Healthcare Agile Methodologies SQL Queries Pharmacy Data Analyst TechLead (Jobs   Requirement id 137877 Job title Tech Lead Job location in Raleigh, NC Skills required Healthcare, Test Results, WEB Application, Agile Methodologies SQL Queries Pharmacy Open Date 06-Dec-2022 Close Date Job type Contract Duration 12 Months Compensation DOE Status requirement --- Job interview type ---    Email Recruiter: coolsoft Job Description Tech Lead: Healthcare, Test Results, WEB Application, Agile Methodologies SQL Queries Pharmacy Hybrid Start date :12/12/2022 End Date :12/11/2023 Submission deadline :12/09/2022 Client Info :NCDHHS-AM Description : --------------------------------------------- NC Dept of Health and Human Services (DHHS) is seeking a Senior Pharmacy BA Lead to perform Business Analysis work related to support the Managed Care Transition and MES Projects. This position is responsible for the following activities : • Demonstrated knowledge in creating test scenarios/cases in consultation with the business owners, hands-on testing, test results review, and proactively identifying issues and providing resolutions/recommendations • Proven knowledge in Medicaid or similar claims ( pharmacy) processing systems • Extensive knowledge of pharmacy claims and business policies • Thorough knowledge of system functional areas such as recipient, provider, prior authorization, reference, program integrity, financial and claims • Thorough knowledge of Federal and State regulations, statutes, and rules • Knowledge base/experience with encounter claims and be ready to lead any work effort pertaining to encounter claims • Expert knowledge on SQL, EDI, X12, NCPDP, HL7, HIPAA PHI, ICD-10 • Clear understanding of the deliverables process, e.g. System Documentation release, • Working knowledge of defect process • Proven experience with the system development life cycle (SDLC) • Experience working on large Federal/State contracts • Proficient with Microsoft Word, Excel, Visio, Project, OneNote, Outlook, and PowerPoint   Call 502-379-4456 Ext 100 for more details. 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