Junior Site Engineer Salary in Bangalore - PayScale

SummaryExpert in at least one EDI and QNXT Data component, X12 transaction set, an implementation manager, or a support manager. From a solution standpoint, independently represents at least one EDI and QNXT Data component through all phases of the system development life cycle. Represents these solutions to customers, designing customized instances and implementing these solutions. Leads a group of 1:5 resources through an EDI and QNXT Data implementation or through ongoing support of an existing customer site. Demonstrates both technical and business prowess in the solution set they represent. Continues to increase their technical expertise across all EDI and QNXT Data components, into Integrated Solutions areas, and into other CEF groups to aid in integration efforts. Also continues to increase their management skills through experience and additional training and education. Expert in the field of EDI Healthcare transaction sets.Your role in our missionEssential Functionso Duties and Responsibilities (List all essential duties and responsibilities in order of importance)o Analyzes, models, designs, develops and implements EDI and QNXT Data components and X12 Transaction Sets for Medicaid sites.o Designs, develops and implements customized functionality to accommodate business processes related to EDI and QNXT Data components.o Identifies the need for and develop new EDI and QNXT Data functionality to accommodate new business processes and procedures as they are introduced to the solution.o Assists and mentors peers with understanding EDI and QNXT Data components, technical architecture, custom development, and operations support.o Assists all other CEF groups involved in integration efforts across the practice that involve EDI and QNXT Data.o Identifies and prescribes technical solution requirements in support of the CEF Business Development group's efforts in writing proposals and responding to RFPs and RFIs, etc.o Represents the EDI and QNXT Data group as a new implementation lead or existing customer support lead, managing junior Integrated Solutions resources.Knowledge/Skills/AbilitiesIn depth knowledge of HIPAA/EDI X12 4010/5010 healthcare:related transactions including , , 278, 820, 834, 835, 837, 997, 999, 824, and NCPDP 5.1 and D.0o Knowledge of EDI applications including the EDI Gateway, Edifecs suite of tools, Microsoft Biztalk, Microsoft SQL Server, and other applications in support of EDI processingo Knowledge of QNXT Administrator and QNXT Connecto Fluent with commonly used EDI concepts, practices and procedures within a heath care fieldo Medicaid domain knowledgeo Expert knowledge of industry standard health data code sets such as ICD:9/ICD:10, CPT/HCPCS, revenue codeso Knowledgeable with regulatory requirements associated with 5010 and ICD:10o Specific knowledge of claims, enrollment, and /or Authorizations in a Medicaid environmento Possesses analytical and creative problem solving skillso Excellent verbal and written communication skillso Ability to abide by Molina's policieso Ability to maintain attendance to support required quality and quantity of worko Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)o Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customersRequired Education: Bachelor's Degree or equivalent experience Required Experience: Combined 5:10 years of health care, EDI, and project management experienceRequired Licensure/Certification: N/A Preferred Education:Bachelors Degree in Computer Science or related fieldPreferred Experience:5:10 years of Medicaid, CEF solution sets