A healthcare consultancy firm has URGENT staffing needs for an upcoming project to assist with the planning, gap analysis, requirements gathering, acceptance testing, trading partner testing and implementation of the Health Insurance Portability and Accountability Act 2 (HIPAA 2) & International Statistical Classification of Diseases and Related Health Problems 10 (ICD 10). Send your application documents, including salary history and requirements, to lwong@qual-rx.net ASAP. Please include the number of years of experience you have for the listed candidate requirements. Additionally, all candidates must possess a good working knowledge of the English language and the ability to communicate in a business setting.
We are a service disabled veterans organization and give preference to veterans. Please include information about years served in your resume or cover letter.
We are looking for a CLAIM SUBROGATION BUSINESS ANALYST familiar with Medicaid claim subrogation. The analyst will gather and document requirements for programming staff working on HIPAA 2. Candidates must meet the following minimum requirements:
3 years of HIPAA 4010 transaction set experience.
1 year of HIPAA 5010 transaction set knowledge.
3 years experience with NCPDP 5.1 transaction set.
1 year of knowledge regarding NCPDP Medicaid Subrogation transaction Version 3.0 for Pharmacy claims.
1 year of knowledge of NCPDP Standard Implementation Guides: Telecommunication Version D.0 and Batch 1.2.
3 years experience with Medicaid subrogation.
3 years experience working with users to define business requirements with the most recent experience being within the past 12 months.
3 years experience serving as an interface between the developers and users to translate business requirements into technical specifications.
2 years experience with process flow diagrams using MS Visio with the most recent experience being within the past 12 months.
Familiarity and experience with mainframe development environments. Exposure to JES, TSO, IMS, DB2 and COBOL technologies.
Familiarity and experience with WebSphere Transformation Extender (formerly Mercator or equivalent).
2 years experience with MS Word.
2 years experience with MS Excel.
1 year of experience with MS Project.
We are looking for a few HIPAA BUSINESS ANALYSTS familiar with the X12 transaction set. The analysts will refine requirements and document user requirements for programming consultants working on HIPAA 2. Candidates must meet the following minimum requirements:
3 years experience with HIPAA 4010 transaction set.
1 year of knowledge with the HIPAA 5010 transaction set.
3 years of experience working with users to define business requirements with the most recent experience being within the past 12 months.
3 years of experience serving as an interface between the developers and users to translate business requirements into technical specifications.
2 years experience with process flow diagrams using MS Visio with the most recent experience being within the past 12 months.
3 years of familiarity and experience with mainframe development environments. Exposure to JES, TSO, IMS, DB2 and COBOL technologies.
3 years of familiarity and experience with WebSphere Transformation Extender (formerly Mercator or equivalent) maps and transformers.
3 years familiarity and experience with Web based development environments.
2 years experience with MS Word.
2 years experience with MS Excel.
1 year of experience with MS Project.
We are looking for two NCPDP BUSINESS ANALYSTS familiar with the NCPDP transactions. Analysts will refine requirements and document user requirements for programming staff working on HIPAA2. Candidates must meet the following minimum requirements:
3 years experience with the NCPDP 5.1 transaction set.
1 year of knowledge of the NCPDP D.0 transaction set.
3 years experience working with users to define business requirements with the most recent experience being within the past 12 months.
3 years experience serving as an interface between developers and users to translate business requirements into technical specifications.
2 years of experience with process flow diagrams using MS Visio with the most recent experience being within the past 12 months.
3 years of familiarity and experience with mainframe development environments. Exposure to JES, TSO, IMS, DB2 and COBOL technologies.
3 years familiarity and experience with online processing environments.
2 years of experience with MS Word.
2 years of experience with MS Excel.
1 year of experience with MS Project.
We are looking for an ICD 10 BUSINESS ANALYST. The analyst will refine requirements and document user requirements for programming consultants working on the ICD 10 conversion. Candidates must meet the following minimum requirements:
3 years experience with the ICD 9 protocol within a payers organization.
1 year of knowledge of the ICD 10 requirements
3 years experience working with users to define business requirements with the most recent experience being within the past 12 months.
3 years experience serving as an interface between the developers and users to translate business requirements into technical specifications.
2 years experience with process flow diagrams using Visio with the most recent experience being within the past 12 months.
3 years of certification as a medical coding specialist or equivalent.
2 years experience with MS Word.
2 years experience with MS Excel.
1 year of experience with MS Project.
We are looking for an ICD 10 TECHNICAL ANALYST. The analyst will refine requirements and document user requirements for programming consultants working on ICD 10 conversion.
3 years experience with the ICD 9 protocol.
1 year of knowledge of the ICD 10 requirements.
3 years experience working with users to define business requirements with the most recent experience being within the past 12 months.
3 years experience serving as an interface between the developers and users to translate business requirements into technical specifications.
2 years experience with process flow diagrams using Visio with the most recent experience being within the past 12 months.
3 familiarity and experience with mainframe development environments. Exposures to JES, TSO, IMS, DB2 and COBOL technologies.
3 years of familiarity and experience with mappers and groupers that are used to derive a diagnosis related group (DRG) with the ICD 9 code set.
2 years experience with MS Word.
2 years experience with MS Excel.
1 year of experience with MS Project.
We are looking for an ELECTRONIC DATA INTERCHANGES BUSINESS ANALYST. The analyst will gather and document requirements for the programming staff working on HPAA 2. Candidates most possess the following minimum requirements:
3 years experience with HIPAA 4010 transaction set.
1 year of knowledge of the HIPAA 5010 transaction set.
3 years of experience working with users to define business requirements with the most recent experience being within the past 12 months.
3 years experience serving as an interface between developers and users to translate business requirements into technical specifications.
2 years experience with process flow diagrams using MS Visio with the most recent experience being within the past 12 months.
3 years of familiarity and experience with mainframe development environments. Exposure to JES, TSO, IMS, DB2 and COBOL technologies.
3 years familiarity and experience with WebSphere Transformation Extender (formerly Mercator or equivalent).
2 years experience with MS Word.
2 years experience with MS Excel.
1 year of experience with MS Project.
We are looking for a PROJECT MANAGER to plan, organize and provide oversight for the activities of all business analyst consultants listed above. Candidates must possess the following minimum requirements:
1 year of PMI Certification.
3 years of Information Technology project management experience.
3 years of healthcare industry experience with HIPAA Compliant X12 transaction set.
3 years project experience on mainframe development projects and exposure to DB2, IMS and COBOL technologies.
3 years familiarity and experience with web based development environments.
3 years familiarity and experience with WebSphere Transformation Extender (formerly Mercator or equivalent) maps and transformers.
3 years of excellent project communication skills.
3 years experience with MS Word.
3 years experience with MS Excel.
3 years experience with MS Project.
3 years experience with MS Visio.
- Location: Chicago
- Compensation: TBD
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- Please, no phone calls about this job!
- Please do not contact job poster about other services, products or commercial interests.