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Analyst
(Jobs in Boston, MA)
 
Requirement id 13018
Job title Analyst
Job location in Boston, MA
Skills required Application Program Tester, Excel, Health Data Systems,
Open Date 29-Mar-2013
Close Date
Job type Contract
Duration 5 Months
Compensation DOE
Status requirement ---
Job interview type Phone Screen and Face to Face interview
   Email Recruiter: coolsoft
Job Description Analyst: Application Program Tester, Excel, Health Data Systems,

[Note: End Date: 8/30/2013]

[Note: Renew for an additional six months]

[Note: Submission Deadline: April 10, 2013]

Description:

Client seeks two full-time Quality Assurance Application Test contractors to augment the Health Information Team.

Responsibilities:

* Create and document specific claim, eligibility, product and provider test cases, create asterisk delimited test files in accordance with submission guides, run test files within internal Enterprise Processing System (EPS), examine all edits, reports and user interface to ensure all meet standards required.
* Utilization of Excel (required) and SQL (highly desired) to examine, assess, verify and document test results.
* Use client and industry standards specific to each data element to determine completeness and accuracy of edits and consistency of edits between file types;
* APCD Data Elements have percentage error allowances, which must be tested against APCD standard thresholds and payer specific variances on the thresholds;
* Document issues found in data edits and application for corrective action; Document the extent to which data edits and application fail to meet requirements;
* Work with carrier test data files, troubleshoot submissions, determine correctness of edits and provide direction on errors found, variances and error reports to obtain the highest percentage of data
* Perform troubleshooting of data issues and identify resolutions to both technical and non-technical problems;
* Provide information and support to Application Developers to assist in corrective action;
* Comply with client data security requirements and assist in identifying potential data security risks;
* Work with client QA and standardization analysts to provide information and support on data element edits;

Required Skills:

* Seasoned Application Program Tester with experience manipulating complex raw text files and querying data.
* Knowledge/utilization of Excel (required) and SQL (highly desired) to assess invalid and missing data, edits and formats in All Payer Claims Data Submissions and Application Processing;
* Experience working with health data, preferably medical claims, dental claims, and pharmacy claims and eligibility data highly desirable;
* Extensive experience in meticulous data and application review to discover and eliminate all errors based on internal and external standards in accordance with the Data Submission Guidelines and recommend application and data edit refinements;
* Demonstrated ability to evaluate data, to draw conclusions and make appropriate recommendations.
* Ability to identify and forecast problems, explores answers, make recommendations, and initiate solutions.
* Excellent interpersonal skills: verbal, written, and presentation; Excellent documentation skills.
* Ability to work independently.
 
Call 502-379-4456 Ext 100 for more details. Please provide Requirement id: 13018 while calling.
 
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(Analyst: Application Program Tester, Excel, Health Data Systems, in Boston, MA)
     
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