*Need EAD GC or USC Only*
*Location : **MD-Maryland/Baltimore* *Duration : 6+ Months* *Phone and face-face RequiredScope and Purpose of Position:* · Primary job responsibility is to assume responsibilities for the development and internal *processes related to the eligibility and claims adjudication systems file processing.* *Major Duties and Responsibilities*: · Primary development role related to the eligibility and claims adjudication system and internal processes. · Responsible for importing data feeds into Oracle database or exporting data from the database into appropriate EDI formats to support member ‘eligibility’ and ‘encounter’ *business processes.* · *Responsible for developing and testing HIPAA EDI 5010 X12 mapping formats (834,837,277,999) as well as industry standard and custom formats using ETL tools.* · *Review, evaluate, design and implement* systems processes to ensure data integrity is consistently maintained. · Coordinate with external clients and internal operations depts. to ensure effectual setup and design of data formatting and flow for new client implementations. · Own and project manage the development of ongoing implementations start to finish from client meeting and companion guide, through internal testing process and development and into production with documentation. · Provides ad-hoc data/reports to clients or internal departments per request. · Produce comprehensive documentation of all developed software & repositories. · Automation of routine processes with appropriate monitoring controls. · Other duties as assigned. *Qualifications:* · Education: Bachelor’s Degree in Computer Science or related field. · *Experience: Minimum of 3-5 years relevant work experience and experience in managed health care is helpful.* *Competencies:* · *Prior experience in EDI Programmer/Analyst role.* · *Accuracy, attention to details.* · *SQL Server database (2012)* · *SQL Server Integration Services (SSIS)* · *SQL Server Reporting Services (SSRS)* · Experience in implementation of control and reconciliation reports. · Advanced knowledge and understanding of relational database environments. · *Previous experience in a healthcare claims adjudication system.* · *Experience developing encounter and eligibility transactions set maps and processes in HIPAA EDI 5010 X12.* · Experience writing PL/SQL queries in Oracle or SQL Server. · Experience with an ETL and data mapping tools. · Experience in structured, data-driven, functional logic programming · Team oriented with the ability to work effectively across functional areas of the company. · Excellent analytical, problem resolution and people skills. · Ability to deliver quality results under tight deadlines. · Excellent customer service orientation. · Ability to work independently with moderate supervision. · Understanding of vision care insurance or health care insurance data is a plus. Regards, Upendra Nath (Deputy Resource Manager) Ramy Infotech Inc Phone : 408-317-9256 Ext-311 Please Note: Due to high volume of calls, I may miss your call, email is the better way to reach me. *Note: We are working with prime vendor (One Layer between) for this position.* -- You received this message because you are subscribed to the Google Groups "Oracle Developers" group. To unsubscribe from this group and stop receiving emails from it, send an email to [email protected]. To post to this group, send email to [email protected]. Visit this group at https://groups.google.com/group/oradev. For more options, visit https://groups.google.com/d/optout.
