[Remote] .Net Developer with Healthcare Claims Processing

Note: The job is a remote job and is open to candidates in USA. Diverse Lynx is recruiting a .NET Developer for a confidential client. The role focuses on healthcare claims processing systems, EDI workflows, and integrating legacy and modern platforms.

Responsibilities

• Strong understanding of Healthcare Claims Processing lifecycle, including adjudication, pricing, enrollment, provider, and member data flows
• Experience working with legacy and modern claims platforms
• Hands-on or working knowledge of Universe Database
• Hands-on or working knowledge of Pick Basic Programming
• Hands-on or working knowledge of .NET Technologies
• Hands-on or working knowledge of SQL Development & Query Eligible to workimization
• Hands-on or working knowledge of API Design, Integration, and Testing
• Healthcare EDI implementation, modernization, transformation, or operations involving:
• 837 Claims
• 835 Remittance
• 270/271 Eligibility
• 276/277 Claim Status
• Enrollment transactions
• Acknowledgments
• Exception handling
• Reconciliation processes
• Ability to understand system architecture, application integrations, and technical dependencies
• Experience working closely with architecture teams and translating high-level designs into actionable delivery tasks
• Familiarity with cloud-based integration and enterprise architecture frameworks
• Strong stakeholder management and executive communication skills

Skills

• Strong understanding of Healthcare Claims Processing lifecycle, including adjudication, pricing, enrollment, provider, and member data flows
• Experience working with legacy and modern claims platforms
• Hands-on or working knowledge of Universe Database
• Hands-on or working knowledge of Pick Basic Programming
• Hands-on or working knowledge of .NET Technologies
• Hands-on or working knowledge of SQL Development & Query Eligible to workimization
• Hands-on or working knowledge of API Design, Integration, and Testing
• Healthcare EDI implementation, modernization, transformation, or operations involving:
• 837 Claims
• 835 Remittance
• 270/271 Eligibility
• 276/277 Claim Status
• Enrollment transactions
• Acknowledgments
• Exception handling
• Reconciliation processes
• Ability to understand system architecture, application integrations, and technical dependencies
• Experience working closely with architecture teams and translating high-level designs into actionable delivery tasks
• Familiarity with cloud-based integration and enterprise architecture frameworks
• Strong stakeholder management and executive communication skills
• Claims adjudication
• Pricing
• Enrollment
• Provider data flows
• Member data flows
• Legacy claims platforms
• Modern claims platforms
• Universe Database
• Pick Basic Programming
• .NET Technologies
• SQL Development & Query Eligible to workimization
• API Design, Integration, and Testing
• 837 Claims
• 835 Remittance
• 270/271 Eligibility
• 276/277 Claim Status
• Enrollment transactions
• Acknowledgments
• Exception handling
• Reconciliation processes

Benefits

• Remote work arrangement

Company Overview

Diverselynx IT Consulting Services It was founded in 2002, and is headquartered in Princeton, New Jersey, USA, with a workforce of 1001-5000 employees. Its website is http://www.diverselynx.com.

Company H1B Sponsorship

Diverse Lynx has a track record of offering H1B sponsorships, with 1 in 2024, 1 in 2021. Please note that this does not guarantee sponsorship for this specific role.