This listing was posted on Tip Top Job.
Mgr., Electronic Data Interchange and Interoperability : PCHP
Location:
Dallas, TX
Description:
Interested in a career with both meaning and growth? Whether your abilities are in direct patient care or one of the many other areas of healthcare administration and support, everyone at Parkland works together to fulfill our mission: the health and well:being of individuals and communities entrusted to our care. By joining Parkland, you become part of a diverse healthcare legacy that's served our community for more than 125 years. Put your skills to work with us, seek opportunities to learn and join a talented team where patient care is more than a job. It's our passion. Primary Purpose Responsible for the analysis of application solution requirements as well as implementation and support of the clinical and business applications utilized across Parkland Community Health Plan (PCHP), including maintenance of application workflow configurations. Minimum Specifications Education stylemargin:bottom:11.0px::Associate degree in information systems, computer science, healthcare, or related discipline required. Bachelor's degree preferred. Experience Required stylemargin:bottom:11.0px::Four (4) years of progressive experience implementing and supporting Electronic Data Interchange (EDI) processes in a managed:care environment, including the exchange of eligibility, authorization, claims, and other X12 transactional workflows required. Preferred stylemargin:bottom:11.0px::Two (2) years of experience utilizing Managed:file Transfer solutions that adhere to industry best:practice approaches under strict regulatory control. Specific experience with Progress' MOVEit preferred.:Two (2) years of experience managing complex IT projects that require engagement of both technical and business resources and working with technology vendors.:Experience utilizing / supporting Cognizant QNXT and Care Advance solutions in a managed:care organization preferred.:Experience supporting an Identity Management Solution such as Okta is preferred. Skills or Special Abilities stylemargin:bottom:11.0px::Excellent verbal and written communication skills including the ability to communicate effectively and professionally across disciplines. Ability to communicate complex information in understandable terms.:Strong interpersonal skills with the ability to establish and maintain effective working relationships across and beyond the organization.:Demonstrated ability to present documented requirements and proposed solutions to both technical and business audiences.:Ability to manage multiple, competing projects and deadlines as well as respond to rapidly changing priorities.:Extensive knowledge surrounding the business processing requirements between healthcare entities, including Provider Organizations, Managed:Care Organizations, TPAs, Clearinghouses, and HIEs, and specifically covering the full:scope of X12 transactions commonly used in healthcare administration and care delivery.:Able to assess and evaluate necessary system controls, interacting directly with clearinghouses, state agencies, and other trading partners to appropriately test and troubleshoot EDI processes.:Working knowledge surrounding the evolving interoperability standards and capabilities in support of data exchanges between Payers:Members, Payers:Providers, and Payers:Payers, including familiarity with specific regulatory mandates that are driving these technology solutions forward, such as CMS' Patient Access final rule and Prior Authorization proposed rule.:Familiarity with the specific technology standards and tools driving adoption of healthcare interoperability, including TEFCA, FHIR, and SMART.:Extensive knowledge of HIPAA Security and Privacy requirements and how they are implemented across EDI and Interoperability systems operations.:Skilled problem solver who is able to troubleshoot complex issues, identify root cause, and analyze opportunities to im
Posted:
May 8 on Tip Top Job
Visit Our Partner Website
This listing was posted on another website. Click here to open: Go to Tip Top Job
Important Safety Tips
- Always meet the employer in person.
- Avoid sharing sensitive personal and financial information.
- Avoid employment offers that require a deposit or investment.
To learn more, visit the Safety Center or click here to report this listing.
More About this Listing: Mgr., Electronic Data Interchange and Interoperability : PCHP
Mgr., Electronic Data Interchange and Interoperability : PCHP is a Executive Manager Job located in Dallas TX. Find other listings like Mgr., Electronic Data Interchange and Interoperability : PCHP by searching Oodle for Executive Manager Jobs.
Mgr., Electronic Data Interchange and Interoperability : PCHP is a Executive Manager Job located in Dallas TX. Find other listings like Mgr., Electronic Data Interchange and Interoperability : PCHP by searching Oodle for Executive Manager Jobs.