Tuesday, February 19, 2013

US CONSULTING - CONTRACT Healthcare Testing [GLOMARK_592]


 
 
Requirement Title GLOMARK_592   -  Healthcare Testing Columbus, OH
Description
 We currently have 7+ Healthcare Testing positions in Columbus, OH and El Paso, TX
 6+ month contract 
 
Financial Tester
  • Medicaid or other Healthcare
  • Understanding of accounts receivables
  • Understanding of accounts payables
  • Remittance Advices including the 835
  • Claim submission experience would be a plus.
 
BIAR/MAR/SUR
  • Experience with BIAR/MAR/SUR experience
  • Medicaid or Medicare experience,
  • Experience using BusinessObject
  • Experience using SQL or a reporting tool is (COGNOS)
 
Portal
  • Solid internet background
  • Understand the differences of secured versus public portals
  • Medicaid or healthcare experience
  • Background in claims, PA, Provider
  • Need a good understanding of what Providers are and what they do
 
Prior Authorization
  • Have development experience with a letter creation application tool such as HP Exstream, Doc1, or something similar.
  • Have a concept of how variables on a letter are populated with values from a database.
  • Have a concept of how fields on a letter are populated from an on-line environment by an end-user
  • Experience with researching the business and technical requirements of a letter and verifying that the letter meet the requirements
  • Sql to search for and to compare changes specified in a change order that have been implemented
  • Have a concept of how to test letters that are either mass mailed or produced from a batch job.
  • Have project management skills and have a concept of multi testing environments to be aware of testing letter values from 1 environment or another.
  • Good oral and written skills for the different roles in MITS
 
Managed care
  • Base Medicaid/Healthcare Knowledge
  • Use of interChange experience
  • Managed Care HMO or PCP knowledge(need more than the 834 transaction)
  • Capitation and enrollment experience a plus
 
Buy-IN/Pharmacy
  • Need to have experience with the Medicaid Buy-in Program
  • Need to have tested a pharmacy subsystem (not just the NCPDP transaction)
  • Needs to understand NDC coding

 

Number of Openings :  1Duration :  7+ months
  Respond to this requirement.  
 
 

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