Healthcare Business Analyst
Derex Technologies Job In Parsippany-Troy Hills, NJ
Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Position: Healthcare Business Analyst (Claims and Pre-Authorization)
Location: Parsippany-Troy Hills, NJ, USA(On-Site)
Visa: ONLY USC and GC
Job Description
Overview:
As a Healthcare Business Analyst specializing in claims processing and pre-authorization, you will play a critical role in optimizing the development of our products. Your expertise will contribute to efficient claims management, accurate pre-authorization decisions, and streamlined processes.
Responsibilities:
Analyze end-to-end claims workflows, from submission to payment.
Collaborate with stakeholders (insurers, providers, patients) to identify process improvements.
Understand how to Ensure compliance with industry standards (e.g., HIPAA)
Evaluate pre-authorization requests for medical services or procedures.
Verify medical necessity and adherence to guidelines.
Facilitate timely approvals by working closely with providers and payers.
Utilize tools like Excel, SQL, and data visualization platforms.
Create reports, dashboards, and presentations to communicate insights.
Monitor performance metrics related to claims and pre-authorization.
Collaborate with IT teams to enhance products and development of claims processing systems.
Gather requirements for system upgrades and new features.
Maintain strong communication with cross-functional business units.
Regards,
Manoj
Derex Technologies INC
Contact : ************ Ext 206
Additional Information
All your information will be kept confidential according to EEO guidelines.
Data Modeler with Property and Casualty insurance
Derex Technologies Job In Princeton, NJ
Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Job Description
Role: Data Modeler
Location: Princeton, New Jersey (Onsite)
Duration: Longterm
Must have Property and Casualty insurance domain experience.
Responsibilities:
10+ years of strong experience on
Data Modeling experience using ER diagrams, using tools like Erwin.
Participant in Data workshops to understand the requirements
Collaborates with data architects, analysts, and stakeholders to gather data requirements
Strong experience on Property and Casualty Insurance Domain.
Familiarity with data warehousing concepts/etl processes.
Design LDM, PDM.
Ensure data integrity and consistency across MRE systems.
Gathering and translating business requirements into technical designs and development of the physical aspects of a specified design.
Experience in Database Design, Normalization, Conceptual, Logical and Physical Data Modeling using Erwin.
Collaborate with Information Architecture and Business Analysis teams in the formulation of requirements for data across all product lines
Regards,
Manoj
Derex Technologies INC
Contact :
************
Ext 206
Additional Information
All your information will be kept confidential according to EEO guidelines.
Senior .Net Developer
Derex Technologies Job In New Jersey
Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Position:
Senior .Net Developer
Location:
Parsippany, NJ / On-site
Duration:
Full Time
Skill Set
: Angular, .Net Core, C#, SQL, ASP.NET, MVC
Job Description:
Skills and Qualifications :
Experience in Microsoft .NET, Framework 4.0 OR above, C#, ASP.NET, ADO.NET, Web services/WCF, MS SQL.
Excellent written and verbal communication.
Flexible, team player, “get-it-done” personality.
Ability to organize and plan work independently.
Ability to work in a fast-paced, rapidly changing environment.
Ability to multi-task and context-switch effectively between different activities and teams
Able to train peers, software engineers and support team members.
Able to work in our office in Parsippany, NJ
Minimum of 10 years of experience required,
Bachelors or master's degree in Computer related field.
Responsibilities:
Design and develop a conceptual, logical, and physical data model for the Client product using Microsoft .Net technologies.
Understand and develop business process and requirements as it pertains to development within the customer business center.
Responsible for system analysis, designing the architecture for application and developing modules, integrate clients (consumers for Client applications);
Interface with business users, and product manager to ensure that implemented solutions satisfy business requirements and are delivered in a timely manner.
Document, test, implement and provide ongoing technical support for the Client application;
Review and implement application security (OWASP) concepts for internal/external threats;
Work with Alertlogic and IBM Appscan for application security test;
Configure and setup monitoring tools such as Sitescope and Cordiant Truesight for production support;
Design and automate various jobs to minimize the manual efforts; and
Coordinate with hosting partner (Rackspace) to setup and configure new Windows server 2003/2008, SQL server 2005/2008, load balancer, dmz regions, firewall changes (Ipsec vpn tunnels, configure ACLS for external servers).
Other duties as assigned or requested
Regards,
Manoj
Derex Technologies INC
Contact : ************ Ext 206
Additional Information
All your information will be kept confidential according to EEO guidelines.
.Net Technical/ Solutions Architect
Derex Technologies Job In Jersey City, NJ
Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Role: .Net Technical/ Solutions Architect
Location: NJ (On-Site)
Duration: Long Term
Job Description:
5+ years experience as a hands-on technical/solution architect combined with an extensive development background
Experience with Azure cloud services, incl. AKS, Cosmos DB, Azure SQL, Application Insights, Storage services, App Services, Functions, and networking
Familiarity with Databricks, Azure Data Factory (ADF), and Power BI
Good understanding of container technologies (AKS, docker)
Experience with architecting and implementing microservices architecture, and Azure hosted multi-tiered web applications
Extensive experience with C#(.NET), Python and Javascript frameworks
Experience with data analysis and SQL
Familiarity with building and maintaining predictive models
Experience in guiding technical teams
Ability to get hands-on as needed at a team lead / team architect capacity
Regards,
Manoj
Derex Technologies INC
Contact : ************ Ext 206
Additional Information
All your information will be kept confidential according to EEO guidelines.
Data Modeler with Property and Casualty insurance
Derex Technologies Job In Princeton, NJ
Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Job Description
Role: Data Modeler
Location: Princeton, New Jersey (Onsite)
Duration: Longterm
Must have Property and Casualty insurance domain experience.
Responsibilities:
10+ years of strong experience on Data Modeling experience using ER diagrams, using tools like Erwin.
Participant in Data workshops to understand the requirements
Collaborates with data architects, analysts, and stakeholders to gather data requirements
Strong experience on Property and Casualty Insurance Domain.
Familiarity with data warehousing concepts/etl processes.
Design LDM, PDM.
Ensure data integrity and consistency across MRE systems.
Gathering and translating business requirements into technical designs and development of the physical aspects of a specified design.
Experience in Database Design, Normalization, Conceptual, Logical and Physical Data Modeling using Erwin.
Collaborate with Information Architecture and Business Analysis teams in the formulation of requirements for data across all product lines
Regards,
Manoj
Derex Technologies INC
Contact : ************ Ext 206
Additional Information
All your information will be kept confidential according to EEO guidelines.
Senior .Net Developer
Derex Technologies Job In Parsippany-Troy Hills, NJ
Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Position: Senior .Net Developer
Location: Parsippany, NJ / On-site
Duration: Full Time
Skill Set: Angular, .Net Core, C#, SQL, ASP.NET, MVC
Job Description:
Skills and Qualifications :
Experience in Microsoft .NET, Framework 4.0 OR above, C#, ASP.NET, ADO.NET, Web services/WCF, MS SQL.
Excellent written and verbal communication.
Flexible, team player, “get-it-done” personality.
Ability to organize and plan work independently.
Ability to work in a fast-paced, rapidly changing environment.
Ability to multi-task and context-switch effectively between different activities and teams
Able to train peers, software engineers and support team members.
Able to work in our office in Parsippany, NJ
Minimum of 10 years of experience required,
Bachelors or master's degree in Computer related field.
Responsibilities:
Design and develop a conceptual, logical, and physical data model for the Client product using Microsoft .Net technologies.
Understand and develop business process and requirements as it pertains to development within the customer business center.
Responsible for system analysis, designing the architecture for application and developing modules, integrate clients (consumers for Client applications);
Interface with business users, and product manager to ensure that implemented solutions satisfy business requirements and are delivered in a timely manner.
Document, test, implement and provide ongoing technical support for the Client application;
Review and implement application security (OWASP) concepts for internal/external threats;
Work with Alertlogic and IBM Appscan for application security test;
Configure and setup monitoring tools such as Sitescope and Cordiant Truesight for production support;
Design and automate various jobs to minimize the manual efforts; and
Coordinate with hosting partner (Rackspace) to setup and configure new Windows server 2003/2008, SQL server 2005/2008, load balancer, dmz regions, firewall changes (Ipsec vpn tunnels, configure ACLS for external servers).
Other duties as assigned or requested
Regards,
Manoj
Derex Technologies INC
Contact : ************ Ext 206
Additional Information
All your information will be kept confidential according to EEO guidelines.
.Net Technical/ Solutions Architect
Derex Technologies Job In Jersey City, NJ
Derex Technologies Inc specializes in providing IT consulting, staffing solutions and software services. Globally headquartered in Harrison New Jersey since 1996 Derex delivers the highest quality technology professionals and an array of customized IT talent solutions designed to improve productivity and drive results to global clients throughout North America.
With over two decades of unparalleled experience, Derex provides supports to its clientele, across such industries as Systems Integration, Banking and Finance, Telecommunications, Pharmaceutical and Life Sciences, Energy, Healthcare, Technology, Transportation, and local and federal Government agencies.
Role: .Net Technical/ Solutions Architect
Location: NJ (On-Site)
Duration: Long Term
Job Description:
5+ years experience as a hands-on technical/solution architect combined with an extensive development background
Experience with Azure cloud services, incl. AKS, Cosmos DB, Azure SQL, Application Insights, Storage services, App Services, Functions, and networking
Familiarity with Databricks, Azure Data Factory (ADF), and Power BI
Good understanding of container technologies (AKS, docker)
Experience with architecting and implementing microservices architecture, and Azure hosted multi-tiered web applications
Extensive experience with C#(.NET), Python and Javascript frameworks
Experience with data analysis and SQL
Familiarity with building and maintaining predictive models
Experience in guiding technical teams
Ability to get hands-on as needed at a team lead / team architect capacity
Regards,
Manoj
Derex Technologies INC
Contact :
************
Ext 206
Additional Information
All your information will be kept confidential according to EEO guidelines.