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Career Opportunities: IS EDI Developer Lead (24854)


Offer summary

Qualifications:

Minimum 6 years of EDI development experience, particularly in the healthcare domain., Proficiency with EDI HIPAA transaction types and ANSI X12 data formats., Experience with tools such as Biztalk, Edifecs, or MuleSoft, and familiarity with Agile methodology., Bachelor's degree in Computer Science or a related field is preferred, along with leadership experience..

Key responsabilities:

  • Lead the design and maintenance of custom EDI development and processes.
  • Provide EDI design expertise and manage large projects while advising on best practices.
  • Serve as a resource for junior developers and define requirements for EDI development.
  • Establish effective relationships with vendors and participate in staffing and team leadership activities.

CareOregon logo
CareOregon Insurance SME https://www.careoregon.org/
501 - 1000 Employees
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Job description

 

Candidates hired for remote positions must reside in Oregon, Washington, Utah, Idaho, Arizona, Nevada, Texas, Montana, or Wisconsin.

 

Job Title

IS EDI Developer Lead

Exemption Status

Exempt

Department

Information Systems

Manager Title

IS Development Manager - EDI

Direct Reports

n/a

Requisition #

24854

Pay & Benefits

Estimated hiring range $121,770 - $148,830 / year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits

Posting Notes

This is a fully remote position, but you must reside in one of the listed 9 states.

 

Job Summary

The position is responsible for leading Electronic Data Interchange (EDI) development, designing and developing effective solutions in support of business strategies.  Additionally, this role leads people and projects and is essential toward maturing CareOregon’s EDI development model. This position spends substantial time partnering with business leaders, architecting, and implementing IS priorities (plan, design, develop, and maintain)

 

Essential Responsibilities
  • Lead the design and maintenance of custom EDI development and processes.
  • Provide EDI design expertise to the organization; lead large projects with assistance from manager, lead small projects independently, and participate and consult on other projects.
  • Advise other IS teams on best practices of EDI development and design.
  • Serve as a resource to junior developers.
  • Author and serve as subject matter expert to define requirements, standards, and best practices for EDI development.
  • Monitor and continually review existing systems to ensure they are designed to comply with established standards and to empower business operations.
  • Conduct product and vendor research, and present recommendations to management.
  • Establish and manage effective relations with vendors and trading partners.

Employee Leadership

  • Provide leadership for a team in support of team direction and goals.
  • Provide input into staffing needs; assist in recruiting and hiring staff, using an equity, diversity, and inclusion lens.
  • Participate in organizing, scheduling, monitoring, and improving work; help ensure employees have information to meet job expectations and have coverage during absences.
  • Contribute to the development, communication, and oversight of team and individual goals.
  • Train, lead, and coach employees; may facilitate team meetings.
  • Incorporate guidance from CareOregon equity tools into people leadership.
  • Help monitor employee adherence to department and organizational standards, policies, and procedures.
  • Assist in evaluating employee performance, providing feedback to support success, recognizing strong performance, and addressing performance gaps and accountability (corrective action).
  • Perform lead tasks in collaboration with Human Resources as needed.

 

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.

 

 

Experience and/or Education

Required

  • Minimum 6 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)
  • Minimum 2 years’ experience with one or more of the following: Biztalk, Edifecs, MuleSoft, QNXT
  • Experience with Agile methodology

Preferred

  • Experience with Encounter Management and Risk Adjustment Cycle Management
  • 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

 

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 lead initiatives and projects.
  • 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 Enviornment(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. 

 

 

 

Candidates of color are strongly encouraged to apply. CareOregon is committed to building a linguistically and culturally diverse and inclusive work environment.

Veterans are strongly encouraged to apply.

We are an equal opportunity employer. CareOregon considers all candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, genetic information, disability, or veteran status.

Visa sponsorship is not available at this time.

 

Required profile

Experience

Industry :
Insurance
Spoken language(s):
Maltese
Check out the description to know which languages are mandatory.

Other Skills

  • Collaboration
  • Communication
  • Multitasking
  • Troubleshooting (Problem Solving)

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