- Nice to have: DDI
- Nice to have: Medicaid claims processing
- Nice to have: Requirement Traceability Matrices
- Nice to have: Client Application Lifecycle Management (ALM)
- medical
- dental
- vision
- dependent care flexible spending account
- 401(k) plan
JOB TITLE: Senior Configuration Analyst-MMIS
JOB LOCATION: Remote
WAGE RANGE*: $45hr to $50hr w2
JOB NUMBER: 26-01526
REQUIRED EXPERIENCE:
Very proficient (at least 5 years' experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).
JOB DESCRIPTION
Very proficient (at least 5 years' experience) configuring in QNXT (Focus on the following areas: Contracts, Benefits, Fee Schedules/Different Payment Methodologies, Capitation, Rules, Successful Data Points for X12 Transactions, CARCs/RARCs).
Thorough understanding of relational database concepts and schemas.
Competent writing complex SQL queries for data analysis.
Experience working with Medicaid/MMIS systems.
Preferred experience includes
DDI (Design, Development, and Implementation) and operation & maintenance phase.
Experience processing Medicaid claims & encounters and ability to troubleshoot adjudication results.
Experience with Requirement Traceability Matrices.
Preferred experience working with Client Application Lifecycle Management (ALM).
Equal opportunity employer as to all protected groups, including protected veterans and individuals with disabilities
* While an hourly range is posted for this position, an eventual hourly rate is determined by a comprehensive salary analysis which considers multiple factors including but not limited to: job-related knowledge, skills and qualifications, education and experience as compared to others in the organization doing substantially similar work, if applicable, and market and business considerations. Benefits offered include medical, dental and vision benefits; dependent care flexible spending account; 401(k) plan; voluntary life/short term disability/whole life/term life/accident and critical illness coverage; employee assistance program; sick leave in accordance with regulation. Benefits may be subject to generally applicable eligibility, waiting period, contribution, and other requirements and conditions. Benefits offered are in accordance with applicable federal, state, and local laws and subject to change at TCM's discretion.
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