Sr. Consultant/Architect-Norfolk, VA - Georgia IT Inc.
Norfolk, VA
About the Job
Sr. Consultant/Architect
Location: Norfolk, VA
Full time
Salary plus benefits
US Citizen, GC holder, EAD and TN
Job Description:
Location: Norfolk, VA
Full time
Salary plus benefits
US Citizen, GC holder, EAD and TN
Job Description:
- Candidate must have Healthcare domain experience.
- 10+ years of Experience in Healthcare domain - Specially in Claims area
- Strong in Functional & technical requirements related to Claims Adjudication cycle, Pricing & Pend Analysis
- Extensive experience in Provider and Membership along with EDI/HIPAA transactions
- Should have knowledge on End to End payer life cycle
- Should have experience in Agile methodologies
- Experience in creating use case, wireframe and requirement tracking using JIRA
- Serve as functional lead/Business Analyst with other project team members on other systems that impact specific projects to ensure no adverse impact to the other systems
- Monitor functional specifications and change requests to ensure project stays within scope and meets regulatory requirements
- Schedule and facilitate project team meetings as applicable to ensure all team members are informed and issues are addressed
- Participate in design discussions and document and deliver required functional specifications for application changes
- Serve as subject matter expert to internal application owners and project members to consult and advise on how applications may be impacted by enterprise-wide initiatives
- Participate in and document data mapping for integration of systems, conversion and acquisition related projects to understand how applications may need to change or be impacted by enterprise-wide initiatives, like regulatory requirements, other system enhancements or business initiatives
- Determines operational objectives by understanding Facets systems; gathering information; evaluating output requirements and formats
- Determines best and possible Automation solutions for the project for the migration projects
- Improves systems by studying current practices; designing modifications and possible performance improvements
- Defines project requirements by identifying project milestones, phases, and elements; forming project team.
Source : Georgia IT Inc.