Health Systems Integration Expert

4 weeks ago


Plainsboro, New Jersey, United States Damco Solutions Full time
Job Summary

We are seeking a highly experienced Health Systems Integration Expert to join our team at Damco Solutions. As a key member of our team, you will be responsible for integrating core systems with portals and apps, and providing expert guidance on health insurance systems and regulatory compliance.

Key Responsibilities:
  • Integration and Implementation: Experience integrating core systems with portals and apps, and implementing Health portals following ANSI EDI standards.
  • Health Insurance Systems: Familiarity with health insurance systems for carriers and MGAs, including exposure to Medicaid and Medicare systems.
  • Compliance and Regulations: Knowledge and experience in billing, claims, HIPAA regulations, and EDI files.
  • Stakeholder Collaboration: Ability to collaborate with stakeholders at all levels internally and with clients, and proficiency in requirements gathering, process modeling, and documentation.
Requirements:
  • Experience: 10-12 years of health SME experience, preferably in the healthcare or health insurance industry.
  • Expertise: Health, hospital/wellness, cancer, critical illness, MEC1-Skinny Limited Medical, MEC2-Limited Medical, MEC3-Limited Medical products expertise in the US region.
  • Education: Bachelor's degree in a related field, such as business administration, health administration, or a related field.
Compensation:

The estimated salary for this position is $120,000 - $150,000 per year, depending on experience and qualifications.



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