Job Seekers, Please send resumes to resumes@hireitpeople.com Must Have Skills: Strong data analytical skills should be in a position to analyze the data and provider feedback Strong SQL skills Define Provider group specific roster rules by analyzing the data or by conducting interview with Provider experience resources Build Provider Group configuration by analyzing networks, roll codes or pricing specifications Should be in a position to work independently with minimal supervision Working experience in Facets data model, Subscriber/Member, Billing, Interfaces Hands on experience in Lights - On (LO) and Implementation, Medicare and Medicare programs Experience in Enterprise management tool JIRA for implementing the Agile Methodology. Gathering requirements, Design, functional & technical specification, Coding, testing and Document preparation. Designed and developed various SSIS packages (ETL) to extract and transform data and involved in Scheduling SSIS Packages. Created database objects like tables, users, roles, stored procedures, triggers. Worked on solving issues by doing data recovery in existing database Experienced in working with Sybase, Oracle, SQL Server databases and performing backend/database testing. Hands-on experience in writing complex SQL queries for testing that includes largest implementation for the client. Nice to have skills: Working experience of 7+ years in health insurance industry Good understanding of health insurance macro business functions and processes Working knowledge of writing user stories, EPICS, Features primary responsibility is define provider configuration requirements and rules that will be used in the automation solution

Detailed Job Description:

Work closely with internal and external stakeholders to elicit business requirements. Analyze business requirements and develops functional design specifications that include business rules, data mapping tables, logical flow charts, edit logic, etc. Usage of industry tools for requirement gathering, business processing modelling, defect CR Document Control tools.

Minimum years of experience*: 8-10 years

Certifications Needed: No

Top 3 responsibilities you would expect the Subcon to shoulder and execute*:

Work closely with internal and external stakeholders to elicit business requirements Analyze business requirements and develops functional design specifications that include business rules, data mapping tables, logical flow charts, edit logic, etc. Usage of industry tools for requirement gathering, business processing modelling, defect CR Document Control tools

Interview Process (Is face to face required?) Yes

Does this position require Visa independent candidates only? No