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Computer Sciences Corporation
In addition to our headquarters in Falls Church, Virginia, USA, and three other major offices in Australia, Asia and Europe, our 98,000 professionals serve clients in more than 90 countries.WHAT WE DOFor more than 50 years, we at CSC have developed smart, technology-enabled solutions to solve our clients' toughest challenges, demonstrating a commitment to excellence and a passion for exceeding expectations.Over the past five decades, technology has radically changed the world we live in. We h... Read More
Address | 3170 Fairview Park Drive, Falls Church, VA 22042 |
Website | www.csc.com/ |
Holding | No Holding Details |
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Business Analyst
Essential Job Functions
This candidate will work on HIPAA implementation, issues remediation. Much of this work means being assigned to and following various listserv such as NCPDP, X12N, DISA, NMEH, Wedi-SNIP and others. Some travel will be required to work with the industry groups and standards development organizations in the development of HIPAA Implementation Guides and technical reports. This candidate will participate on weekly and biweekly teleconference meetings. This involvement is key to ensure CSC’s and DOH’s interests are addressed and taken into consideration whenever changes are requested for the various Implementation Guides or technical reports. This candidate will work with Trading Partners helping to bring them to HIPAA compliance and keeping them informed of how HIPAA requirements affect the Medicaid transactions and will travel to various sites to do HIPAA transaction training and teach the Trading Partners the tools necessary to assist them in submitting successful production HIPAA transactions.
Some of the duties for this position include:
· Work with NCPDP transactions and the pharmacy claim life cycle
· Assist DOH personnel by providing updates regarding NCPDP
· Interact with all departments involved in the development of HIPAA Transaction and with users involved in MMIS policy issues and program changes.
· Keep abreast of code set changes mandated by CMS and other Code Maintenance organizations such as NUBC and Washington Publishing Company.
· Interact with Trading Partners on EDI and Transaction issues via telephone, group meetings and emails.
· Provide Trading Partner training, transaction testing and implementation assistance.
· Help Trading Partners to resolve Production Edit problems
· Create forms needed for HIPAA transaction submission with Medicaid (i.e. Trading Partner Agreement, HIPAA Enrollment Form for testing )
· Work with Provider Services, assisting in creation of CSR training materials.
· Create and update Companion Guides.
· Create and update Trading Partner test files.
· Create frequently asked questions (FAQs).
· Work on creating new Fax on Demands for HIPAA Call Center
· Review Project Assessments Plans.
· Develop design specifications.
· Create letters/transmittals to send to NYSDOH.
· Keep abreast of National HIPAA activity through various Listserv, attending conferences, and X12N Industry Work Group sessions
· Resolving complex NYTrack Issues
· Web site updates - FAQ, Metrics on Issues, Front End Edit Reports, CGs, Supplemental CGs, DOH Announcements. Edit Error Knowledge Database. Sample X12 Transactions, DOH Letters, Provider Notifications, Emails to Trading Partners
· Maintaining and monitoring Lotus Notes email traffic of HIPAA related email addresses
· Assist in the development of HIPAA Policies and Procedures
· Experience with the following transactions: 270, 271, 277, 278, 835, 837, 999 and 277CA is a plus
Qualifications
Basic Qualifications
* Bachelor's degree or equivalent combination of education and experience
* Bachelor's degree in computer science, engineering, or mathematics, or related field preferred
* Four or more years of technology analysis experience
* Experience working with the technology industry and technology architecture
* Experience working with the interface of information technology with functional groups within an organization
Other Qualifications
* Analytical and problem solving skills
* Communication skills
* Skills in data administration and design
* Interpersonal and presentation skills for interacting with team members and clients
* Ability to work in a team environment
Other Job Information
Vacancy type: |
Full Time | Contact Mode: |
not provided |
Fax: |
not provided | Contact Name: |
not provided |
Job Duration: |
not provided | Phone: |
+1-703-8761000 |
Email: |
not provided |
TalentOne Job Information
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