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Claims Mainframe HP Quality Center IMS Analyst
(Jobs in JACKSONVILLE, FL)
 
Requirement id 14740
Job title Analyst
Job location in Jacksonville, FL
Skills required Blue Cross/Shield Experience, Health Insurance Experience, Claims, Mainframe HP Quality Center IMS
Open Date 22-Jul-2013
Close Date
Job type Contract
Duration 6 Months
Compensation DOE
Status requirement ---
Job interview type Face to Face interview
   Email Recruiter: coolsoft
Job Description Analyst: Blue Cross/Shield Experience, Health Insurance Experience, Claims, Mainframe HP Quality Center IMS

QA Test Specialist - Coordination of Benefits (COB)


JOB REQUIREMENTS

Extensive knowledge of Coordination of Benefits (COB) claims rules and processing
Hands-on Healthcare Claims processing
Hands-on experience on Mainframe / DB2


DUTIES

Create test deliverables and perform testing for internally developed or external purchased products
*Perform static, functional, technical integration, end-to-end and User Acceptance Testing
*Execute job streams for creating test beds, assigning test scenarios, writing test scripts and tracking defects to certify that applications meet technical and business requirements
*Analyze and make specific recommendations on improvements that can be integrated into business processes
*Participate in reviews throughout the development life cycle
*Facilitate User Acceptance Testing by providing the necessary support to the business users
*Knowledge of workflows and business and technical requirements
*Experience with user acceptance testing, functional and regression testing techniques
*Ability to extract data utilizing SQL (Oracle and DB2)
*Ability to analyze and evaluate xml data including x12 format
*Experience with use cases and use case realizations to develop test plans and scripts
*Knowledge of Software Development Life Cycle processes and procedures
*Knowledge of HP Quality Center
*Knowledge of Health Claims Systems - Professional, Institutional, RX, ICD-9, CPT4, PX/DX Relationships, and Medical Terminology
*Experience with hands-on testing of OPL, COB, Healthcare Claim Pricing, Healthcare Claim Benefits, End to End Claims Processing *Knowledge of defect management processes
*Knowledge of Mainframe/CICS/DB2
*Knowledge of Client Server applications


SKILLS

Blue Cross Claims User Strong, 2-5 years, 0-1 years ago
Blue Shield Claims User Strong, 2-5 years, 0-1 years ago
Health Insurance Strong, 2-5 years, 0-1 years ago
Claims Processing Strong, 2-5 years, 0-1 years ago
Mainframe Strong 2-5 years, 0-1 years ago
HP Quality Center Moderate, 0-2 years, 0-1 years ago
IMS Moderate, 0-2 years, 0-1 years ago

Candidates must have:

Extensive knowledge of COB (Coordination of Benefits) and OPL (Other Party Liability)
Hands-on experience with processing COB healthcare claims

Desired Education Level:

Bachelors degree
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 14740 while calling.
 
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Blue Cross/Shield Experience job openings in Jacksonville, FL
Jobs List

ITS QA Analyst - J-10-799-520
Create date: 18-Jul-2013
QA Test Specialist II

ITS Claims Tester

MUST HAVE PREVIOUS BLUE CROSS BLUE SHIELD ITS EXPERIENCE

*Perform static, functional, technical integration, end-to-end and User Acceptance Testing
*Execute job streams for creating test beds, assigning test scenarios, writing test scripts and tracking defects to certify .... (This job is for - ITS Jobs in FL JACKSONVILLE Analyst - (in Jacksonville, FL))
 
 
 
 
(Analyst: Blue Cross/Shield Experience, Health Insurance Experience, Claims, Mainframe HP Quality Center IMS in Jacksonville, FL)
     
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