1019 CAE Architect

Location: New York City, NY, United States
Date Posted: 08-06-2018
Client is a leading, “global ten” provider of custom information technology, consulting and business process outsourcing services, and serves primarily Global 2000 companies. The firm employs more than 150,000 people and works with 805 active clients across banking & financial services, insurance, healthcare, life sciences, retail/consumer, manufacturing, energy, communications, and media. Since being spun-out as a public entity in 1998, the company has grown at an unprecedented rate, with anticipated revenue of >$8, making the fastest growing IT services company over the last 10 years, and certainly the most profitable now featuring a market capitalization greater than $18B. Client is a member of the NASDAQ-100 Index and the S&P 500 Index and part of “Fortune 500” list.

Location: New York City, NY
Type of hire: Contract

Job Description: 

Role and Responsibilities:

Medical Management Solution Lead provides implementation, optimization, verification, and issue resolution services for Payers. Candidates must have a solid understanding of the healthcare industry. Must be able to understand the needs of the business and align those needs to technical capabilities. Must know and understand the business objects and data that make up the medical management (CM\DM\UM) processes for a Payer. They should also be familiar with the technology involved in implementing a membership solution for a Payer including  EDI, Web Services, and digital applications. The candidate should be familiar with the TriZetto Medical Management Applications.
• Design and validate the flow of data for the solution
• Present solutions to business leaders
• Complete deliverable templates on time
• Drive the implementation of the solution across technical and business areas
• Assist with operational troubleshooting to expedite involvement from SMEs
• Perform analysis of implemented solutions for efficiency and accuracy
• Provide regular status for the solutions they are designing, implementing, operating and/or analyzing

Required Skills:

  • Bachelor's degree in Computer Science or Engineering or a related discipline. An equivalent combination of education and work experience may be taken into consideration in lieu of a degree.
  • Strong computer skills including Microsoft Office applications and databases.
  • Strong problem solving skills.
  • Excellent written and verbal communications skills.
  • Experience working with Facets Membership

Desired Skills:

  • Minimum of 2+ years of experience in implementing or operating a medical management solution for a Payer. Minimum five years of experience in the health care/health insurance industry. Experience with technical architecture is a plus.
  • Ability to create and execute SQL queries for relational DB.
  • Ability to parse and validate data files such as EDI
  • Familiarity with web service validation tools such as SoapUI.
Renuka Krishnaswamy
Technical Recruiter

Desk: 408-800-4331 (PST);
Email: renuka@reqroute.com
Website: http://www.reqrouteinc.com/careers
Companies across U.S. have engaged ReqRoute, Inc to deliver skilled, dedicated IT professionals. Recruiting is our passion and we support Fortune 1000 companies with their hiring needs. We always seek to deliver competitive and sought-after career opportunities to our potential consultants and employees. We invite you to review the position requirements and apply today if your skills match our needs.  
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