| IT Senior Pharmacy BA Lead - NC-DHHS at Remote, Remote, USA |
| Email: [email protected] |
| From: Nagajyoti, INNOZA TECH LLC. [email protected] Reply to: [email protected] Position: - IT Senior Pharmacy BA Lead Location: Raleigh North Carolina Duration: 12 months plus Client: DHHS 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 SKILLS Experience with Healthcare Pharmacy Claims Processing Experience in the review, analysis and repo Excellent verbal and written communication skills with the ability present to both technical and business audiences. rting of test results. Experience on testing web applications Proven experience developing SQL queries. Knowledge of Agile Methodology Experience in working with the Business Teams to write Business and QA Documents . Experience in validating all pharmacy interfaces/files Keywords: quality analyst business analyst information technology |
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| Fri Jan 27 18:40:00 UTC 2023 |