Dear Partner,

Hope you are doing great!

Please find below the urgent job requirement and let me know if you have
any available consultant for the same.

Please share resume at *atu...@directionstaff.com
<atu...@directionstaff.com>* and you can reach me at +1 315 314 3234
<%2B1%20315%20314%203234>.

*EDI Lead*
*Location:* Santa Ana, CA



*All candidates must submit their work authorization, photo id and
education copy.*


*Mandatory Skills:*
•         EDI Developer with 7+ years of experience
•         Experience on Facets + HIPAA Gateway



*Other Skills:    *



o             Relevant System Analysis and Configuration experience with
Healthcare Payer/Insurance systems (Medical, Dental and Behavior Health
plans), or equivalent combination of education and work experience (i.e.
undergraduate degree and 2-4 years relevant work experience)



o             Functional expertise in enrollment processing, claim
processing, provider management, provider contracting and pricing, EDI
(HIPAA Transactions) processing, integration



- Intermediate skills with TriZetto Facets & QNXT solutions, including:
Hosp & Medical Claims, Processing Control Agent / Set Up, Product Build
from Summary, NetworX Facets Pricing, Core Facets Pricing, Provider -
Networks/Relationships, EDI Eligibilty (HIPAA 834, 270, 271), Eligibility /
Enrollment Data Model & Structure, Member/Eligibility Input & Output Feeds

-- 

   -

   Thanks & Regards,

   *ATUL MALVIYA*

   *DirectionStaff Inc.*

   *atu...@directionstaff.com <atu...@directionstaff.com>*
   Gmail Id : atuld...@gmail.com
   YMail Id :  *recruiter.atul@yahoo. <recruiter.a...@yahoo.com>in *
   www.linkedin.com/pub/atul-malviya/90/327/79b/

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