Job Description :
Job Description Summary
This position is responsible development of software for Strategic Initiatives that require delivering well-tested applications, scripts and batches to provide for the delivery, reception and processing of healthcare EDI data feeds (both X12 files and custom flat-file formats), large data extracts, and other data exchanges both inbound and outbound. With limited supervision, be responsible for analysis, design, programming, implementation, documentation and administration of the above described software with an emphasis on use of service-oriented architecture (SOA). This position is also responsible for refactoring, reengineering and/or maintenance of existing processes and systems.
Job Description POSITION PURPOSE:
This position is responsible development of software for Strategic Initiatives that require delivering well-tested applications, scripts and batches to provide for the delivery, reception and processing of healthcare EDI data feeds (both X12 files and custom flat-file formats), large data extracts, and other data exchanges both inbound and outbound. With limited supervision, be responsible for analysis, design, programming, implementation, documentation and administration of the above described software with an emphasis on use of service-oriented architecture (SOA). This position is also responsible for refactoring, reengineering and/or maintenance of existing processes and systems.
MINIMUM POSITION REQUIREMENTS:
Required Experience:
Five years’ in C# software development and analysis Three years’ in developing software that takes in inbound and generates outbound
healthcare X12 and non-X12 flat-file EDI extracts (membership/eligibility, claims, provider, etc.)
Required Knowledge, Skills and Abilities (KSAs):
Knowledge of:
HIPAA regulations and healthcare administration functions, including claims processing, eligibility verification and preauthorization. Relational databases (MS SQL, Sybase ASE, etc.) SQL and database access interfaces (Entity Framework, ODBC, JDBC, ADO, ) Automated unit test frameworks (XUnit, NUnit, MSTest, etc.) Software testing procedures Software and network architecture Version control software
Skills:
Advanced experience in database-related development (reading and writing complex SQL queries and stored procedures, etc.) Advanced experience in developing applications to consume web services Advanced or intermediate experience in .NET (C#) software development Intermediate experience reading and writing XML Strong analytical and problem solving Detail-oriented Excellent written and verbal communication Continuous integration, automated build and deployment
Ability to:
Create and execute automated unit, integration and regression test plans based on system and validation requirements. Troubleshoot, optimize and tune solutions and batch processes supporting EDI (X12 and non-X12) transactions Conduct data analysis; identify issues and recommend and implement solutions Collaborate with external business teams and System Analysts to understand business and technical functional requirements Provide high-level and detailed software development estimates Ensure all project timelines are met Communicate and negotiate project deliverables to team, management and business state holders Resolve issues with unclear requirements and achieve a successful result Triage and solve complex problems using structured troubleshooting methodologies Work independently as well as work collaboratively in a team environment
PREFERRED QUALIFICATIONS:
Bachelor’s Degree in Computer Science, Computer Engineering, Information Systems or related technical field Experience with the Facets healthcare claim adjudication system Experience working within Agile/Scrum methodology Experience with Team Foundation Server (TFS) Experience with transactional and real-time based systems Knowledge of MQ technologies
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