications Required 5 Excellent verbal and written communication skills with the ability present to both technical and business audiences. Desired Proven experience developing SQL queries. Required 2 Knowledge of Agile Methodology Required 3 Experience in working with the Business Teams to write Business and QA Documents . Required 3 Experience in validating all pharmacy interfaces/files Required 3 Your resume in MS Word format, copy of any relevant certifications & copy of work authorization (H1B/GC/EAD). Please check the other positions that are currently open with several NC State agencies http://www.indeed.com/cmp/Web-Geo-Solutions,-LLC/jobs Keywords: quality analyst business analyst information technology green card wtwo microsoft Idaho North Carolina |
| [email protected] View all |
| Thu Jan 26 02:24:00 UTC 2023 |