[Hiring] Medicaid BPA Configuration @Gainwell Technologies LLC

Role Description

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
• BPA configuration components used in claims adjudication

The role requires a deep understanding of Medicaid reference data structures and how reference configuration impacts:

• Claims
• Provider enrollment
• Reimbursement
• Audits
• Policy administration

Qualifications

• 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

Requirements

• C Programming
• Pro*C
• Oracle SQL
• PL/SQL
• Unix/Linux Shell Scripting
• Batch Processing
• BPA Configuration
• Reference Data Management
• Rule Metadata
• Rule Variables
• Benefit Classifications
• Rule Sheets
• Release Management
• Provider Contracts
• Benefit Plan Hierarchies
• Assignment Plan Hierarchies

Benefits

• Remote Opportunities