Mandatory Qualifications:
- Five (5) years of experience with various Electronic Data Interchange (EDI) methods, such as point-to-point EDI, EDI Network Services Provider, FTP over VPN, SFTP and FTPS, etc.
- Three (3) years of experience interpreting HIPAA rules and regulations for implementation by a covered entity.
- Three (3) years of experience participating in HIPAA- based projects for Transactions, Code Sets, National Provider Identifier requirements, CAQH CORE Operating Rules, or similar practices/standards compliance.
- Three (3) years of experience performing complex systems analysis.
- Three (3) years of experience working with program staff and managing relationships with program staff.
- Three (3) years of experience working within the healthcare industry.
Desirable Qualifications
- Accepted agile certification, such as Project Management Institute – Agile Certified Practitioner (PMI-ACP) or Scrum Alliance Certified Scrum Master (CSM), or Certified Scrum Product Owner (CSPO).
- Two (2) years’ of experience participating in a practice or standards development process led by a CMS-recognized standards development organization (SDO), such as ASC X12.
- Additional years’ of participation in national HIPAA standards settings organizations, workgroups, and other HIPAA-related organizations.
- Two (2) years’ of experience with Medicaid programs.
- One (1) year of experience with State of California programs and organizations, or other similar government experience.
- Additional years of experience for mandatory experience qualifications.
- Additional years of experience for desirable experience qualifications.
Education: Bachelor’s Degree in information technology.
Certification:
Accepted agile certification, such as Project Management Institute – Agile Certified Practitioner (PMI-ACP) or Scrum Alliance Certified Scrum Master (CSM), or Certified Scrum Product Owner (CSPO).