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Medicaid Healthcare Engineer
(Jobs in Baltimore, MD)
 
Requirement id 109896
Job title Engineer
Job location in Baltimore, MD
Skills required SQL, Data Analysis, Medicaid, Healthcare
Open Date 09-Sep-2020
Close Date
Job type Contract to Hire
Duration 5 Months
Compensation DOE
Status requirement ---
Job interview type ---
   Email Recruiter: coolsoft
Job Description Engineer: SQL, Data Analysis, Medicaid, Healthcare

Job Description :

I need candidates for the Engineer role with Medicaid and business side knowledge that I had sent you the skill set for:

“On the one position of the 25 (maybe will take 2 away in order to fund it), for the senior data engineer, here are some thoughts on the skills needed, which are two-fold as I mentioned earlier. SQL and Healthcare business knowledge – both need to be intermediate to advanced level.

For SQL I think the key component would be creativity, meaning if the database in question is lax with the usual database “rules” – you need creative solutions to very common reports – what seems like it should be 3 steps to get the data may need to be 6 or 7 or more. One smaller piece would be volume of data, while this contract does not rise to the level of “big data” requiring special tools – it is large enough that query optimization is a must.

For the healthcare side I think we should shoot for an individual that has a blend of experience, maybe at least 2 or more of the following (perhaps all if possible), and it needs to be Medicaid specific, commercial is a lot simpler: ( I think each of these could be loosely summarized as “knowledge of transactional database processing”)

Claims adjudication: experience with “rules” and their hierarchy as well as reporting results of rules changes.

Claims accounting: knowledge of “puts” and “takes”, negative balances, braided funding, EOB and financial reporting.

Authorizations: experience similar to claim adjudication with understanding rules and various data components for approval/denial of authorizations.

837 processing/Encounter submission: experience similar to claim adjudication with understanding rules and various data components for Accepted/Rejected encounters

Eligibility: experience with processing different types of transactions that affect dates and benefits for recipient eligibility.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 109896 while calling.
 
Other jobs in MD: Annapolis (1), Baltimore (34), Baltimore Maryland (1), Beltsville (3), Downtown Baltimore (1), Elkridge (1), Frederick (2), Hanover (1), North Baltimore (2), Owings Mills (1), Rockville (1), Sparks (2), Timonium (4), Woodlawn (7),
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(Engineer: SQL, Data Analysis, Medicaid, Healthcare in Baltimore, MD)
     
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