IS EDI Developer III

CareOregon

Wisconsin

On-site

USD 124,200 - 151,800

Full time

14 days+

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Benefits offered by this job

Competitive pay
Annual bonus opportunity
Comprehensive benefits package
Strong Total Rewards Program
PTO and Paid State Sick Time

Job summary

A leading health organization in Wisconsin is seeking an experienced Electronic Data Interchange Developer. Responsibilities include leading EDI development, advising on database design, and managing vendor relations. Candidates should have at least 5 years of experience in the healthcare domain with a strong understanding of EDI processes. This full-time position offers competitive pay and a comprehensive benefits package.

Qualifications

  • Minimum 5 years’ EDI domain experience as an EDI developer.
  • Experience with Healthcare Domain, EDI HIPAA transaction types, and ANSI X12 data.
  • 5 years SQL experience.

Responsibilities

  • Lead the design and maintenance of custom EDI development.
  • Provide database design expertise and lead small projects independently.
  • Advise IS teams on best practices for database and EDI development.
  • Conduct product and vendor research, and present recommendations.

Skills

Strong communication skills
Advanced troubleshooting skills
Ability to multitask
Ability to collaborate effectively
Ability to work with diverse groups

Education

Bachelor’s degree in Computer Science, Information Systems, or related field
Information Technology Information Library (ITIL) Certification

Tools

SSIS
Biztalk
Edifecs
MuleSoft
QNXT

Job description

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This role is not eligible for visa sponsorship. Candidates must be legally authorized to work in the U.S. without sponsorship now or in the future.

Estimated Hiring Range $124,200.00 - $151,800.00

Bonus Target Bonus - SIP Target, 5% Annual

Current CareOregon Employees: Please use the internal Workday site to submit an application for this job.

Essential Responsibilities
EDI Development
  • Lead the design and maintenance of custom EDI Development and processes.
  • Provide database design expertise to the organization; lead small projects independently and participate and consult on other projects.
  • Advise other IS teams on best practices of database design and development.
  • May serve as a resource to junior developers.
  • Propose requirements, standards and best practices for database and EDI development.
  • Participate in the ongoing review of existing systems to ensure they are designed to comply with established standards and to empower business operations.
Vendor Coordination and Relations
  • Conduct product and vendor research, and present recommendations to more advanced database developers and/or management.
  • Establish and manage effective working relationships with vendors and related equipment suppliers, including installation and repair of services.
Other
  • Perform other related duties incidental to the work described herein.
Organizational Responsibilities
  • Perform work in alignment with the organization’s mission, vision and values.
  • Support the organization’s commitment to equity, diversity and inclusion by fostering a culture of open mindedness, cultural awareness, compassion and respect for all individuals.
  • Strive to meet annual business goals in support of the organization’s strategic goals.
  • Adhere to the organization’s policies, procedures and other relevant compliance needs.
  • Perform other duties as needed.
Required
Experience and/or Education
  • Minimum 5 years’ EDI Domain relevant experience as an EDI developer
  • Experience with Healthcare Domain, EDI HIPAA transaction types and ANSI X12 data (837, 835, 834, 270/271, 276/277, 278)
  • 5 years SQL experience
  • SSIS experience
Preferred
  • Experience with Encounter Management and Risk Adjustment Cycle Management
  • Experience with ADF
  • Experience transforming EDI data into XML for consumption by other systems or processes
  • Experience implementing or managing an EDI platform
  • Experience with migrating Biztalk to MS Azure Logic Apps or comparable solution
  • Information Technology Information Library (ITIL) Certification
  • Bachelor’s degree in Computer Science, Information Systems, or a related field
  • People and/or project leadership experience
  • Experience with Agile methodology
  • Experience with one or more of the following: Edifecs, QNXT
Knowledge, Skills And Abilities Required
Knowledge
  • Knowledge of Healthcare Domain, EDI HIPAA transaction types and ANSI X12 data (837, 835, 834, 270/271, 276/277, 278).
  • Knowledge of EDI systems, such as Biztalk, Edifecs, MuleSoft, or QNXT
Skills And Abilities
  • Strong communication skills, including listening, verbal, written, and customer service
  • Advanced abilities in troubleshooting system performance issues and root cause
  • Ability to multitask and meet deadlines
  • Ability to effectively collaborate with coworkers, staff, leaders, and executives across all departments
  • Ability to work effectively with diverse individuals and groups
  • Ability to learn, focus, understand, and evaluate information and determine appropriate actions
  • Ability to accept direction and feedback, as well as tolerate and manage stress
  • Ability to see, read, and perform repetitive finger and wrist movement for at least 6 hours/day
  • Ability to hear and speak clearly for at least 3-6 hours/day
Working Conditions

Work Environment(s): ☒ Indoor/Office ☐ Community ☐ Facilities/Security ☐ Outdoor Exposure

Member/Patient Facing: ☒ No ☐ Telephonic ☐ In Person

Hazards: May include, but not limited to, physical and ergonomic hazards.

Equipment: General office equipment

Travel: May include occasional required or optional travel outside of the workplace; the employee’s personal vehicle, local transit or other means of transportation may be used.

We offer a strong Total Rewards Program. This includes competitive pay, bonus opportunity, and a comprehensive benefits package. Eligibility for bonuses and benefits is dependent on factors such as the position type and the number of scheduled weekly hours. Benefits-eligible employees qualify for benefits beginning on the first of the month on or after their start date. CareOregon offers medical, dental, vision, life, AD&D, and disability insurance, as well as health savings account, flexible spending account(s), lifestyle spending account, employee assistance program, wellness program, discounts, and multiple supplemental benefits (e.g., voluntary life, critical illness, accident, hospital indemnity, identity theft protection, pre-tax parking, pet insurance, 529 College Savings, etc.). We also offer a strong retirement plan with employer contributions. Benefits-eligible employees accrue PTO and Paid State Sick Time based on hours worked/scheduled hours and the primary work state. Employees may also receive paid holidays, volunteer time, jury duty, bereavement leave, and more, depending on eligibility. Non-benefits eligible employees can enjoy 401(k) contributions, Paid State Sick Time, wellness and employee assistance program benefits, and other perks. Please contact your recruiter for more information.

We are an equal opportunity employer

CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

Seniority level

Mid-Senior level

Employment type

Full-time

Job function

Information Technology

Industries

Insurance

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