.NET Developer (Claims/Eligibility)

CAI; United States; Remote; USD 80,000 - 110,000; Full time

Job summary

A leading company is seeking a .NET Developer specializing in Claims and Eligibility. This full-time remote role involves analyzing and modifying EDI feeds, developing backend systems, and collaborating with various stakeholders. The ideal candidate will have strong experience in software development, particularly in the healthcare sector, and proficiency in .NET technologies. This position requires excellent communication skills and the ability to manage multiple tasks effectively.

Qualifications

• Minimum of 5 years’ experience in software development.
• Recent experience in the healthcare or health insurance industry.

Responsibilities

• Analyze, design, configure, and modify inbound and outbound EDI feeds.
• Develop and maintain Microsoft.NET-based backend systems.
• Provide technical support and ensure compliance with IT standards.

Skills

root cause analysis

issue resolution

communication

collaboration

ability to manage multiple tasks

Education

Bachelor’s degree in Information Technology

Bachelor’s degree in Computer Science

Tools

MSMQ

SQL Server

Git

TFVC

Job description

Job ID Number

R5377

Employment Type

Full time

Worksite Flexibility

Remote

Job Summary

As a ..NET Developer (Claims/Eligibility) you will be responsible for analyzing, designing, configuring, and modifying inbound and outbound EDI feeds, including X12 EDI such as 834, 835, and 837 transaction sets.

Job Description

We are seeking a.NET Developer (Claims/Eligibility) to take the lead in analyzing, designing, configuring, and modifying inbound and outbound EDI feeds, includingX12 EDIsuch as 834, 835, and 837 transaction sets. The role also includes developing and maintaining Microsoft.NET-based backend systems.This position is full-time, a 6–12-month W2 contract, and remote in the US.

Due to the specific legal and contractual requirements associated with this position, only US Citizens and Green Card Holders/Permanent residents will be considered for this role.

What You’ll Do

• Take a lead role in analyzing, designing, configuring, and modifying inbound and outbound EDI feeds, includingX12 EDIsuch as 834, 835, and 837 transaction sets, along with proprietary feeds for specific vendors

• Develop and maintain Microsoft.NET-based backend systems, including scheduled console applications, web applications, andMSMQ-based messaging applications

• Collaborate with customers, business analysts, partners, and IT team members to understand business requirements and design quality technical solutions, focusing on innovative solutions for complex business needs

• Provide technical support, including release implementations, on-call, and 24x7 support when necessary

• Ensure compliance with all the client’s IT standards, policies, and procedures

• Lead and participate in project teams in various roles, such as Developer, Technical Lead, and Project Manager, based on experience

• Communicate effectively with team members, customers, partners, and management, including conducting complex technical walkthroughs and reporting project status

• Perform other duties as assigned or requested

What You’ll Need

Required:

• Bachelor’s degree in Information Technology, Computer Science, or a closely related field

• Minimum of 5 years’ experience in software development

• Recent experience in the healthcare or health insurance industry (claims or eligibility experience specifically)

• Demonstrated experience inroot cause analysisandissue resolution

• Strong understanding ofX12 EDItransaction sets such as 834, 835, 837

• Proficiency with the.NET framework,C#, andSQL Server

• Experience with messaging-based technologies such asMSMQ

• Knowledge of source control solutions such asTFVCorGit

• Excellent communication and collaboration abilities

• Ability to manage multiple tasks and meet deadlines in a dynamic environment

Preferred:

• Master’s degree in Information Technology, Computer Science, or a closely related field

• Experience with enterprise application integration middleware such as Microsoft BizTalk for message brokering of EDI data

• Proficiency in design and development ofSSIS packagesfor data integration and migration, andSSRS reportingsolutions forSQL Server

• Familiarity with designing and developing.NET-basedRESTful APIsandweb services

• Experience in developingAngular,React, or other single-page web applicationframeworks

• Engineering experience with GitLab/Azure DevOpsCI/CD pipelines

Physical Demands

• Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state, and local standards

• Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor

• Must be able to communicate with customers/team members over the phone and in person

• Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

Reasonable Accommodation Statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to [e-mail] or (888) 824 – 8111.

Equal Employment Opportunity Policy Statement

CAI is committed to equal employment opportunity. We do not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or veteran status. All employment decisions are based on valid job requirements, including hiring, promotion, and compensation. Harassment and retaliation are prohibited.