EDI Developer
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Job Location:
Somerville, NJ - USA
Monthly Salary:
$ 62836 - 89762
Posted on:
30+ days ago
Vacancies:
1 Vacancy
Job Summary
Site: Mass General Brigham Health Plan Holding Company Inc.
Our work centers on creating an exceptional member experience a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds experiences and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options career growth opportunities and much more.
MGB Health Plan is seeking an experienced EDI Developer responsible for the design development implementation and ongoing maintenance of healthcare EDI solutions supporting HIPAA transactions including but not limited to 270/271 276/and 999. The idea candidate has a strong understanding of HIPAA EDI implementation and companion guides used across the healthcare industry to ensure compliant and reliable data exchange.
The EDI Developer must have handson software development experience and demonstrate the ability to follow established design principles coding standards and best practices. The role works closely within crossfunctional project teams adhering to SDLC processes throughout the lifecycle of development testing deployment and support.
Strong technical proficiency is required including C#/.NET development SQL and related tools such as SQL Server Management Studio (SSMS) SSIS TSQL and experience working with Microsoft SQL Server. Experience using Visual Studio and BizTalk Server in support of EDI and integration workflows is essential.
Experience within healthcare payer environments is highly valued. Preferred qualifications include exposure to QNXT (claims and enrollment processing systems) development and XML/XSLT programming which support complex EDI transformations and integrations.
Primary Responsibilities:
-Programming including writing T-SQL in SQL Server and SSIS packages which support the Vendor Interfaces.
-Analyze business and system requirements including impact analyses on existing systems to develop systems specifications
-In partnership with the business units design prepare and execute unit test plans for application upgrades and enhancements.
-General data mapping of ANSI HIPAA EDI files including coding translation development testing and deployment or EDI applications.
-Perform analysis on systems and processes to become a subject matter expert in order to help and support the business units.
-Workwith hosted vendors to accomplish SDLC objectives
-Provide data analysis support for NHP business areas in order to assist with the business areas information reporting and application development needs. -Data analysis entails understanding the flow of data and its interdependency among QNXT core modules such as Member
-Enrollment and Services Claims Processing Provider Relations Clinical Systems and Finance.
-Track and monitor problem tickets to insure timely resolution
-Communicate status and escalate issues as needed.
-Identify and resolve problems related to business processes and applications.
-Coordinate and/or perform change and revision management to ensure inter-operability of systems
-Anticipates and meets or exceeds internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect.
-Assist in requirements gathering with end users to clearly define information needs and translate those requirements into specifications for development.
-Participate in change management disaster recovery and production support operations.
-Coordinate technical support and software upgrades with in-house staff and outside vendors to ensure NHP applications are performing effectively.Hybrid399 Revolution Drive40RegularDay (United States of America)8925 Mass General Brigham Health Plan Holding Company Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race color religious creed national origin sex age gender identity disability sexual orientation military service genetic information and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process to perform essential job functions and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973 the Vietnam Veterans Readjustment Act of 1974 and Title I of the Americans with Disabilities Act of 1990 applicants who require accommodation in the job application process may contact Human Resources at .
Mass General Brigham relies on a wide range of professionals including doctors nurses business people tech experts researchers and systems analysts to advance our mission. As a not-for-profit we support patient care research teaching and community service striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham we are at the forefront of transformation with one of the worlds leading integrated healthcare systems. Together we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.Our work centers on creating an exceptional member experience a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds experiences and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options career growth opportunities and much more.
MGB Health Plan is seeking an experienced EDI Developer responsible for the design development implementation and ongoing maintenance of healthcare EDI solutions supporting HIPAA transactions including but not limited to 270/271 276/and 999. The idea candidate has a strong understanding of HIPAA EDI implementation and companion guides used across the healthcare industry to ensure compliant and reliable data exchange.
The EDI Developer must have handson software development experience and demonstrate the ability to follow established design principles coding standards and best practices. The role works closely within crossfunctional project teams adhering to SDLC processes throughout the lifecycle of development testing deployment and support.
Strong technical proficiency is required including C#/.NET development SQL and related tools such as SQL Server Management Studio (SSMS) SSIS TSQL and experience working with Microsoft SQL Server. Experience using Visual Studio and BizTalk Server in support of EDI and integration workflows is essential.
Experience within healthcare payer environments is highly valued. Preferred qualifications include exposure to QNXT (claims and enrollment processing systems) development and XML/XSLT programming which support complex EDI transformations and integrations.
Primary Responsibilities:
-Programming including writing T-SQL in SQL Server and SSIS packages which support the Vendor Interfaces.
-Analyze business and system requirements including impact analyses on existing systems to develop systems specifications
-In partnership with the business units design prepare and execute unit test plans for application upgrades and enhancements.
-General data mapping of ANSI HIPAA EDI files including coding translation development testing and deployment or EDI applications.
-Perform analysis on systems and processes to become a subject matter expert in order to help and support the business units.
-Workwith hosted vendors to accomplish SDLC objectives
-Provide data analysis support for NHP business areas in order to assist with the business areas information reporting and application development needs. -Data analysis entails understanding the flow of data and its interdependency among QNXT core modules such as Member
-Enrollment and Services Claims Processing Provider Relations Clinical Systems and Finance.
-Track and monitor problem tickets to insure timely resolution
-Communicate status and escalate issues as needed.
-Identify and resolve problems related to business processes and applications.
-Coordinate and/or perform change and revision management to ensure inter-operability of systems
-Anticipates and meets or exceeds internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect.
-Assist in requirements gathering with end users to clearly define information needs and translate those requirements into specifications for development.
-Participate in change management disaster recovery and production support operations.
-Coordinate technical support and software upgrades with in-house staff and outside vendors to ensure NHP applications are performing effectively.
Qualifications
Education
- Bachelors Degree required (relevant experience can be considered in lieu of a degree)
Qualifications
- Applications development experience required
- At least 3-5 years of experience in application development support and maintenance in a dynamic Microsoft environment. Healthcare systems related experience preferred
- Experience with QNXT and CCA or other Integrated HealthCare Systems - C# and SharePoint Applications preferred
- Experience required in SSIS packages ANSI X12 XML HL7 formatted EDI transactions preferred
Knowledge Skills and Abilities
- Understanding of the data dependencies that exist between applications and systems
- Experience with the development and support of intra-application data exchanges job scheduling and inter-job dependencies
- Demonstrated ability to develop customized solutions to meet business requirements
- Must have demonstrated ability to interact effectively and maintain productive interpersonal relations.
- Accountable for delivering high quality work
- Respects the talent and unique contribution of every individual
- Understanding of core programming principles including design.
- Ability to work in at least one programming language (ex: JavaScript SQL etc.).
- Strong analytical programming and demonstrated project management skills.
- Excellent communications skills both written and oral.
Additional Job Details (if applicable)
Working Conditions
- While this position is designated as remote all employees including those classified as remote may be required to attend meetings trainings or other necessary functions onsite at a Mass General Brigham location on an as-needed basis. Reasonable notice will be provided for any required in-person attendance.
- M-F Eastern Business Hours required
- Flexibility for business needs to be onsite needed
- Remote workdays require stable secure quiet compliant workspace
Remote Type
Work Location
Scheduled Weekly Hours
Employee Type
Work Shift
Pay Range
$62836.80 - $89762.40/AnnualGrade
5EEO Statement:
Mass General Brigham Competency Framework
At Mass General Brigham our competency framework defines what effective leadership looks like by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance make hiring decisions identify development needs mobilize employees across our system and establish a strong talent pipeline.
Required Experience:
IC
Key Skills
About Company
Patients at Mass General have access to a vast network of physicians, nearly all of whom are Harvard Medical School faculty and many of whom are leaders within their fields.
