Hi,
Please go through the following requirement and send me resumes of your available candidates on Dhruv@ridercomsultinginc.com
Job Title : HCR 835 EDI Developers
Length of Assignment: 6 months
Location: Middleton, WI
EDI Developer
The candidate will be responsible for design, development, and support of solutions for electronic data interactions between applications and vendors.
The Healthcare Developer will engage stakeholders to:
Ø Design, develop, implement, and support flat file extracts (X12 standards), and application integration solutions that meet business needs, including transactions to be exchanged between applications. Serve as the coordination point for implementations.
Ø Collaborate with cross-functional teams to develop integrated solutions. Collaborate with internal and external stakeholders to design, develop, test and deploy these solutions.
Ø Support production systems including analyzing and resolving production problems and end user service requests.
Ø Elicit and define business requirements between various applications and analyze new requirements or any new change requests for existing solutions.
Ø Maintain all solution related documentation and compliance documentation regarding flat file rendering information.
Ø Coordinate with stakeholders and application support contractors to implement generation of X12 835 transaction for EFT with clearinghouse, bank and vendors.
Ø Develop custom data conversions and translations and provide technical support to stakeholders and application interface support regarding EDI transmission, mapping and EFT issues.
Ø Identify and resolve FFR problems, including but not limited to, the detection and correct escalation of issues.
Ø Analyze change requests to determine if they fall within scope of project requirements.
Ø Keep abreast of healthcare industry best practices and HIPAA regulatory requirements.
Requirements
Ø Bachelor's or higher degree in related discipline.
Ø Five (5) to eight (8) years of progressive experience as a Healthcare Developer with EDI, HIPAA and X12 standards implementation experience.
Ø 3-5 years full life-cycle experience developing enterprise Java applications
Ø Development of service-oriented applications using Java web services
Ø Experience with multiple Software Development Lifecycle (SDLC) methodologies, project management principles and techniques, and operating in a complex and integrated team environment.
Ø Knowledge on Center for Medicare and Medicaid Services is preferred.
Ø Must possess solid oral and written communications skills and demonstrate the ability to function within a strong team environment.
Ø Ability to work with multiple internal and external clients simultaneously through their implementation and maintenance needs.
Ø Ability to prioritize independently, multiple requests and requirements to meet the client's business needs.
Specific/Desired Skills
Ø Extensive knowledge of standard EDI (flat file extracts) healthcare data exchange structures (X12, XML, HL7 and others).
Ø Expertise with important EDI documents (e.g., 837, 835, 270/271, 276/277).
Ø HIPAA compliance knowledge as it relates to healthcare data.
Ø Knowledge of continuous quality improvement techniques.
Ø Good grasp of the typical functionality of a Claims processing system.
Ø Strong organization, time management and project management skills and multi-tasking abilities.
Ø Must have excellent oral and written communication skills with a demonstrated capability for dealing with all levels of client management personnel and staff.
Ø Strong database-related development skills (e.g., complex SQL queries).
Ø Working knowledge of Medicaid/Medicare regulations/standards and industry standards and best practices
Ø Knowledge in one or more of the following areas is preferred:
Ø X12 4010 and 5010 standard transactions
Ø 837I/837P Claims Submission Processing
Ø 835 Remittance Advice Processing
Thanks,
Dhruv Soni
Contact : 980-272-1261
E-mail: dhruv@riderconsultinginc.com
Web: www.riderconsultinginc.com
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