7 months ago
Remote, United StatesSenior
Base Salary
$96k - $125k/yr
Responsibilities
- Design, develop, configure, document, test, debug, support, and enhance EDI systems and applications.
- Support and maintain EDIFECS-based healthcare clearinghouse platforms and ETL platforms across multiple Medicaid state implementations.
- Configure and map ANSI X12N 5010 transaction sets and analyze end-to-end transactional mappings to resolve issues.
- Perform CAQH CORE validation and compliance activities and participate in CMMI audits and quality reviews.
- Apply recurring ECL releases across multiple environments and support version upgrades and production releases.
- Translate business requirements into system definitions and technical solutions and create detailed technical specifications.
- Configure and validate firewall rules, respond to system alerts, and ensure compliance with security and regulatory requirements.
- Use Azure DevOps for configuration and version control while collaborating with business and technical stakeholders.
Requirements
- At least 7 years of total work experience.
- Bachelor's degree in computer science, information systems, engineering, or a related field, or equivalent professional experience.
- Demonstrated experience with EDIFECS in a healthcare EDI environment.
- Strong knowledge of ANSI X12N 5010 transaction sets and working knowledge of CAQH CORE certification requirements.
- Experience with Linux, relational databases, reporting tools, ETL platforms, and Azure DevOps.
- Familiarity with CMMI standard practices and strong analytical, troubleshooting, and problem-solving skills.
- Preferred experience supporting multi-state Medicaid implementations and healthcare clearinghouse environments.
- Preferred familiarity with firewall rule configuration and validation, version upgrades, and production releases.
Benefits
- Health insurance coverage, voluntary dental and vision programs, life and disability insurance, and a retirement savings plan.
- Paid holidays and paid time off or vacation and/or sick time.
- The position may be eligible for a bonus or incentive based on business need.
- The estimated base salary range is $96,250-$125,000, varying by location, experience, and performance.
