Subject Matter Expert (SME)

Subject Matter Expert (SME)

Location: Sacramento, CA

Duration: 2 Years

Minimum Skills:

• Five (5) years of experience with various Electronic Data Interchange (EDI) methods, such as point-to-point EDI, EDI Network Services Provider, FTP over VPN, SFTP and FTPS, etc
• Three (3) years of experience interpreting HIPAA rules and regulations for implementation by a covered entity.
• Three (3) years of experience participating in HIPAA-based projects for Transactions, Code Sets, National Provider Identifier requirements, CAQH CORE Operating Rules, or similar practices/standards compliance
• Three (3) years of experience performing complex systems analysis.
• Three (3) years of experience working with program staff and managing relationships with program staff.
• Three (3) years of experience working within the healthcare industry.
• Bachelor of Science (BS) or Bachelor of Arts (BA) degree

Desirable Skills:

• Accepted agile certification, such as Project Management Institute - Agile Certified Practitioner (PMI-ACP) or Scrum Alliance Certified ScrumMaster (CSM), or Certified Scrum Product Owner (CSPO).
• Two (2) years of experience participating in a practice or standards development process led by a CMS-recognized standards development organization (SDO), such as ASC X12.
• Additional years of participation in national HIPAA standards settings organizations, workgroups, and other HIPAA-related organizations.
• Two (2) years of experience with Medicaid programs.
• One (1) year of experience with State of California programs and organizations, or other similar government experience.
• Additional years of experience for mandatory experience qualification
• Additional years of experience for desirable experience qualifications.