Summary

Seeking a highly skilled Reference SME with strong expertise in Medicaid Reference Configuration, BPA setup, Oracle, C, and Pro*C technologies. The candidate will manage configuration and maintenance of Benefit Plans, Assignment Plans, Provider Contracts, Reference Tables, Rule Metadata, and BPA configuration components used in claims https://jobeax.com/link/SRpbVM3ncgzc5mJ4 role requires deep understanding of Medicaid reference data structures and how reference configuration impacts claims, provider enrollment, reimbursement, audits, and policy administration.

Your role in our mission

Required Technical Skills

Programming Skills

C Programming
Pro*C
Oracle SQL
PL/SQL
Unix/Linux Shell Scripting
Batch Processing

Reference/BPA Skills

BPA Configuration
Reference Data Management
Rule Metadata
Rule Variables
Benefit Classifications
Rule Sheets
Release Management
Provider Contracts
Benefit Plan Hierarchies
Assignment Plan Hierarchies

What we're looking for

Ideal Candidate Profile

Reference SME (9+ Years)

60% Technical | 40% Functional

Strong Oracle, C, Pro*C expertise
Deep BPA configuration knowledge
Provider Contract and Benefit Plan maintenance experience
Rule Metadata and Rule Sheet management
Configuration governance and release management expertise
Strong troubleshooting and production support capability

What you should expect in this role

Remote Opportunities

C/Pro*C Developer - Medicaid BPA Configuration

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