Configuring health plans for claims payers Skilled in Medicaid, Medicare, Claims, QNXT, payor, Facets, Amisys, benefit configuration, prior authorization, claim editing/edit. - EDI claims.
Designs and delivers complex, comprehensive product-based business solutions at the enterprise level using customized methodology and work products.
Monitors and/or leads the product implementation process, ensuring that the solution is sound, appropriate and cost-justified, the components integrate properly, and the domains of change within the scope of the solution are addressed.
Understands the customer business value associated with the deployment of business productivity, system-to-system, and end-user applications. Provides the client with strategic product advice including product features, vendor recommendations and future direction of technology.
Maintains current knowledge of emerging technologies that are new to company, clients, or the information technology industry as they relate to package-based application implementations.
May participate in or lead major proposal efforts; creates strategies to win business in new markets or current accounts, working with marketing and other appropri
Compares solutions with other product development managers, vendors, and cross functional technical groups to ensure consistent product solutions.
Provides industry expertise on product systems, processes, and network architectures. Creates and delivers internal and and/or external conference presentations and participates in product user groups to market and support product solutions.
Coordinates activities of less experienced personnel to determine appropriate product development and implementation strategies and to ensure cost effectiveness and product efficiency.
Provides leadership and work guidance to less experienced personnel.
Bachelor's degree or equivalent combination of education and experience
Hands-On development experience with QNXT design, development, unit testing, and build and package.
QNXT administration, installation and configuration
Proficient understanding of the QNXT SQL Server data model
Experience developing software to support the exchange of data with external trading partners (Vendors, providers, health care regulators, etc.) using standardized interchange formats (ANSI X.12 EDI 837i,p,d, 834, 835, 278, 270/271, JSOM, XML, CSV/Pipe, Tab, etc.)
Must be familiar with the full QNXT architecture; Including QNXT, QConnect/Biztalk, EDM, Networx, etc.
Experience with Microsoft web-based development technologies including ASP.NET, C#/.NET Framework
Experience using Visual Studio .NET/C# solutions including, Business Intelligence projects (SSRS, SSIS, etc. - BIDS, SSDT, etc.)
Experience Developing complex stored procedures, functions, constraints, dynamic SQL, triggers, etc. in SQL Server T-SQL
About Infinity Consulting Solutions
At Infinity Consulting Solutions our mission is to cultivate successful long term relationships with candidates and clients matching the right candidate with the right client. We believe technology cannot replace the real personal relationships we cultivate. We reject the notion that technology alone is the answer to staffing which is why we our successful partnerships rely on collaboration NOT automation. ICS has been providing flexible staffing solutions for over 20 years in Information Technology, Compliance, Accounting / Finance and Corporate Support. Our staffing solutions include Contract, Temp to Perm and Permanent Placement.