*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 oradev+unsubscr...@googlegroups.com. To post to this group, send email to oradev@googlegroups.com. Visit this group at https://groups.google.com/group/oradev. For more options, visit https://groups.google.com/d/optout.
