US citizen or permanent resident only.

 

Position Description:

 

Purpose of project is to move the pharmacy processor from Argus to Prospective Health Systems

 

Responsibilities:

 

Analysis, Testing, & Implementing support processes for pharmacy systems and data to include the following areas:
> Eligibility
> Medicare Part D
> Claims
> Data mapping tasks
> Benefits
> Networks
> Testing (test scenerio/test cases)

Work on Eligibility and Claims analysis, setup, load, test, post production checkout associated with move to Prospective Health Systems.
Knowledge of supporting Eligibility loads to a claims processor and knowledge of receiving claims data feeds to store in data warehouse.
Skilled in communicating, documenting, and resolve issues.

Required Skills, Knowledge and Experience: 

• System Analysis
• Data Analysis
• Mainframe Knowledge
• Eligibility processing
• TSO

Desired Skills, Knowledge and Experience: 

• SQL
• Understanding of Oracle DB