MID Level Content Developer - Medical Rules

Job Description :

Analyze rules flow diagrams and detailed requirements to ensure complete understanding of the rule(s) that need to be created

Populate the Excel based template with the information required to create the rule using the domain specific language that will be converted to a JSON format

Identify problems and make recommendations on how to overcome the issue

Develop unit tests using Cucumber to test all possible outcomes of the rule

Provide support to the QA team and address problems if they arise

Communicates and collaborate effectively, written and orally, across all levels within the organization

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Plusses : IntelliJ Experience

Postgres and MSSQL experience

o Experience with querying postgres tables

Content Development Experience in a healthcare environment

Experience working with or around Business Rules Engines within a Business Process Management System - DROOLs / Java Experience

Knowledge of or experience in Medical coding

o Rules engine does medical bill review, and they develop the recommended reimbursment

Must Haves :

3-5 years experience in Java

Experience with Cucumber testing for unit tests

Experience with JSON file format

Experience with Microsoft applications, specifically Excel and Visio

Exhibit strong analytical and creative problem-solving skills with a knack for proactively identifying and resolving technical issues

Possess good communication and documentation skills through clearly written, concise, and comprehensive documentation

Intermediate knowledge of Medicare, Auto Fee Schedule, and Reasonable Fee Payment methodology