This is a fully remote position, open to applicants in India.

📋 Description

• Oversee the configuration and upkeep of Benefit Plans

• Oversee the configuration and upkeep of Assignment Plans

• Oversee the configuration and upkeep of Provider Contracts

• Oversee the configuration and upkeep of Reference Tables

• Oversee the configuration and upkeep of Rule Metadata

• Oversee the configuration and upkeep of BPA configuration components utilized in claims adjudication

• Assist in configuration governance and management of releases

• Diagnose and offer production support

• Utilize knowledge of Medicaid reference data in areas such as claims, provider enrollment, reimbursement, audits, and policy administration

⛳️ Requirements

• Over 9 years of experience as a Reference Subject Matter Expert (SME)

• Extensive knowledge in Medicaid Reference Configuration

• Strong expertise in Oracle, C, and Pro*C programming

• Proficient in C Programming

• Proficient in Pro*C

• Proficient in Oracle SQL

• Proficient in PL/SQL

• Proficient in Unix/Linux Shell Scripting

• Proficient in Batch Processing

• Comprehensive understanding of BPA configuration

• Experience in maintaining Provider Contracts and Benefit Plans

• Experience in managing Rule Metadata and Rule Sheets

• Expertise in configuration governance and release management

• Strong capability in troubleshooting and providing production support

• Ability to manage Benefit Plans, Assignment Plans, Provider Contracts, Reference Tables, Rule Metadata, and BPA configuration components utilized in claims adjudication

• In-depth knowledge of Medicaid reference data structures and their implications for claims, provider enrollment, reimbursement, audits, and policy administration