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Software Developer

Company: ACS Solutions
Location: Saint Louis
Posted on: August 7, 2022

Job Description:

Job Description Details of the role: Moving all the Medicaid and Medicare Healthcare plans from legacy Encounters pro systems to New NextGen Encounter systems and processing 837 files out of it. SQL and C# development, testing and also Production operations to Validate and process Encounters/Claims. Key responsibilities:

  • Collaborate with development, architecture, release teams, providing system design documentation, architectural design, conduct technical reviews, and make recommendations to drive standards for effective operations.
  • Gather and Analyze business requirements through daily agile and adhoc meetings.
  • Evaluation, design, and integration of all enhancements or new releases of the system.
  • Monitoring the nightly jobs and resolving any issues that occur.
  • Optimize stored procedures and long running queries to improve the run time or system performance.
  • Perform production system software packages installations as scheduled by the management.
  • Develop/update any stored procedures, triggers, cursors, tables, views, EDW Teradata Macros as required by the business and developed complex T-SQL codes for applications.
  • Generate, edit, and submit Encounter EDI data files (837 Institutional, Professional and Dental) with the help of TriZetto's Encounter Data Manager application (ENCPRO) in compliance with the HIPPA guidelines.
  • Document the code changes and UAT approvals before deployment to production systems for SOX compliance and attached the backup or recovery plan.
  • Validating and processing the Medicaid and Medicare Encounters or claims (837 P, I, D), 277 Claim acknowledgements, 999 Functional acknowledgements, 277, 277CA, TA1 Response for all accepted ejected claims.
  • Validating and processing of EDI 837- Institutional, Professional and Dental Encounters Claims as well as making sure timely receipt of 276, 277,999, XML (Claim acknowledgements), 277, 277CA, TA1 (Functional acknowledgements) responses for all accepted ejected Encounters claims from DHCS.
  • Validate or debug issues with encounters using AMISYS, EDW or EDI as a Source of truth.
  • Managing and deploying the software using the Gitlab version control and CI/CD pipeline.
  • NextGen Encounter end to end implementation from data migration and Development of SQL Stored Procedures, Tables, Functions, DMR Scripts, Triggers, View, Reports, C# Assembly, Control-m, Batch Script, SSIS testing and deployment with proper documentation. Required Skills:
    • MS SQL Server 2012/2019, XML, Informatica, SSIS, AMISYS, C# .Net, GitLab
    • Knowledge on various project execution methodologies (Agile)
    • Good understanding of working of Webservers, browsers, Internet, OS and networking
    • Knowledge on Unit Test framework (NUnit or XUnit) and Code coverage tools.
    • Knowledge on project management tools like JIRA.
    • Knowledge on Code Analysis & profiling (UI) tools
    • BSH - batch scripting
      • Plus would be if the individual has 837 I P D knowledge
      • Plus would be knowledge of Control M
      • Plus would be knowledge of EDM (Encounter Data Manager) Good to have skills:
        • Healthcare experience
        • Encounters experience

Keywords: ACS Solutions, St. Louis , Software Developer, IT / Software / Systems , Saint Louis, Missouri

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