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NASCO Claims Domain Specialist
Job Location:
Job Location:
Newark, DE - USA
Monthly Salary:
Not provided by the employer
Monthly Salary:
Posted:
30 July 2026 (30+ days ago)
Posted:
Application Deadline:
27 October 2026
Application Deadline:
Vacancies:
1 Vacancy
Vacancies:
Job Summary
- 15 years of experience in US Healthcare Insurance with strong NASCO Claims domain expertise.
- Serve as the primary SME for end-to-end NASCO Claims Processing (Professional Institutional and Pharmacy claims).
- Lead UAT planning execution validation and business sign-off activities.
- Strong knowledge of Claims Adjudication Pricing/Repricing Accumulators COB and Subrogation.
- Review and validate test plans test scenarios test data and claims workflows.
- Expertise in EDI transactions including/271 and healthcare claims lifecycle.
- Ensure compliance with CMS HIPAA Medicare Medicaid and Commercial Health Plan requirements.
- Act as the key liaison between Business Product Owners Operations Development and QA teams.
- Lead defect triage root cause analysis and testing governance activities.
- Strong leadership stakeholder management and mentoring experience with onsite/offshore testing teams.
