ACE Integration Engineer – Medicare/Medicaid Claims

TechDigital Group; Hartford (CT); Hybrid; USD 110,000 - 160,000; Full time

Job summary

TechDigital Group in Hartford, CT seeks a Sr Developer in a hybrid work model to design and implement robust data integration solutions using IBM Ace ESQL and IBM Integration Bus to support Medicare and Medicaid claims processing, ensuring high performance, accuracy, regulatory compliance, and alignment with organizational objectives.

The role involves crafting scalable message flows, optimizing claim data transformations, and collaborating with business analysts and security teams to ensure

Qualifications

• Experience designing and implementing data integration solutions for complex healthcare workflows.
• Ability to translate business requirements into robust technical designs and integration patterns.
• Strong collaboration with analysts and domain experts to ensure data quality and compliance.

Responsibilities

• Design scalable data integration solutions using IBM Ace ESQL and IBM Integration Bus for Medicare/Medicaid claims processing.
• Develop and optimize message flows and transformations for complex claim data structures.
• Analyze existing patterns and propose improvements for data quality, latency and throughput.

Skills

Data integration

System design

Stakeholder collaboration

Tools

IBM Ace ESQL

IBM Integration Bus

Job description

Job Summary:
Sr Developer in a hybrid work model designs and implements robust data integration solutions using IBM Ace ESQL and IBM integration bus to support Medicare and Medicaid claims processing while ensuring high-performance accuracy regulatory compliance and alignment with organizational objectives across complex stakeholder environments.

Responsibilities:
• Design and implement scalable data integration solutions using IBM Ace ESQL and IBM integration bus that streamline Medicare and Medicaid claims processing workflows while maintaining high performance and reliability.
• Develop and optimize complex message flows and transformations that accurately handle claim data structures benefit rules and adjudication logic to reduce processing errors and rework.
• Analyze existing integration patterns and system interfaces and recommend enhancements that improve data quality latency and throughput for critical claims transactions.
• Collaborate with business analysts and domain experts to translate Medicare and Medicaid claims requirements into precise technical specifications and integration designs.
• Configure and maintain IBM integration bus environments including deployment packaging monitoring setup and tuning activities to ensure stable day shift operations in a hybrid work setting.
• Create reusable ESQL components mappings and error handling frameworks that support consistent processing of multiple claim types and reduce future development effort.
• Investigate and resolve complex production incidents related to data integration or claims flows by performing root cause analysis and implementing durable corrective actions.
• Document integration designs message models and operational procedures in a clear and structured manner to support knowledge sharing and onboarding of peers and stakeholders.
• Collaborate with testing teams to define integration test strategies build test data for claim scenarios and validate end to end flows for Medicare and Medicaid transactions.
• Implement robust logging auditing and exception management within IBM Ace solutions to support compliance reporting and traceability for regulated healthcare data.
• Coordinate with infrastructure and security teams to ensure that data integration solutions follow organizational policies for data privacy access control and resilience without requiring travel.
• Guide peers on best practices for IBM Ace ESQL and IBM integration bus usage by sharing patterns coding standards and lessons learned from complex claims integration projects.
• Continuously evaluate new features and updates in IBM integration technologies and propose improvements that enhance business value and support future claims initiatives.