Associate Degree in Information Systems / Computer Science or related discipline, or in healthcare related field is required .
Five (5) years of experience implementing and supporting healthcare IT solutions, utilizing open protocols and standards, such as HTTP, XML, JSON, and .Net across both SOAP and REST web services.
Three (3) years of Solution Architect or equivalent experience.
Strong systems development and integration skills, utilizing REST and SOAP web services.
Strong skills with programming languages such as C++, C#, and Java /JavaScript.
In-depth skills across Cognizant's QNXT/CAE operating environments, such as QNXT Open Access, QNXT Connect, CareAdvance Web Services and Analytics Engine, and TCS integration.
Strong knowledge of modern, cloud-based SaaS / PaaS solution architectures.
Working knowledge of healthcare interoperability rules and how they influence the solutions that are implemented across healthcare organizations.
Understands best practices and system controls surrounding the use of APIs to integrate across healthcare applications, including internal integration as well as B2B and B2C.
Strong understanding of Managed-care Operational functions, including member enrollment, claims adjudication, provider data management, utilization management, and care management.
Proficient computer and Microsoft Office skills.
Ability to learn new software programs.
Knowledge of Texas Medicaid, National Committee for Quality Assurance (NCQA), the Uniformed Managed Care Contract, and the Uniform Managed Care Manual.
