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Senior Business Application Specialist

Job Attributes

Job Id:

18128

Job Category:

Software Applications & ERP

Job Location:

United States, NC  united States

Security Clearance:

No Clearance

Business Unit:

Piper Companies

JOB DESCRIPTION

Senior Business Application Specialist

Durham, NC

Piper Enterprise Solutions is seeking a Senior Business Application Specialist for one of our enterprise clients in RTP, NC.  The ideal candidate will have 2+ years of ClaimsXTen, ClaimCheck, or iCES experience.    

Responsibilities of the Senior Business Application Specialist include:

  • Manage routine updates to the CXT application (data dictionary, TPIC, code sets etc..) that require promotion through multiple lower regions in the TriZetto hosted environment.
  • Troubleshoot issues with CXT with a strong understanding of how the applications work together.
  • Coordination with TriZetto hosting and the service desk.
  • Stay current with operational configuration of CXT, Facets, and NetworX pricing.
  • Respond to inquiries from operational areas who have questions about CXT editing.
  • Manager any internally generated changes such as Medical Policy code or policy change.
  • Create and track two incident tickets for each change and each set of regions.
  • Define CXT rule logic in cross-functional sessions with McKesson, Medical Policy, and TriZetto.
  • Support testing by TriZetto; coordination and test case support across testing teams.

Requirements of the Junior Senior Business Application Specialist include:

  • 2+ years if ClaimsXTen, ClaimCheck, or iCES experience.
  • Claims processing experience.
  • Experience with reviewing, writing, or working with medical and reimbursement policies.
  • Experience being a certified professional coder.
  • Ability to travel 25%
  • Very strong communication skills.

Compensation for the Senior Business Application Specialist:  

  • Salary Range: $72-$74/hour depending on professional experience.
  • 6-month contract to hire.
  • Opportunity to work in a niche environment.
  • No relocation assistance available, but can reside in Arizona, Michigan, Tennessee, Virginia, or Pennsylvania.
  • No 3rd party candidates.

Please send qualified resumes to Greg Silvestri at gsilvestri@pipercompanies.com

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New Search

Job Id:

18128

Job Category:

Software Applications & ERP

Job Location:

United States, NC  united States

Security Clearance:

No Clearance

Business Unit:

Piper Companies