Medicare Part D SME - E1/FIR Expert (Public Trust)

Data Computer Corporation; Columbia (MD); On-site; USD 140,000 - 250,000; Full time

Benefits offered by this job

Healthcare

Retirement plan

Disability Insurance

Education assistance

Wellness program

Job summary

DCCA is a veteran-owned IT services provider delivering solutions to government and commercial clients in Maryland. We seek a Part D Subject Matter Expert to guide E1 eligibility queries, FIR reporting, and TrOOP balance transfer processing on the Part D Transaction Facilitator platform.

Qualified candidates will have hands-on Medicare Part D COB experience and strong knowledge of NCPDP E1 standards. This role supports CMS discussions and performance reporting, with a focus on accuracy and

Qualifications

• Hands-on experience with E1 eligibility transactions and FIR reporting.
• Knowledge of NCPDP E1 standards and BIN/PCN routing.
• Ability to analyze pharmacy claims and resolve eligibility issues.
• Experience as Systems Analyst or SME in Medicare Part D COB domain.

Responsibilities

• Provide operational and technical guidance on E1 eligibility and FIR reporting.
• QA support for E1 environment and matching criteria.
• Analyze transaction issues across E1, FIR, TrOOP, and BIN/PCN routing.
• Process FIR adjustments and reversals within standard timeframes and report performance.
• Develop payer sheets, E1 matching logic, and BIN/PCN routing specs.
• Serve as a technical resource to PM and CMS workgroups.
• Assist with monthly/quarterly reporting of E1, FIR, missing 4Rx data under QASP.

Skills

E1 eligibility processing

FIR reporting

TrOOP transfer

NCPDP E1 standards

System analysis support

Education

Bachelor's Degree

Job description

DCCA is a veteran-owned IT services provider delivering solutions to government and commercial clients in Maryland. We seek a Part D Subject Matter Expert to guide E1 eligibility queries, FIR reporting, and TrOOP balance transfer processing on the Part D Transaction Facilitator platform.

Qualified candidates will have hands-on Medicare Part D COB experience and strong knowledge of NCPDP E1 standards. This role supports CMS discussions and performance reporting, with a focus on accuracy and