Health Systems Integration Expert
4 weeks ago
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.
- 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.
The estimated salary for this position is $120,000 - $150,000 per year, depending on experience and qualifications.
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Guidewire Integration Expert
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