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Jobs or company...

X12 Transaction Subject Matter Expert

Salary undisclosed

Apply on

Dice
Original
Simplified

Role: X12 Transaction Subject Matter Expert (SME)

Duration: Long Term

Location: Remote

Overview:

Client is requesting to provide consulting services to conduct analysis and oversight activities to help ensure in compliance with federal and state Managed Care provider network adequacy access to care standards and requirements. The standards and requirements include provider information data collection via the X12 0450x109 274 Health Care Provider Directory transaction, as well as reporting requirements involving internal and external Medi-Cal processing systems.

Skills Requirements:

Mandatory Requirements:

10+ years of experience applying analytical processes on IT projects.

3+ years of experience in business systems analysis and design.

Possess a bachelor s degree.

3+ years of experience working with program staff and management of relationships.

5+ years of experience working with X12 transactions.

Desirable Qualifications:

3+ years of experience of data modeling.

One (1) year of experience writing, updating, or contributing to budgetary related documents and workbooks (e.g. Advanced Planning Documents)

One (1) year of experience working within a managed care health plan environment.

One (1) year of experience with county-based Short Doyle Medi-Cal Claims Processing Systems.

About Us:

AgreeYa is a global systems integrator delivering competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 1,850 staff across offices. AgreeYa works with 500+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public sector, Pharma & Biotech, and others. Please visit us at for more information.

AgreeYa is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, gender identity, sexual orientation, national origin, disability, veteran status or other protected characteristics. Visit our website to learn about our .

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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