Previous Job
Ref No.: 20-00718
Location: Providence, Rhode Island
Position Type:Contract
  • Implement HealthRulesas claims adjudication system and integration of HealthRuleswith existing application ecosystem.
  • Understand HealthRules API and Connector services and can integrate HealthRuleswith required applications.
  • Ability to perform the data profiling and can migrate the data from other claims systems to HealthRulessystem.
  • Coordinate with customer and other stakeholders, gather and analyze requirements.
  • Architect, design, code, test and document interfaces of moderate to high complexity as per the requirements specifications.
  • Mentor and guide team on technology, frameworks, processes and ensure quality of deliverables.
  • Experience in architecting, designing and implementing integration solutions using any market leading Integration platform.
  • Must be able to architect, design and implement technical solutions usingany payersolutionslike (HealthRules/Facets/NASCO or any other CAS product).
  • Good knowledge of Healthcare data integration standards (i.e. HL7,EDI,CCD, DICOM, etc.).
  • Deep Knowledge of OOD and Integrationdesignpatterns.
  • Experience with Service Oriented Architectures and RESTful APIs
  • Must still be handson with coding and development.
  • Experienced in CI/CD methodologies.
  • Leverages automation tools and processes likeTDD, BDDto minimize defect bleed.
  • Proven track record of technical leadership roles delivering solutions within defined timeframes.
  • Possess knowledge and expertise in the use of agile delivery methodologies (Safe, Scrum and Kanban).
  • Experience with revision control source code repositories (Git,SVN,BitBucket,Peforceetc.,).
  • Experience with handling customer and other third-party vendors effectively.
  • Must have problem solving ability to provide solutions to complex and new business problems.
  • Generate innovative ideas and apply them in implementing solutions.
  • Must be Flexible and adaptable towards changing organizational needs.
  • Good Communication and inter-personal skills.
  • Experience in leading the team of developers.

Minimum Qualifications

  • Good experience as a Technical Architect withpayer solutions like (HealthRules/Facets/NASCO or any other CAS product).
  • HealthRules implementation experience.
  • Excellent Communication & Time Mgmt, Onsite/Offshore Experience
  • Good experience with healthcare payer domain.