JOB DESCRIPTION

Summary:  Seeking an individual with Electronic Data Interchange Transaction experience to fill a short-term role for our Wyoming Benefit Management System (BMS) implementation. This implementation is an important step toward the State of Wyoming’s effort and goal of replacing the present Wyoming Medicaid Management Information System (MMIS) with its new Wyoming Integrated Next Generation System (WINGS).  A significant number of claims for Wyoming Medicaid are received via electronic transactions, this individual will have the opportunity to work with the project team, the Wyoming Department of Health project team, and healthcare providers submitting or wishing to submit transactions electronically.

Job Responsibilities

·            Responsible for the support of EDI by implementing new EDI trading partners, maintaining existing EDI trading partners, Helping Business Analysts for creating                         functional specs, status reports and training material for projects.

·            Act effectively as point-of-contact on status of EDI transactions from internal and external customers.

·            Conduct and perform analysis of EDI transactions, document and produce metric reports.

·            Conduct EDI processes-setup, to test and implement all mandatory EDI mapping.

·            Collaborate with clients to manage business related processes per the service level agreement.

·            Create relationships with third party vendors and external clients to implement CORE 270/271,276/277 and 837/835 claims transactions.

·            Develop and prepare EDI documentation for internal and external use.

·            Managing daily operations of all HIPAA 270/271,837(P/D/I), NCPDP ,276/277 and 835 transactions and sub-systems application development area focused on Java,                     COTS(i.e. XEServer, XEngine, XEConnect and Operating rules) and sql/plsql technologies.

·            Ensuring the application development area uses sound practices and processes for implementing custom developed and packaged solutions.

·            Understanding Functional spec and coordinating with offshore team.

·            Ensure production systems are performing well and operating without defects.

·            Act as subject matter expert for EDI HIPAA 270/271,837,835,276/277 and NCPDP transactions.

Experience/ Preferred Skills Required: *

Must have experience with the following:

·         7 or more years of experience in EDI healthcare transactions: 837 P/D/I, 270/271, 276/277, and 835 and NCPDP pharmacy claims experience

·         Experience working with Java/J2EE Technology

·         Have a good knowledge of Edifecs XEServer/Specbuilder/XEngine/XEConnect/EAM server

·         Experience working with XML, JMS, SOAP/MIME webservices

·         Experience working as EDI developer (X12, NCPDP, HIPAA 5010 transactions)

·         Hands on experience with Linux, SQL, PL/SQL, shell scripting,

• Experience working on AWS Environment
• Experience with version control (SVN, Git)
• Understanding of database-related technology such as Oracle, MySQL.
• Certification for Java/J2EE, SQL/PLSQL, or AWS preferred

This position's major areas of responsibly consist of month end duties and helping out in the department:

• Process SC RA's
• Process pricing/commodity credits and rebills from Bid Pricing Department
• Respond to AR customer emails requesting information or copies of invoices/credit memos.
• AP Non-Product Vendor setup
• Email LAUSD Customer Statement
• Clear in house invoices/ requesting back up from Customer Service/Purchasing
• Review/clear open RA report
• Clear/Post approved PO Received not Invoiced <6 months
• Enter Journal Entries
• Assist Invoice Control sorting/filing Customer invoices
• Assist AR/AP/Staff Accountant as needed
• Daily Deposit
• Create Monthend close binders
• Prepaid File Updates
• ERP Experience Required                                                                                                                               

Academic, Experience & Technical Minimum Requirements:                                                                                       

• Minimum of 3-5 years experience and knowledge in General Accounting
• Knowledge of excel (basic to intermediate)
• Excellent verbal and written communication skills.                

JOB DESCRIPTION

Job Responsibilities:

• Assists with recruiting and staffing to include coordinating interviews, assessment test facilitation, background checks, ensure DOT compliance of new hires, onboarding new hires in HRIS platform (ADWFN).
• Communicate with staffing agencies the need for resources as well as performs regular maintenance of agency employees including onboarding, ending assignments, assigning timecards and access badges.
• Conducts or assists with new hire orientation.
• Performs periodic audits of HR files and records to ensure that all required documents are collected and filed appropriately.
• Maintains the integrity and confidentiality of human resource files and records.
• Maintains accurate and up-to-date human resource files, records, and documentation.
• May assist with payroll functions including timecard audits and distributing checks.
• Processing employment/DOT verifications and EDD benefit audits.
• Post-accident follow-up.
• Processing and coordinating subpoenas.
• Provides clerical support to the HR department.
• Assists with planning and execution of special events such as benefits enrollment, organization-wide meetings, etc.
• Run weekly, quarterly, semi-annual and annual reports.
• Monitor HR fax and email.
• Order office supplies.
• Performs other HR duties as assigned.

Academic, Experience & Technical Minimum Requirements:

• Associate’s degree in related field a plus.
• 1+ years of practical hands-on experience working in Human Resources is required.
• Developing knowledge of California Labor Laws.
• Strong phone, email, and in-person communication skills.
• Excellent interpersonal skills
• Excellent organizational skills, with the ability to prioritize important projects.
• Computer literate in Microsoft Office Suite, experience in ADPWFN software is a plus.
• Experience following tasks that have a predefined process.
• Excellent discretion and confidentiality skills
• Bilingual Spanish, Preferred.

Job Description

Minimum of either a Bachelors and five (5) years of experience or a Masters and one (1) year of experience.
Degree and experience may be in Computers, Engineering, or IT related field and foreign educational equivalent is acceptable. Any suitable combination of education, training or experience is acceptable.

Responsiblilities
Must be able to analyze, design, develop, customize and integrate applications using either .NET; ASP.NET or VB.NET.
Able to travel/relocate to different client sites as needed. 9-5, 40 hrs/wk. Salary $138,341 per year.

Ref# NET–1219 AW and send resume to HR, Allwyn Corporation, 459 Herndon Parkway, Suite 13,
Herndon, VA 20170.
Allwyn is an Equal Opportunity Employer M/F/V/D.

Key Skills

Must have experience in either .NET; ASP.NET or VB.NET.

Able to travel/relocate to different client sites as needed. 9-5, 40 hrs/wk.

Technical Lead: API & Platform Engineering

Responsibilities

• Engagement Planning - technical understanding, strategic mindset, translating MuleSoft vision (API-Led) into a tangible project plan.
• Engagement Execution - identify and mitigate risk, status reporting, and operations.
• Post Engagemnet - Ability to identify renewal and add-on opportunities, using lessons learned and looping them back into our internal best practices
• Track record of executing projects from start to finish with a strong prioritization and time management POV.
• Proven successful outcomes for projects and programs of 5 million dollars of budget/revenue and higher
• Highly collaborative with Services sellers, architects, consultants, third-party partners, and customers.
• Function as the Technical Lead across multiple work streams during the implementation of Cloud Native API Exchange Platform on Mulesoft
• Leads the product backlog development working closely with Business Analyst/Requirements Analyst and Scrum Master   for  Cloud Native API Exchange implementation
• Coordinates the scrum planning  and development of Technical Program BackLog items development  working closely with the scrum master and release
• Actively collaborate with multiple stakeholders in an agile environment across the business.
• Work in an agile, fast paced, entrepreneurial environment with short release cycles.
• Oversee peer code reviews and provide active guidance and direction on development.
• Develops/updates Services and APIs using Java technology for use in current and future projects
• Serves as subject matter expert for Enterprise Integration Services (SOA and API)
• Follow SDLC and Service/API development best practices while executing the tasks
• Provides guidance to ISD development teams in support of Tactical and Strategic SOA and API initiatives
• Provides input and leadership to continuously improve processes and resulting output quality
• Works with development teams to assure alignment with current SOA and API governance processes
• Collaborates with development teams, business units, and other ISD areas to identify, define, develop/ modify and implement enterprise reusable Services and APIs
• Provides input to the definition and communication of the organization’s standards and procedures for SOA/ API approaches,
• Provide leadership to project teams for enterprise services development and validation
• Ensures developed Services and API comply with established enterprise integration governance rules, maturity and monitoring
• Provides leadership and input into achieving objectives and maintaining efficient enterprise integration standards
• Collaborates with ISD management, business units, and stakeholders to ensure SOA and API strategy aligns with business strategy
• Participates in developing, communicating and documenting organization’s SOA and API direction and service levels
• Ensures continuous transfer of knowledge by providing senior technical SOA expertise and guidance
• Leads, mentors and educates ISD staff regarding  SOA and API best practices
• Remains current on SOA and API development, testing industry trends and best practices
• Plays a key role in the evolution of SOA and API governance
• Works within the enterprise integration team to develop and maintain policies, procedures, and standards
• Provides expert knowledge and input into the refinement/documentation of additional SOA and API governance processes and maturity
• Apply creative thinking approach to develop technical solutions that further business goals and align with corporate technology strategies, keeping in mind performance, reliability, scalability, usability, security, flexibility, and cost
• Create architectures around cloud native applications which can work across public, private and hybrid clouds
• Develop architectures around modern API Management frameworks that can be deployed in both B2B and B2C scenarios
• Research and evaluate new and/or alternative solutions and technologies to enhance operational effectiveness, reduce costs and/or system risks
• Anticipate internal and/or external business challenges including regulatory; recommend process, product or service enhancements
• Articulate architectural solutions and explain the competitive advantages of various alternatives
• Provide technology thought leadership around modernizing the banking core by creating a data virtualization layer accelerating the path to cloud enabled core enabling real time transactions
• Continually monitor the financial services technology landscape to track the latest innovations across the industry and communicate relevant information to ISD leadership
• Develop and apply architectural governance based on business and information technology strategies
• Develop/apply architectural reference patterns that guide the selection, development, implementation and use of information technology within the enterprise
• Plan, develop, review and enforce enterprise architectural standards and ensure architectural strategies are consistently applied
• Provide forward thinking technical expertise in current and emerging technologies, trends and practices
• Provide technical leadership in the architecture discipline and development of information technology solutions
• Build and maintain relationships with team members, management, key stakeholders and/or external contacts (vendors, etc.)
• Develop architectural documentation and/or artifacts for use in technology projects, mentoring, internal training and product evaluation

Qualifications – All required unless otherwise noted

• Extensive experience that demonstrates expert knowledge of JAVA, SOA environments and techniques
• Five years’ experience with developing J2EE based web services and service client
• Experience developing Restful services utilizing a lightweight data-interchange format such as JSON
• Experience mapping between XML to JSON and JSON to XML
• Experience with relational database such as DB2 or Oracle
• Demonstrated ability to manage multiple, complex activities while maintaining control over the quality of all deliverables
• Demonstrated skill in identifying industry trends and define their potential use in Navy Federal applications
• Demonstrated skill in leading efforts in all phases of SOA and API governance development and standardization
• Proficiency in developing high level documentation and presentations
• Bachelor’s Degree in Information Technology, Computer Science or the equivalent combination of training, education, and experience
• Expert knowledge and hands on experience with Mulesoft Anypoint/Apigee, Microservices, Istio/Service Mesh, Spring Framework and Open API Specification/RAML
• Expert knowledge and hands on experience with Azure Architecture, Pivotal/Tanzu platform/Tanzu Kubernetes Grid etc.
• Integration experience with enterprise platforms Salesforce, Oracle HCM/PeopleSoft and CRM/Dynamics
• Expert skill in implementing security using OAuth, SAML, JWT and OpenID Connect etc.
• Extensive experience in enterprise-wide infrastructure digital technologies and platforms in the following: PaaS, IaaS, SaaS, iPaaS, APIs, MicroServices, Analytics, hybrid cloud, mainframe, storage, network etc.
• Extensive experience in digital banking business transformation, strategy development, business model innovation, service design and architecture, operating model design and transformation planning
• Extensive experience in architecting and implementing cloud native architectures across Azure and AWS
• Extensive experience in cloud native architectures and technologies (e.g., Azure, AWS, Containers, Continuous Integration and Delivery, API Management Platform, API Security, B2B, B2C etc.)
• Expert knowledge of IT architectural paradigms and concepts, including Cloud Infrastructure, Service-Oriented Architecture (SOA), event-driven architecture (EDA), and API development
• Deliver ideas for Proof of Concepts (POCs) and clearly articulate business value, and alignment with evolving market needs and best practices
• Assist with developing and presenting recommendations to executive leadership based on Proof of Concepts (POCs) of emerging technologies that clearly articulates business value, and alignment with Navy Federal business strategy
• Extensive experience in work as an engineer or technical subject matter expert in the following areas: infrastructure (hybrid cloud), data, application, APIs, integration patterns, security related technologies
• Significant experience in the financial services sector and a good understanding of operational and regulatory risks and controls
• Advanced skill in formulating a strategic vision and defining and implementing action plans to achieve strategic goals
• Scout market trends, new ideas and perspectives and draw on simple observations of sector research/deep marketplace/business environment awareness, global factors and patterns to drive breakthrough potential
• Participate in efforts to build short and long-term technology plans for assigned business domains
• Participate in vendor evaluations as needed to ensure vendor selections meet desired technology capabilities
• Develop and champion innovation tools, methodologies, and approaches to cultivate ideas and opportunities that are diverse, unique, drive quality and speed to market
• Advanced knowledge of Agile frameworks (e.g., SAFE)
• Expert problem solving, collaboration, critical thinking, team building, and presentation skills
• Expert knowledge of project management methodologies such as Agile or other project management practices used in iterative development environments
• Expert skill to influence, guiding strategic thinking, negotiate and persuade to reach agreeable exchange and positive outcomes
• Expert skill in effectively communicating technical and non-technical issues and information clearly and concisely to all levels of management and staff
• Advanced skill creating system, architecture diagrams and presentations for review by both technical and non-technical audiences
• Expert skill translating complex business requirements into functional architecture solutions
• Significant experience in working with all levels of staff, management, stakeholders and vendors
• Significant experience in leading, guiding and mentoring professional staff
• Expert verbal, interpersonal and written communication skills
• Advanced skill troubleshooting and resolving technical problems
• Expert skill in results-oriented leadership in a challenging environment
• Desired - Certifications in Azure development/architecture, Mulesoft Anypoint, Apigee, Azure APIM, Java, Pivotal Cloud Foundry etc.
• Desired – Advanced knowledge of banking/financial industry standards and practices
• Unusual Working Conditions: May require some call in and at home work on nights and/or weekends.

The Solutions Architect creates solutions that extend clients Leadership Role in helping Students progress through their Medical Professional Journey. The Solution Architect is a core member of a high-performing, diverse, and inclusive of the  Enterprise Architecture team that supports the mission by catalyzing, modern solutions for the biggest challenges facing medical schools, teaching hospitals and health systems, and the people and communities they serve.

Job Description:

Develop Solution Architecture for IT Modernization Initiatives that will create Innovative, highly resilient, reliable and scalable applications in production that meet business functional and non-functional requirements by:

• Representing Architecture in PI Planning
• Creating Solution Architecture Artifacts that include Solution Overview and related Decision Records.
• Collaborating with multi-disciplinary teams of Business, Data Services, Product Development Factory, Platform Services, DevSecOps, Cloud Engineering to ensure completeness of the Solutions.
• Driving use of patterns, methodologies, standards that continuously improve solutions.
• Providing technical and business explanations and justifications for architectural, design, and coding approaches.
• Nurturing and supporting a strong engineering culture with product focus, excellent technology, high quality implementations, self-motivated innovation and problem-solving.

What will you bring?

• B.S. in Information Technology, Computer Science, or related field with an or equivalent extensive relevant work experience required.  Master’s degree highly desirable.
• Minimum 8+ years of experience of architecting enterprise systems in a complex environment.
• Minimum 8+ years of building highly resilient, high throughput secure systems in On-Prem and Public cloud platforms, preferably AWS.
• Experience applying TOGAF methodology (or similar EA framework) to document solution architectures.
• Experience in using Domain Driven Design, Event Storming, Event Driven architectures to architect solutions.
• Architecture experience of creating solutions that use Micro Services and APIs that are built on Java Spring and related Java/JEE frameworks.
• Experience using Cloud-based solution components and architectures (AWS preferred).
• Experience using Agile Methodologies, Software Development, and Application Life Cycle Management.
• Working knowledge of Java/JEE, Spring Boot, Spring Framework, JSON Restful
• Working knowledge of Angular JS, Angular 8, JavaScript, HTML/CSS
• Experience architecting solutions around RDBMS (e.g. Oracle/Postgres) and Messaging technologies (e.g. IBM MQ/ActiveMQ/Kafka).
• Proven ability to manage stakeholder relationships and facilitate technical meetings with a non-technical audience
• Experience with Atlassian suite of products that includes Confluence, Jira
• Proven success in working across the functions and departments
• Self-Learner with a strong understanding of business & technology challenges and related solutions.

Job Description:

The successful candidate will manage the implementation and day-to-day functions related to creating Business & Systems Continuity Plans and Procedures, while also managing Disaster Recovery operations within the enterprise. Responsible for interfacing with senior management and regulatory auditors, while also implementing and supporting the services listed below: 

Solid experience with AWS BC and onprem which is hybrid based.

1. Eliminate Business Interruptions.

2. Ensure Continuity of Business.

• Provide technology expertise to the respective customer IT System Owners to establish, maintain, and effectively implement plans for emergency response, backup operations, and post-disaster recovery for customer information systems to ensure the availability of critical information technology resources and continuity of operations in emergency situations.
• Conduct testing and exercise of contingency plans in accordance with the latest iteration of the company Information System Contingency Planning Guide.
• Review, update and test all Contingency Plans at least annually or whenever there is a significant change to the system.
• Ensure that responsibilities are clearly described within the Information System Contingency Plan (ISCP) for personnel with contingency operations roles.

Typical Education & Experience Typically a Bachelor's Degree and 8 years work experience or equivalent experience

Required Skills and Education Contingency Planning-

Experience identifying potential Business Interruptions, developing safeguards against these interruptions, and implementing recovery procedures in the event of a business interruption. Experience providing documentation and training on Contingency Planning concepts and procedures.

Disaster Recovery – Experience Safeguarding data processing operations by identifying potential problem areas and single points of failure that may result in interruptions to critical data processing operations. Experience Developing and implementing Disaster Recovery, Data Sensitivity, Library Management, Back-up and Recovery, and Disaster Recovery Plans and Procedures.

Business Recovery – Experience Developing safeguards and Business Recovery Plans and Procedures governing the customer offices and Operations associated with the organization. Experience ensuring that Customer Asset Protection procedures cover critical Business Resources located at customer offices.

Risk Management – Experience identifying and Categorizing outage exposures that could cause a business interruption, then implement plans and solutions to safeguard against a disaster event. Responsible for insuring that Business and Regulatory Requirements are adhered to and that implemented recovery procedures and contracts are cost justifiable.

Responsibilities:

• 40% business facing (understanding and inform digital customer journey/use cases), 60% digital tech ( deconstruct digital use cases ( data, adobe stack, …), martech solution design fluency) Pharma Experience ( process/data landscape), experience in Adobe Mkt  clouud

Skillset:

• Has experience with omni channel / multi-channel marketing technology enablement
• Has good understanding of marketing technology landscape, strategies, including email marketing, display advertising campaigns (banners), 
• Has enabled personalization across campaigns ( websites, CRM campaigns…)
• Passionate about new marketing technologies and desires constant improvement.
• Should be able to demonstrate art of possible within tech stacks as well as help craft solution design for use cases
• Has experience with the Adobe Marketing Cloud platforms
• Has worked in agile team(s) to collaborate on user story definition, and what “done” looks like, using a variety of agile tools and processes (JIRA, Scrum, Kanban…)
• Can lead and develop technical documentation including, but not limited to user stories, data-flow diagrams, solution designs, entity-relationship diagrams, test cases, and so forth
• Truly hybrid individual made up of Tech and marketing skills/expertise who has passion for learning new technologies
• Good to have - understanding of and/or worked in pharmaceutical industry along with above skills Good Communication skills as will be communicating with business stakeholders/brands

Job Description
Software Developer (Java) (Multiple Positions with National Placement out of Fairfax County, Virginia)

Experience

• Minimum of either a Bachelors and five (5) years of experience or a Masters and one (1) year of experience.
• Degree and experience may be in Computers, Engineering, or IT related field and foreign educational equivalent is acceptable. Any suitable combination of education, training or experience is acceptable.

Responsibilities

• Must be able to analyze, design, develop, customize and integrate applications using Java, Oracle, PL/SQL, JavaScript and SQL.

                Able to travel/relocate to different client sites as needed. 9-5, 40 hrs/wk.

               Salary $138,341 per year.

Ref#  JAV1219 AW and send resume to HR, Allwyn Corporation, 459 Herndon Parkway, Suite 13, Herndon, VA 20170. Allwyn is an Equal Opportunity Employer M/F/V/D.

Key Skills

 Must be able to analyze, design, develop, customize and integrate applications using Java, Oracle, PL/SQL, JavaScript and SQL. Able to travel/relocate to different client sites as needed. 9-5, 40 hrs/wk.

Client: SBP 

Location: Reston, VA/ WFH allowed

Job ID: SBP28976

Job Title: Principal Architect

Duration: 12 Months +

H1’s allowed

11- 15 Years Experience
• A BA/BS in computer science or equivalent experience, and extensive knowledge in software development and application architecture experience, including with Enterprise Application Integration with Open System Portal technology, Java/JEE, and COTS tools and architecture design
• Proven strong technical architecture design background
• Deep knowledge of the Portal technology domain, including Liferay or similar Portal technology, operating systems software and platform, infrastructure, Message Query, data management, and database technologies
• Solid understanding of enterprise application integration (Enterprise Application Integration), and Workflow technology
• The architecture design experience of implementing complex business processes and applications using EAI! Workflow, Web Services, and Java/JEE framework
• Demonstrated experience with User Presentation Layer technology supporting B2B environments
• Demonstrated experience in monitoring, analyzing, and recommending solutions to performance problems in high-traffic, large-scale distributed systems and integration architectures
• Excellent communication and inter- person skillset

Preferred:
• Healthcare Payer industry knowledge and experience
• Ability to work effectively with all internal and external stakeholders
• Self-starter and motivated

Additional Skills:

1. Work with business and technology leaders to understand the holistic business strategy and then works with product managers, domain architects, senior technologists, and business analysts to identify, define and develop solution-specific, IT architectures and product deliverables to support the strategy.
2. The Architect also leads, and actively participates in, the design and hands-on development of projects including prototyping, proofs-of-concept, new enterprise technology components, and the delivery of products to market.
3. Support Agile teams on any delivery, deployment and code-related issues
4. Ensure code quality and Dev/Sec/Ops standards

 

 Mulesoft Any point Studio (Development and Troubleshooting)
 Experience with Continuous integration Jenkins,Dockers
 Must have good issue analysis, RCA and investigation skills
 Prior experience of Jira
 Expert in XA, MQ, Java experience in supporting mobile applications (Apple iOS, Android and Microsoft), Web Sphere, JDBC connections configurations and settings.

Ariba Integration Services

Need a mid-level D365 resource who can do custom menu creations on Retail module.  Some one like Brad Smillie but a mid-level person. Need someone to build new Menus on the D365 application.  Customer wants this person to have strong development skills on D365 in creating custom Menus.

•    Has good experience and understanding of how Tealium ( AudienceStream, EventStream…) works and ability to leverage them fluently with Adobe Marketing Cloud technologies. Has worked on Tealium Eventstrem connectors to ingest signals and develop business rules in AudienceStream ( CDP) to activate audiences via right channel at right time with right message
•    Has a deep understanding and architectural experience of designing and managing a CDP platform
•    Has good understanding of digital marketing strategies, including paid advertising, email marketing,  display advertising campaigns etc.
•    Passionate about new marketing technologies and desires constant improvement. Should be able to demonstrate art of possible within tech stacks as well as help craft solution design for usecases
•    Has good understanding of other Adobe cloud solutions (Adobe Analytics, Audience Manager, AEM)
•    Has strong foundation in creating audiences/segments across the eco-system. When/Where/How to create them for various usecases and customer journeys
•    Has worked in agile team(s) to collaborate on user story definition, and what “done” looks like, using a variety of agile tools and processes (JIRA, Scrum, Kanban…)
•    Can lead and develop technical documentation including, but not limited to user stories, data-flow diagrams, solution designs, entity-relationship diagrams, test cases, and so forth
•    Truly hybrid individual made up of Tech and digital marketing skills/expertise who has passion for learning new technologies
•    Great if has understanding of and/or worked in pharmaceutical industry along with above skills
 

This Call Center Representative is a front-line service position aiding Wyoming Benefits Management System and Services (WY BMS) members and providers regarding programs, policies, and procedures. Responsibilities include answering incoming calls related to eligibility, benefits, claims and authorization of services from members or providers. Responsibilities also include the administration of intake documentation into the appropriate systems. Overall expectations are to provide outstanding service to internal and external customers and strive to resolve member and provider needs on the first call. Performance expectations are to meet or exceed operations production and quality standards. This position is in Tallahassee, Florida   

What You Will Do:

• Responsible for meeting call handling requirements and daily telephone standards as set forth by management; accurately respond to inbound phone calls and processing provider and member inquiries and requests into the appropriate system and database.
• Under general supervision, resolve customers’ service or billing complaints by demonstrating sound judgement; contact customers to respond to complex inquiries or to notify them of claim investigation results and any planned adjustments.
• Under general supervision, resolve customer administrative concerns as the first line of contact - this may include claim resolutions and other expressions of dissatisfaction; refer unresolved customer grievances, appeals, and claim resolution to designated departments for further investigation.
• Actively listen and probe callers in a professional and timely manner to determine purpose of the calls; keep records of customer interactions and transactions, recording details of inquiries, complaints, and comments, as well as actions taken.
• Under general supervision, research and articulately communicate information regarding member eligibility, benefits, services, claim status, and authorization inquiries to callers while maintaining confidentiality.
• Assist efforts to continuously improve by assuming responsibility for identifying and bringing to the attention of responsible entities operations problems and/or inefficiencies.
• Assume full responsibility for self-development and career progression; proactively seek and participate in ongoing training sessions (formal and informal).
• Educate providers on how to submit claims and when/where to submit a treatment plan.
• Under general supervision, perform necessary follow-up tasks to ensure member or provider needs are completely met.
• Support team members and participate in team activities to help build a high-performance team.
• Thoroughly document customers' comments/information and forward required information to the appropriate staff.
• Escalate calls to Call Center Lead when necessary.
• Medicaid experience as a plus

Who You Are:

• You are a High School graduate or have equivalent experience.
• You will be available to work from 7:00 AM to 6:00 PM Mountain Time on all State business days, Monday through Friday (excluding Wyoming State holidays).
• You possess good verbal and written communication skills, attention to detail, customer service skills and interpersonal skills.
• You can work independently and manage your time and can accurately document and record customer/client information.
• You have customer service-related experience.
• You have previous experience with computer applications, such as Microsoft Word and PowerPoint.
• You must be a proficient typist (avg. 35+ WPM) with strong written and verbal communication skills.
• You must be able to maneuver through various computer platforms while verifying information on all calls.
• You must be able to talk and type simultaneously.
• You must be flexible in scheduling and comfortable with change as customer service is an ever-changing environment.
• If you can speak Bilingual Spanish, it would be “a plus”.
• You must be able to manage difficult calls with angry customers without getting rattled.
• You must be proficient in windows computer systems and able to navigate multiple monitors and systems simulatenously. 
• MUST HAVE HEALTHCARE EXPERIENCE

Training Schedule : 8 AM to 5 PM EST subject to changes if necessary.
Post Training Schedules: May vary upon call volumes and other factors.

JOB DESCRIPTION

 Seeking a talented web front-end and middle tier application developer and support person to join our growing team working in a collegial and fast-paced environment. The team is small, fast-moving, and generally follows an Agile software development approach. Our technology stack is focused on Microsoft products (generally IIS, .Net, SQL and Azure DevOps data repository). Microsoft products enable our development and version control efforts while collaboration is supported by JIRA.

The company is undergoing a shift from multiple legacy in-house systems to cloud-based solutions. This transformation will require a developer who is able to understand existing functions and support them.

·         Writes software and builds software products, creating self-contained, reusable, and testable modules and components. Supports existing software applications.

·         Participates in daily stand-up meetings and enhances backlog with technical input

·         Communicates clearly with internal peers within development team and end users  

·         Develops technical specifications and elaboration of user stories

·         Participates in source control, change management, defect tracking and resolution cycles

·         Conducts code reviews and identifies enhancements to existing code

·         Actively helps the team to choose the right technology and to solve technical problems

·         Provides support for software products in user environments

·         Leads and participates in knowledge sharing

Experience Required:

·         5+ years of work experience in design and new development of enterprise level web applications

·         5+ years of work experience with Visual Studio IDE

·         5+ years of work experience with .Net, 4.X (C#, ASP.NET)

·         5+ years of work experience with Microsoft SQL Server development, Stored Procedures, and TSQL

·         4+ years of work experience with consuming API Web Service (REST/SOAP)

·         4+ years of work experience with JavaScript

·         3+ years of console applications

·         3+ years of work experience with IIS

·         Prior experience with version control applications

·         Background in secure coding practices

·         Knowledge of web technologies (JSON, HTML, JavaScript, CSS, CMS, DHTML, XML, XSD, XSL, jQuery)

·         Knowledge of embedding third party software libraries.

·         Capacity to explain frameworks, concepts, and design patterns across software architecture and integration

Experience Preferred:

·         Experience with Microsoft SQL development tools (SSIS, SSRS)

·         Experience with Salesforce development

·         Experience with Azure DevOps, source control

·         Design and development of enterprise applications associated with PCI scope

·         Lifecycle maintenance for legacy applications (analysis, feature development, product retirement)

·         Knowledge of web technologies MVC 4.0/5.0

·         Experience developing and maintaining classic ASP applications

·         Experience with scripting applications, Powershell, windows shell script and batch

Education and Certifications:

·         Bachelor’s degree in Computer Science or similar field

Purpose of Project: Temp to Perm

Work Location: Dallas (either currently in metro or plans to move to metro by July 2021)  Progressively moving to hybrid work schedule with some days in office / some days remote.

Employment Status: Citizen, in possession of an Employment Authorization Document (EAD) or Green Card

Job hours: Monday - Friday, between 8:30 am - 6:00 pm

• Work in a complex environment which includes ETL development, Database, Job Scheduling/Automation/Performance Tools.
• Participate in ETL Design sessions with the team.
• Production support of new or changing mappings and workflows and produce technical specifications.
• Responsible for the analysis, data profiling, development, and integration of disparate systems throughout all phases of the project life cycle.
• Assist in ongoing development of technical best practices for data movement, data quality, data cleansing and other ETL related activities.
• Implement best practices and tune for optimization.

• REQUIRED EXPERIENCE/SKILLS

• At least 5-7 years of experience in technical development
• At least 5-7 years of experience with Informatica PowerCenter
• Experience with Oracle Database
• Excellent SQL, PL/SQL and Database Skills - Python / R are a plus
• Familiarity with data modeling – Star/Snow-flake schemas
• Extensive experience in Informatica Power Center Management capabilities, IDQ, Oracle, DynamoDB and RedShift databases,

•  Experience developing AWS services - Lambda using Python , Glue (must have), Kinesis, S3, Data Pipeline.