email your resumes at pramodk@astirit.com
1) Data Analyst
FRANKLIN LAKES, New Jersey
5 Months
Responsibilities :
- Develop and implement solutions to mitigate issues and risks.
- Understand Medicare Part D regulations and ensure that reconciliation processes are in compliance with the regulation and product or client requirements
- Primary Responsibilities/Expected Contributions
- Develop SOPs, business requirements, functional specifications, and process flows to establish monthly reconciliation processes for The Client's Medicare Member Enrollment System.
- Compare enrollment data in the Client system to that of our clients' and to CMS data to identify and rectify discrepancies in a timely manner.
- Ensure members receive coverage and minimize or eliminate financial exposure to The Client and clients.
- Develop metrics and control plans and charts to monitor enrollment reconciliation efforts. Monitor plans and distribute periodic reports to division management and functional partners.
- Write queries and programs to match and analyze data.
- Analyze identified discrepancies, understand discrepancy root cause, and recommend system enhancements to prevent discrepancy in the future.
- Monitor CMS requirements pertaining to the reconciliation efforts;
- Define business requirements for process and system changes.
- Complete all steps required to resolve compliance-related issues in a timely and effective manner.
Required :
- 5 Years Experience Strong SQL experience
- 5+ Years Experience with Requiremnt writing,
- 5+ Years Experience with Data Structure and working with data
- Demonstrated reconciliation experience within healthcare or finance environment
- Structured thinker, excellent process and business requirements required.
- Strong communication and organization skills
- 1+ year of Medicare Part D or Medicare Advantage enrollment experience required
- Proficient in use of database tools to analyze, track and report on large quantities of data.
- Strong SQL experience is a must.
Desired :
- SAS and/or VBA is a nice to have.
- PBM experience a plus
2) Architect - MDM
Somerset, New Jersey
4 Months
Responsibilities :
- Design and build of data hub.
- Design and build of extract functionality to downstream systems.
- Responsible for the successful implementation of all defined deliverables.
- Initial requirements gathering and presentation of the requirements to the stakeholders.
- Provide expert solution, architectural guidance and created initial drafts of deliverables.
Required Skills :
- Minimum 10 years of IT experience.
- Minimum 4 years in designing Master Data Management (MDM) solutions.
- Expertise for the tuning of the Match Rules on the full dataset of multi million customers.
- Should have designed & developed multiple cleansing and standardisation scenarios using mappings & industry standard products such as Address Doctor, Trillium, Data flux.
- Extensive Experience in Entity-Framework, LINQ To Entity, LINQ To Object.
- Strong knowledge of ADO.NET.
- SQL Server 2005 & 2008.
- Have got strong SQL Server 2005/2008 experience which should include database design from MDM perspective and also strong in SSIS to work in building any ETL packages.
- Have good experience with .NET technologies as well since we need to integrate with MDM solution.
Desired Skills :Microsoft MDM/ Master Data Services experience using SSIS and WCF.
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