ｷ         3 years of development experience with Oracle SQL and PL/SQL

ｷ         Experience in modifying and running scripts used for loading and extracting data into a database

ｷ         Knowledge of professional, hospital claims (834, 837, HL7) and understanding of ICD 9, ICD 10, HCPCS, CPT, Plan details and HIPAA

ｷ         Knowledge of claims adjudication platforms is a plus

ｷ         Experience in Payment Integrity ? Prepay and post pay claims processing, subrogation, Clinical auditing and care management data analytics

ｷ         Should be able to effectively coordinate with the development team and Stake Holders

ｷ         Must be a team player and adaptable to a dynamic work environment