Skills
- HIX
- HIX (Health Insurance Exchange) Functional Implementation Consultant
- Health Insurance Exchange
- Functional
- Functional Implementation
- Functional Consultant with State-based Health Insurance Exchange (HIX)
- State integrated eligibility systems operations
- ACA (Affordable Care Act)
- MAGI Medicaid programs
- Qualified Health Plans
Job Description
Hi,
Please go through the complete job description thoroughly. If you are interested, please go ahead and send me your most recent updated resume along with your Contact#'s, hourly rate / salary expectation, visa status and your current location.
Any questions, please feel free to call me asap any time / even after hours / late hours at 717-856-8189 or email me at suresh@lingatech.com
Urgent Job Opening - Sr. HIX (Health Insurance Exchange) Functional Implementation Consultant with State-based Health Insurance Exchange (HIX), State integrated eligibility systems operations, ACA (Affordable Care Act), MAGI Medicaid programs, Qualified Health Plans, SHOP, Translating federal and state policy requirements, SNAP, TANF regulations - 100% REMOTE – Long Term
-----------------------------------------------------------------------------------------------------------------------------------------------
*** 2 Openings – 1 Sr. Level (5+ years) and 1 Jr. Level (3+ years) *** 100% Remote
-----------------------------------------------------------------------------------------------------------------------------------------------
Sr. HIX (Health Insurance Exchange) Functional Implementation Consultant needed - 100% REMOTE – Long Term
-----------------------------------------------------------------
REQUIRED SKILLS / ALL ARE MUST:
-----------------------------------------------------------------
As a Sr. HIX (Health Insurance Exchange) Functional Implementation Consultant, you will support and maintain a state-based Health Insurance Exchange. You will validate system changes, via test and review processes, ensuring there are no adverse effects, and evaluate the changes to determine whether they meet requirements and function as designed.
- 5+ years of experience with Health Insurance Exchange (HIX) Functional, State integrated eligibility systems operations and implementation as a functional consultant or equivalent positions like Business Analyst, Process Analyst, etc.
- Functional knowledge of ACA (Affordable Care Act) rules and regulations for MAGI Medicaid, Qualified Health Plans with or without assistance, and/or SHOP
- Experience in translating federal and state policy requirements into functional requirements and functional designs.
- Experience in reviewing functional requirements and/or functional designs of health insurance exchange systems.
- In addition to Health Care Exchange functional knowledge, basic knowledge of non-MAGI Medicaid programs and SNAP and TANF regulations.
- Bachelor’s degree or foreign equivalent required from an accredited institution. Will also consider three years of progressive, relevant work experience in lieu of every year of education
- Perform functional activities to support and maintain health care exchange that includes programs like MAGI Medicaid, Qualified Health Plans with or without assistance, and SHOP
- Utilize knowledge of program rules to analyze defects, perform root cause analysis, suggest solutions, and verify defect fixes
- Review assigned change request documentation and perform impact analysis.
- Convert policy requirements into system requirements and functional design
- Participate in reviews and walkthroughs of deliverables with the Client.
- Review test cases, scenarios, and conditions
- Support users in user acceptance testing (UAT).
Regards,
Suresh,
Recruiting Manager,
Linga Tech Inc,
Ph: 717-856-8189,
Email: suresh@lingatech.com,
Webste: www.lingatech.com