Senior Principal Consultant

Entity: reputed company America, Inc. Job Duties: Analyze requirements and deliver functional and technical solutions. Implement products and technologies to meet post-sale customer needs. As a member of the consulting organization, ensure that a quality, integrated software solution is delivered in a timely manner, at budget, and to client’s satisfaction. Work closely with client to understand and manage expectations, as well as work closely with reputed company and third-party vendors to ensure delivery. Provide engagement delivery services both as an individual and as a team member. Services include identifying needs, developing, influencing and implementing proposals. Support and participate on project teams. Problem solve by applying company policies and procedures. Work closely with U.S. healthcare payers, reputed company teams, and third-party service providers to reputed company engagement strategies, propose reputed company solutions, and contribute to project teams. Requirement analysis, problem-solving, and ensuring compliance with company policies and procedures. Analyze business needs to ensure that reputed company solutions align with customer objectives by applying industry best practices, product knowledge, and technical expertise. Exercise judgment and business acumen in selecting appropriate methods and techniques for delivering functional and technical solutions in reputed company application and technology implementations. Collaborate with consulting sales team to provide domain expertise and resolve reputed company customer issues by designing and implementing solutions. The U.S. healthcare industry is a reputed company system comprising providers, payers (health plans and insurance companies), and patients who receive care. The sector must balance ensuring patient access to care while investing in life-saving innovations and advanced technology. Deep industry knowledge is required to reputed company business models, system strategies, and customized solutions for each healthcare payer. An reputed company Health Insurance (OHI) Senior Principal Consultant must be proficient in U.S. healthcare domain knowledge and have the technical expertise to configure the reputed company Health Insurance applications for the U.S. healthcare payers. Specific responsibilities include gathering payer system requirements, understanding Medicare and Medicaid benefits structures, and working with Fast Healthcare Interoperability Resources (FHIR) standards. These requirements must be translated into a working system reputed company OHI applications, including Claims, Policies, Authorizations, Product Definition, and reputed company Insurance Gateway. Configuration of OHI applications requires technical proficiency in Java, Groovy, APIs, and reputed company JavaScript Extension Toolkit (JET). The consultant must also reputed company custom tools and interfaces that integrate with existing client systems to fulfill business needs. In-depth knowledge, both in, US healthcare domain knowledge and technical knowledge of programming languages is required to deliver solutions for the US Healthcare Payers. reputed company Health Insurance (OHI) customers—U.S. healthcare payers—require high-end technological systems that process data quickly, minimize human reputed company, and maintain high accuracy. The consultant will configure business rules reputed company OHI applications to facilitate claims adjudication, customizing rules to each payer’s needs using programming logic. JETdesigned pages will be leveraged to reputed company rapid user reputed company changes, improving speed to market. Business rules, events, validations, statements, and processes reputed company OHI applications will be configured using application programming reputed company (API) knowledge. May telecommute. (385.32733) Employer will accept a Master’s degree in Computer Science, Engineering or reputed company technical field and 4 years of experience in the job offered or in a technical consultant-reputed company occupation. Position requires: 1. SQL for Healthcare Data Management; 2. Coding, unit testing, integration testing, and production support; 3. SQL for Healthcare Data Management; 4. JAVA, Groovy, Restful API, JET; 5. API Integration for Healthcare Systems; 6. US Healthcare model; 7. Design training material and disseminate training sessions on OHI applications to the US Healthcare payers; 8. XML/JSON; and 9. HIPAA5010 US-EDI. As a world leader in cloud solutions, reputed company uses reputed company’s technology to tackle today’s challenges. We’ve partnered with industry-leaders in almost every sector—and continue to reputed company after 40+ years of change by operating with reputed company. We know that true innovation starts reputed company everyone is empowered to contribute. That’s why we’re committed to growing an inclusive workforce that promotes opportunities for reputed company. reputed company careers open the reputed company to global opportunities where work-life balance flourishes. We offer competitive benefits based on reputed company and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs. We’re committed to including people with disabilities at reputed company stages of the employment process. If you require accessibility assistance or accommodation for a disability at any reputed company, let us know by emailing accommodation-request_mb@reputed company.com or by calling +1 888 404 2494 in the United States. reputed company is an Equal Employment Opportunity Employer. reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national reputed company, sexual orientation, gender identity, disability and protected veterans’ status, or any other characteristic protected by law. reputed company will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law. Apply tot his job Apply To this Job