Financial Operations Analysis and Reconciliation
5 months
FRANKLIN LAKES, New Jersey
$48/hr
Responsibilities:
- Late Enrollment Penalty reconciliation and monitoring
- EGWP Installation and monitoring
- Providing cross-functional support to other members of the team and their related functions / responsibilities
- Perform ad hoc analytics as needed
- Understand CMS regulations, data files, data file requirements that support Medicare D processes.
- Interface with various functional groups/partners such as Account Management, Eligibility, Finance to collect requirements for new projects
- Create and manage SOP's, Use Cases, Checklists and process flows.
- Provide frequent status updates to management
- Notify management of issues and risks and explore/recommend solutions in a timely manner
- Ability to Lead a Project from Charter to Implementation.
Ability to develop and implement a process from end-
Qualifications Mandatory:
- 1-3 years relevant analytic experience; healthcare field preferred
- BA/BS degree preferred
Previous report/model development experience desired – ability to extract and manipulate large files in excel, mainframe systems - Strong analytical, quantitative and problem solving skills – solutions oriented
- Understanding of database systems and design in Access or SAS or SQL
- Strong written and verbal communication skills; proficiency in writing business, functional and/or technical requirements preferred
- Experience in working as part of a cross-functional team as well as able to work independently on multiple projects simultaneously
Detailed oriented with strong organizational skills and ability to work within a tight deadline
Desired:
- SAS and/or VBA is a nice to have.
- PBM experience a plus
QA Lead - Mainframe Testing
6-12 months
FRANKLIN LAKES, New Jersey
Responsibilities:
- Responsible to sit in scrum sessions onsite and convey back to offshore QA team.
- They would be responsible for the overall test strategy, planning and delegation to the QA team members.
- I would prefer someone with both distributed and mainframe testing experience.
- Testing automation and Agile (scrum) experience is definitely a strong plus.
Mandatory:
- 5+ Years experience QA testing on Mainframe and Ditributed systems.
- 3+ Years experience Mainframe Testing - primarily manual.
- 3+ Years experience Distributed platform like Java - Automation.
- 3+ Years experience working with offshore and drive QA team.
Thanks,
mohammed ismail
ph: 732-694-6000 Ext : 727
YIM: ismail.astirit
need-it-consultants@googlegroups.com
Fax: 973-215-2191
50 Cragwood Rd, Suite # 219, South Plainfield, NJ 07080
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