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.Net Developer with Healthcare Claims Processing

$65 per hour

Diverse Lynx

Job Description

Job Description

Position: .Net Developer with Healthcare Claims Processing
Location: Remote
Duration: 6 Month Contract


Rate: $65/hr

Responsibilities:
" Strong understanding of Healthcare Claims Processing lifecycle, including adjudication, pricing, enrollment, provider, and member data flows.
" Experience working with legacy and modern claims platforms.
" Hands-on or working knowledge of Universe Database.
" Hands-on or working knowledge of Pick Basic Programming.
" Hands-on or working knowledge of .NET Technologies.
" Hands-on or working knowledge of SQL Development & Query Eligible to workimization.
" Hands-on or working knowledge of API Design, Integration, and Testing.
" Healthcare EDI implementation, modernization, transformation, or operations involving:
- 837 Claims
- 835 Remittance
- 270/271 Eligibility
- 276/277 Claim Status
- Enrollment transactions
- Acknowledgments
- Exception handling
- Reconciliation processes
" Ability to understand system architecture, application integrations, and technical dependencies.
" Experience working closely with architecture teams and translating high-level designs into actionable delivery tasks.
" Familiarity with cloud-based integration and enterprise architecture frameworks.
" Strong stakeholder management and executive communication skills.

REQUIRED SKILLS

Healthcare Claims Processing
" Claims adjudication
" Pricing
" Enrollment
" Provider data flows
" Member data flows

Claims Platforms
" Legacy claims platforms
" Modern claims platforms

Technical Skills
" Universe Database
" Pick Basic Programming
" .NET Technologies
" SQL Development & Query Eligible to workimization
" API Design, Integration, and Testing

Healthcare EDI
" 837 Claims
" 835 Remittance
" 270/271 Eligibility
" 276/277 Claim Status
" Enrollment transactions
" Acknowledgments
" Exception handling
" Reconciliation processes
Vacancy posted 3 days ago
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