Technical Lead

Technical Lead (1)

• M1 Five (5) years of FTE experience aligning IT systems with organizational business processes. At least three (3) years of that experience must have been in a lead capacity. PASS/FAIL
• M2 Possess a bachelor’s degree in an IT-related or Engineering field. Additional qualifying experience may be substituted for the required education on a year-for-year basis. PASS/FAIL
• M3 Five (5) years of FTE experience working with Health Information Management data. PASS/FAIL
• M4 Two (2) years FTE experience Centers for Medicare and Medicaid Services (CMS) 1500 and Universal Billing (UB) UB-04 claim forms and billing requirements. PASS/FAIL
• M5 Two (2) years of FTE experience working with Accredited Standards Committee (ASC) X12N 837 electronic claim billing requirements. PASS/FAIL
• M6 Three (3) years of FTE experience working with HIPAA regulations. PASS/FAIL
• M7 Three (3) years of functional experience within an organization with a large, complex data set.

DESIRABLE QUALIFICATIONS (D):

• Experience working on Medi-Cal, or another Medicaid, as a Data Quality Analyst, Business Analyst, or Business Intelligence Analyst. Five (5) points will be given for every twelve (12) months of experience for a maximum of (15) points. 15 Experience with healthcare billing policies and requirements.
• D2 Five (5) points will be given for every twelve (12) months of experience for a maximum of ten (10) points. 10 Experience in state health policy and regulation formation.
• D3 Five (5) points will be given for every twelve (12) months of experience for a maximum of ten (10) points. 10 bachelor’s degree in health information management and/or Health Informatics.
• D4 Five (5) points will be given for a Bachelor of Arts/ Bachelor of Science in a health-related field. 5
• D5 Experience working with Standard Setting organizations, like: American Medical Association (AMA), National Uniform Claims Committee (NUCC), National Uniform Billing Committee (NUBC), Centers for Medicare and Medicaid Services (CMS), Health Level 7 (HL7), American Psychiatric Association (APA), and National Council for Prescription Drug Programs (NCPDP).

Estrada Consulting, Inc. (ECI) delivers technology-enabled services and solutions to clients all over the USA and British Columbia. We provide system integration, custom application development, data warehouse and business intelligence, project management, custom reporting solutions and consulting services to mid-size and large enterprises in all major industries. The Company headquarters is in Sacramento, California, and was established in year 2000. Visit to learn about our projects, managed services, awards and certifications delivering value for a range of businesses and government agencies.