*PLEASE SEND ME THESE MANDATORY INFORMATION ALONGWITH YOUR UPDATED RESUME. *
**

** **

*Full Name: *****

*Phone: *****

*E-mail:  *****

*Current Location: *

*Education (Name of Degree/Course, Stream, University, Location, Year of
Passing): *

*H1/GC/Citizen: *****

*Reason for looking: *****

*Available to interview:*****

*Available to start: *****

*Expected Rate: *****

*Years experience with primary skills: *

*Provide 2 Professional References*

* *

* *

* *

*BA/QA - Medicaid/Medicare - Membership Eligibility & Enrollment*

*Location: Newark, NJ
Term: 1-3 years Contract (Long Term)
Rate: 35/Hr MAX (non-negotiable)
 *

*

Start Date: Oct, 17th, 2011*

* *

** **

*FIND SOMEONE WHO HAS WORKED ON MEDICAID/MEDICARE EXTENSIVELY AND SOME
EXPERIENCE IN Membership Eligibility & Membership Enrollment & UAT.*


*Job Description:*
* Review client requirements with cross-functional areas as they pertain to
Eligibility, Prior Authorization and External Claims Loads to ensure all
requirements are documented and interpreted according to the client
specifications. This entails scheduling of meetings, coordination of testing
and sign-off of test results for promotion to production.
* Review requirements documented in the ISR and Technical Requirements
documentation.
* Interface with Business Requirements and Account Management teams for
client test dates, production dates, and all other criteria pertaining to
client implementation.
* Review and analyze test files received from the client and report any
discrepancies or issues with the client data utilizing the various testing
tools.
* Review Client Profile, Eligibility, TCS (Transmission Control System) and
Eligibility Tracking to ensure they equate to the requirements specified for
the client.
* Perform Back-end checking process, post-production, to verify data was
loaded to the member master file appropriately. Report any issues to
Eligibility Management immediately.
* Analyze production eligibility pre-edits for possible new enhancements,
providing solutions to Account Management.
* Additional duties or special projects as assigned by management.

-- 

Best Regards

*Mary Silvery, Technical Recruiter *


*NMESH SOLUTIONS INC |*
*Manalapan, NJ, 07726*
*732.964.0313 | Fax : 732-543-1040|*
[email protected]
www.nmeshsolutions.com <http://www.nmehsolutions.com/>
Yahoo: [email protected]
Gtalk: [email protected]

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