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Provider Application SME (Technical) - W2

Remote • Posted 11 hours ago • Updated 11 hours ago

Contract Corp To Corp

Contract Independent

Contract W2

12 Months

Remote

Depends on Experience

Cyma Systems Inc

Fitment

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Job Details

Skills

Provider Data Management (PDM)
Provider Network and Contracts and credentialing and healthcare payer operations
Network Management
Workflow/BPM configuration

Summary

Senior Provider Data Management Technical / Domain SME

We are seeking a Senior Technical Professional with 12 15 years of experience who brings a strong combination of healthcare provider-domain expertise and hands-on technical/application integration experience. The ideal candidate must understand Provider Data Management (PDM), Provider Network and Contracts, credentialing, and healthcare payer operations, while also being capable of working deeply with APIs, integrations, data, rules engines, workflows, and application configurations.

This is a hybrid provider-domain and technical role. The candidate should be able to translate provider business and operational requirements into scalable technical solutions, troubleshoot complex provider data and integration issues, and work effectively with both business/domain stakeholders and technical teams.

Key Areas of Experience

Provider Data Management (PDM) and Provider Network/Contracts
Provider onboarding, credentialing, contracting, and network management
Strong understanding of healthcare payer systems and provider lifecycle processes
REST/SOAP APIs, ETL, and application/system integrations
SQL and hands-on provider data analysis and troubleshooting
Rules engines such as Drools/Kogito
Provider data quality, Master Data Management (MDM), match/merge, and data governance
Workflow/BPM configuration and business process automation
CI/CD and application configuration promotion across environments
Integration with Claims, Provider Directory, Provider Portal, and other payer applications
Ability to analyze and resolve issues spanning provider data, business rules, workflows, applications, and integrations
Ability to translate provider-domain/business requirements into technical specifications and solutions
Experience collaborating with provider operations, business SMEs, architects, developers, integration teams, and other technical stakeholders

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: RTL327349
Position Id: 9108631
Posted 11 hours ago

Company Info

About Cyma Systems Inc

Cyma Systems is a technology solutions firm based in Connecticut serving mid-sized and Fortune 1000 businesses. We work with a range of corporate commercial clients as well as with the government sector. As a full-service consulting firm, we engage with our clients to share ideas on how we can help their businesses to become more profitable, to get a jump start on competitors by bringing products to market quickly, reducing costs, maximizing the use of existing technologies, driving more sales through the channel, and to bring additional value by forming a mutually beneficial partnership.

We think that the essence of a successful business is its ability to adapt and transform keeping ground realities in sight. At Cyma we work on leveraging the right synergies between technology and people that work towards transforming the outlook and results of your business.

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