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Solution Architect with Healthcare & Claims | Remote at Remote, Remote, USA
Email: [email protected]
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From:

Akash Mandal,

trooBell Technologies LLC.

[email protected]

Reply to: [email protected]

Hello,

Hope you are doing well,

We have an immediate opening for the below role, kindly please share best match profiles according to the role.

Role: Solution Architect with Healthcare/ Claims

Location: Remote

Duration: 6+ Months

Interview: Video/ Phone

Need LinkedIn profile link

Bonus:

Any type of exp with provider payment integrity, policy and pricing

Needs to understand diagrams (C4 diagrams maybe) and be able to discuss technical architecture in depth

player soft skills/proactive/accountable/follow through/solution driven/enjoyable to work with

Doesnt need to be wildly technical doesnt need to write their own APIs anymore

Not a Program Manager this person is representing technology

They should have some coding/hands on tech before

This area is not totally organized and she needs this person to come help organize it and execute the solutions confidently

They work with a ton of vendor partners they will need to discuss internal mass configuration to these vendors

Discuss data layouts, structures, mode of transport

Needs to know deeply how data flows to vendor partners

Solution Architect:

Provider payment integrity, policy and pricing

Will be part of a claim auditing process

Ensure proper payment

Savvy with various tools

1 core set of stakeholders theyll work with

4 pillars under Emily:

Care Nav

Provider Ops

Provider Financial Management

Provider payment integrity, policy and pricing --- this is the group where the Solution Architect will sit

Replacing Claris coordinating billing tool

ClaimsXtend (editor) migrating to the cloud

Cotiviti Secondary editor they use

Potentially bringing in a new pricing tool

NASCO = claims payment system/vendor

Thanks, and Regards

Akash Mandal | Technical Recruiter

Email |
LinkedIn

trooBell Technologies LLC.

Address: 9420, River Lake Drive, Roswell, GA, 30075

Keywords: information technology Georgia
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11:02 PM 05-Dec-23


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