Overview
Full Time
Contract - W2
Contract - Independent
Contract - Long Term
Skills
EDI Developer
EDIFECS Experience
Health care Plan Exp
Job Details
Hi Good Morning,
Sr. EDI Developer (with EDIFECS Exp. )
Location: Remote
Duration: Long Term Contract
Must have Health Care Plan Exp.
Essential Functions
Analyzes business requirements EDIFECS and creates EDI mapping specifications.
Analyzes and interprets EDI data to identify trends, patterns, and issues.
Monitors EDI transactions and troubleshooting errors.
Creates and maintains detailed documentation for all reporting processes and procedures.
Configures EDI software and mapping tools to translate data between different formats.
Develops scripts and programs to automate EDI data processing.
Ensures data security and compliance with EDI standards and regulations.
Provides technical support and training to EDI users.
Develops EDI integration strategies and roadmaps to meet business requirements.
Analyzes and assesses EDI data requirements and mapping to internal systems.
Configures and tests EDI systems, networks, and protocols to ensure effective data exchange.
Collaborates with claims processing teams to improve data-driven decision-making.
Stays current up to date with new technologies and tools in the data engineering field, and recommends and implements new tools as needed.
Analyzes and interprets EDI data to identify trends, patterns, and issues.
Monitors EDI transactions and troubleshooting errors.
Creates and maintains detailed documentation for all reporting processes and procedures.
Configures EDI software and mapping tools to translate data between different formats.
Develops scripts and programs to automate EDI data processing.
Ensures data security and compliance with EDI standards and regulations.
Provides technical support and training to EDI users.
Develops EDI integration strategies and roadmaps to meet business requirements.
Analyzes and assesses EDI data requirements and mapping to internal systems.
Configures and tests EDI systems, networks, and protocols to ensure effective data exchange.
Collaborates with claims processing teams to improve data-driven decision-making.
Stays current up to date with new technologies and tools in the data engineering field, and recommends and implements new tools as needed.
Required
Knowledge of EDIFECS and ability to effectively use EDI systems, software tools and processes.
Strong knowledge of and ability to apply software development lifecycle and development methodologies.
Strong knowledge of and skills in databases and data analysis.
Strong knowledge of the data involved in healthcare transactions.
Strong skills in SQL Query development, including but not limited to the ability to create moderately complex SQL queries with demonstrated experience in writing SQL scripts for data discovery, requirements validation, reports, and testing.
Strong skills in programming languages such as Python, Java or C#.
Strong knowledge of business and technical requirements documents with demonstrated with ability to capture user requirements and technical specifications using IEEE or similar standards.
Strong knowledge of and ability to implement software/data testing best practices including unit, integration, and regression testing to deliver defect free solutions.
Strong business acumen, with the ability to understand the operations and challenges in the various business units and how the organization's information assets may be leveraged to provide solutions.
Strong skills in dashboard development, including but not limited to the ability to create meaningful dashboards to customers' satisfaction.
Strong analytical skills with the ability to analyze and interpret large amounts of data, identify patterns and trends, and draw meaningful conclusions.
Strong communication skills: The ability to communicate effectively with different stakeholders, including technical teams, business teams, and external partners.
Ability to manage projects, track progress, and meet deadlines.
Basic knowledge of relevant regulations and standards related to EDI, data privacy and data security.
Ability to troubleshoot issues and find creative solutions to problems.
Ability to work effectively in a team environment and collaborate with other departments to achieve common goals.
Produces work that is accurate and complete.
Produces the appropriate amount of work.
Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
Rebounds from setbacks and adversity when facing difficult situations.
Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
Strong oral and written communication skills, with ability to communicate complex technical issues to technical and non-technical audiences and write technical specifications.
Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broaderrange of activities. Meets deadlines.
Strong listening skills, with the ability to accurately receive and understand messages.
Intermediate skills in the Microsoft Office suite of products, with the ability to create large and complex documents, presentations, data/process flow diagrams, and complexspreadsheets, including formulas and pivot tables, for data analysis and presentation.
Ability to speak and be understood in English.
Ability to handle confidential information with appropriate discretion.
Strong knowledge of and ability to apply software development lifecycle and development methodologies.
Strong knowledge of and skills in databases and data analysis.
Strong knowledge of the data involved in healthcare transactions.
Strong skills in SQL Query development, including but not limited to the ability to create moderately complex SQL queries with demonstrated experience in writing SQL scripts for data discovery, requirements validation, reports, and testing.
Strong skills in programming languages such as Python, Java or C#.
Strong knowledge of business and technical requirements documents with demonstrated with ability to capture user requirements and technical specifications using IEEE or similar standards.
Strong knowledge of and ability to implement software/data testing best practices including unit, integration, and regression testing to deliver defect free solutions.
Strong business acumen, with the ability to understand the operations and challenges in the various business units and how the organization's information assets may be leveraged to provide solutions.
Strong skills in dashboard development, including but not limited to the ability to create meaningful dashboards to customers' satisfaction.
Strong analytical skills with the ability to analyze and interpret large amounts of data, identify patterns and trends, and draw meaningful conclusions.
Strong communication skills: The ability to communicate effectively with different stakeholders, including technical teams, business teams, and external partners.
Ability to manage projects, track progress, and meet deadlines.
Basic knowledge of relevant regulations and standards related to EDI, data privacy and data security.
Ability to troubleshoot issues and find creative solutions to problems.
Ability to work effectively in a team environment and collaborate with other departments to achieve common goals.
Produces work that is accurate and complete.
Produces the appropriate amount of work.
Actively learns through experimentation when tackling new problems, using both successes and failures to learn.
Rebounds from setbacks and adversity when facing difficult situations.
Knows the most effective and efficient process to get things done, with a focus on continuous improvement.
Interpersonal skills - interacts effectively with individuals both inside and outside of HPSJ; relates openly and comfortably with diverse groups of people.
Strong oral and written communication skills, with ability to communicate complex technical issues to technical and non-technical audiences and write technical specifications.
Time management and organizational skills. Uses time effectively and efficiently. Values time. Concentrates his/her efforts on the more important priorities. Can attend to a broaderrange of activities. Meets deadlines.
Strong listening skills, with the ability to accurately receive and understand messages.
Intermediate skills in the Microsoft Office suite of products, with the ability to create large and complex documents, presentations, data/process flow diagrams, and complexspreadsheets, including formulas and pivot tables, for data analysis and presentation.
Ability to speak and be understood in English.
Ability to handle confidential information with appropriate discretion.
Education and Experience
Required
Bachelor's degree in computer science or business-related field; and
At least five years of EDI experience in a healthcare environment, including experience with HIPAA requirements and X12; or
Equivalent combination of education and experience.
Experience with QNXT, or similar, claims payment system.
Experience using EDIFECS.
At least five years of EDI experience in a healthcare environment, including experience with HIPAA requirements and X12; or
Equivalent combination of education and experience.
Experience with QNXT, or similar, claims payment system.
Experience using EDIFECS.
Thank You,
Nitin
Ph:
Email:
;br /> Cystems Logic Inc . (a Sybyte Technologies Inc company)
Soft Logic Inc. (BC, Canada)
US Government Agency Certified: SBE & DBE
Ph:
Email:
;br /> Cystems Logic Inc . (a Sybyte Technologies Inc company)
Soft Logic Inc. (BC, Canada)
US Government Agency Certified: SBE & DBE
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