5 Tpl Jobs

Assists in analysing and documenting client's business requirements and processes; Communicates these requirements to technical personnel by constructing configuration deliverables Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices Analyses configuration data and structure to isolate defects Experience with Configuration Implementation Build & Maintenance Research and define solutions for new configuration, legislation, or client rules. Experience configuring in QNXT or FACETS Understands Medicaid Program structure in carriers, programs, benefit plans, policy, policy plans, sponsor, and or policies. Understands Provider (Contract and Pricing) data Understands Member data including but not limited to aid categories, coverage codes, benefit packages, restrictions, limitations, prior authorizations, programs, and primary care providers. Experience with Configuration Implementation Build & Maintenance Understands relational database concepts and schemas Experience writing SQL queries for data analysis Experience processing Medicaid claims and ability to troubleshoot adjudication results Assists in creating basic test scenarios to verify that client requirements are incorporated into the system design. Assists in developing and modifying systems requirements documentation to meet client needs. Participates in meetings with clients to gather and document requirements and explore potential solutions. Business analysis experience in U.S. Medicaid management preferred

Assists in analysing and documenting client's business requirements and processes; Communicates these requirements to technical personnel by constructing configuration deliverables Adheres to and supports Configuration team approach and other configuration principles, methodologies, and practices Analyses configuration data and structure to isolate defects Experience with Configuration Implementation Build & Maintenance Research and define solutions for new configuration, legislation, or client rules. Experience configuring in QNXT or FACETS Understands Medicaid Program structure in carriers, programs, benefit plans, policy, policy plans, sponsor, and or policies. Understands Provider (Contract and Pricing) data Understands Member data including but not limited to aid categories, coverage codes, benefit packages, restrictions, limitations, prior authorizations, programs, and primary care providers. Experience with Configuration Implementation Build & Maintenance Understands relational database concepts and schemas Experience writing SQL queries for data analysis Experience processing Medicaid claims and ability to troubleshoot adjudication results Assists in creating basic test scenarios to verify that client requirements are incorporated into the system design. Assists in developing and modifying systems requirements documentation to meet client needs. Participates in meetings with clients to gather and document requirements and explore potential solutions. Business analysis experience in U.S. Medicaid management preferred

QNXT/Schema knowledge Healthcare/business knowledge in member, eligibility, TPL, claims processing, provider, pharmacy claims Good/Excellent SQL skills Good Oral/Written communication skills Data Mapping experience Conversion/Interface/Reporting Experience Data Collection & Management Gather, clean, and validate data from various internal and external sources. Ensure data integrity and consistency across different datasets. Develop and maintain data pipelines and databases to manage incoming data efficiently. Data Analysis & Interpretation Analyze data sets using statistical techniques and tools (Excel, SQL, Python, R, etc.). Identify trends, patterns, and insights from large datasets. Interpret data to provide actionable recommendations and business solutions. Reporting & Visualization Prepare detailed reports with key metrics, analysis, and trends. Create data visualizations (using tools like Tableau, Power BI, or others) to simplify complex data and provide stakeholders with clear insights. Develop dashboards and regular performance reports for management. Collaboration & Communication Collaborate with cross-functional teams (marketing, finance, operations) to understand their data needs. Present findings to stakeholders in a clear, concise manner, translating technical data into business-friendly insights. Support decision-making by providing data-driven reports and analysis. Process Improvement Suggest improvements to existing data collection, processing, and reporting practices. Participate in the design and optimization of automated reporting systems. Work on optimizing data models and processes for better efficiency and insights.

Dear Candidate, We are seeking a skilled C# Software Engineer to join our team. The ideal candidate will be responsible for designing, developing, and maintaining high-performance software applications using C# and the .NET framework. This role requires strong problem-solving abilities and a passion for building scalable and efficient solutions. Role & Responsibilities: Develop, maintain, and optimize C# applications using the .NET framework. Design and implement scalable and efficient software solutions . Write clean, maintainable, and well-documented code. Collaborate with cross-functional teams including UI/UX designers, backend developers, and QA engineers. Ensure application performance, security, and scalability . Work with databases such as SQL Server or PostgreSQL to optimize queries and performance. Debug and troubleshoot complex technical issues in applications. Stay updated with the latest C# and .NET development trends . Required Skills & Qualifications: Proficiency in C# and the .NET framework (ASP.NET, .NET Core). Experience with object-oriented programming (OOP) principles . Strong understanding of RESTful APIs and microservices architecture . Proficiency in SQL databases (SQL Server, PostgreSQL, or MySQL). Experience with frontend technologies such as HTML, CSS, and JavaScript (optional but beneficial). Familiarity with version control systems (Git, GitHub, GitLab, etc.). Strong problem-solving and debugging skills . Excellent communication and teamwork abilities . Soft Skills: Strong problem-solving and analytical skills. Excellent communication skills to work with cross-functional teams. Ability to work independently and as part of a team. Detail-oriented with a focus on delivering high-quality solutions Note: If you are interested, please share your updated resume and suggest the best number & time to connect with you. If your resume is shortlisted, one of the HR from my team will contact you as soon as possible. Kandi Srinivasa Reddy Delivery Manager Integra Technologies

Dear Candidate, We are seeking a skilled C# Software Engineer to join our team. The ideal candidate will be responsible for designing, developing, and maintaining high-performance software applications using C# and the .NET framework. This role requires strong problem-solving abilities and a passion for building scalable and efficient solutions. Role & Responsibilities: Develop, maintain, and optimize C# applications using the .NET framework. Design and implement scalable and efficient software solutions . Write clean, maintainable, and well-documented code. Collaborate with cross-functional teams including UI/UX designers, backend developers, and QA engineers. Ensure application performance, security, and scalability . Work with databases such as SQL Server or PostgreSQL to optimize queries and performance. Debug and troubleshoot complex technical issues in applications. Stay updated with the latest C# and .NET development trends . Required Skills & Qualifications: Proficiency in C# and the .NET framework (ASP.NET, .NET Core). Experience with object-oriented programming (OOP) principles . Strong understanding of RESTful APIs and microservices architecture . Proficiency in SQL databases (SQL Server, PostgreSQL, or MySQL). Experience with frontend technologies such as HTML, CSS, and JavaScript (optional but beneficial). Familiarity with version control systems (Git, GitHub, GitLab, etc.). Strong problem-solving and debugging skills . Excellent communication and teamwork abilities . Soft Skills: Strong problem-solving and analytical skills. Excellent communication skills to work with cross-functional teams. Ability to work independently and as part of a team. Detail-oriented with a focus on delivering high-quality solutions Note: If you are interested, please share your updated resume and suggest the best number & time to connect with you. If your resume is shortlisted, one of the HR from my team will contact you as soon as possible. Srinivasa Reddy Kandi Delivery Manager Integra Technologies