Acceptance Testing, Analysis Skills, Business Analysis, Communication Skills, Consulting, Cross-Functional, Design Document, Documentation, Enterprise Application Integration (EAI), Enterprise Applications, Enterprise Data Integration, Healthcare, Healthcare Software, Managed Care, Project Lifecycle, Quality Assurance, Requirements Management, Sales/Support Engineering (SE), System Validation, Technical Writing, Technical/Engineering Design, Test Design, Testing, Unit Test, Utilization Management
Job Title: HealthEdge Guiding Care Consultant
Location: Dayton, OH 45402
Duration: 12 Months Contract
Experience Required: 8 10 Years
Interview Process: Face-to-Face Interview Required
<.>Job Summary
We are seeking an experienced HealthEdge Guiding Care Consultant with strong expertise in Guiding Care applications and healthcare management systems. The ideal candidate will have hands-on experience working with various Guiding Care modules, gathering and analyzing requirements, creating technical design documentation, performing unit testing, and supporting QA teams throughout the project lifecycle.
<.>Required Skills
Must-Have Skills
- Strong knowledge and hands-on experience with HealthEdge Guiding Care Modules.
- Ability to analyze and understand business requirements and translate them into detailed design documents.
- Experience performing unit testing, particularly within the G&A (Grievance & Appeals) module.
- Experience working with Guiding Care modules such as:
- Authorization Management
- Utilization Management (UM)
- SmartComm
- G&A Module
Nice-to-Have Skills
- Additional expertise across multiple HealthEdge Guiding Care modules.
- Experience integrating and interfacing Guiding Care with other internal healthcare applications.
- Knowledge of healthcare payer workflows and care management processes.
<.>Key Responsibilities
- Analyze and understand business requirements related to HealthEdge Guiding Care applications.
- Design and develop solutions across Guiding Care modules, including Authorization Management, UM, SmartComm, and G&A.
- Create detailed functional and technical design documents based on business requirements.
- Perform unit testing and support system validation activities.
- Collaborate with QA teams to address questions, clarify requirements, and resolve defects.
- Work closely with business stakeholders, analysts, and development teams to ensure successful solution delivery.
- Support integration and interfacing efforts between Guiding Care and other enterprise applications.
- Participate in design reviews, testing activities, and implementation support.
<.>Required Qualifications
- 8 10 years of overall IT experience.
- Strong hands-on experience with HealthEdge Guiding Care applications.
- Experience in healthcare payer or managed care environments.
- Excellent analytical, communication, and documentation skills.
- Ability to work independently and interact effectively with cross-functional teams.
<.>Preferred Qualifications
- Experience supporting healthcare care management, utilization management, and authorization processes.
- Familiarity with healthcare data integrations and enterprise application interfaces.
- Experience supporting QA, UAT, and production deployments.
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