Senior EDI Developer

About the role

MGB Health Plan is seeking an experienced EDI Developer to support healthcare EDI solutions.

Responsibilities

• Programming, including writing T-SQL in SQL Server and SSIS packages, which support the Vendor Interfaces.
• Analyze business and system requirements, including impact analyses on existing systems, to develop systems specifications.
• In partnership with the business units, design, prepare and execute unit test plans for application upgrades and enhancements.
• General data mapping of ANSI HIPAA EDI files, including coding, translation, development, testing and deployment or EDI applications.
• Perform analysis on systems and processes to become a subject matter expert, in order to help and support the business units.
• Work with hosted vendors to accomplish SDLC objectives.
• Provide data analysis support for NHP business areas in order to assist with the business areas' information, reporting and application development needs.
• Data analysis entails understanding the flow of data and its interdependency among QNXT core modules such as MemberEnrollment and Services, Claims Processing, Provider Relations, Clinical Systems and Finance.
• Track and monitor problem tickets to insure timely resolution.
• Communicate status and escalate issues as needed.
• Identify and resolve problems related to business processes and applications.
• Cookordination and/or perform change and revision management to ensure inter-operability of systems.
• Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect.
• Assist in requirements gathering with end users to clearly define information needs and translate those requirements into specifications for development.
• Coordinate technical support and software upgrades with in-house staff and outside vendors to ensure NHP applications are performing effectively.

Qualifications

• Education: Bachelor's Degree preferred; experience can be considered in lieu of a degree.
• Experience: At least 5-7 years of experience in application development and design required. At least 3-5 years of experience in application development, support and maintenance in a dynamic, Microsoft environment. Healthcare systems related experience preferred.
• Experience: Experience with QNXT and CCA or other Integrated HealthCare Systems - ASP.NET, C# and SharePoint Applications preferred. Experience required in SSIS packages, ANSI X12, XML, HL7 formatted EDI transactions preferred.

Preferred qualifications

• Exposure to QNXT (claims and enrollment processing systems).
• ASP.NET development.
• XML/XSLT programming, which support complex EDI transformations and integrations.

Additional Job Details

• Working Conditions: While this position is designated as remote, all employees, including those classified as remote, may be required to attend meetings, trainings, or other necessary functions onsite at a Mass General Brigham location on an as-needed basis. Reasonable notice will be provided for any required in-person attendance.
• Scheduled Weekly Hours: 40
• Employee Type: Regular
• Work Shift: Day (United States of America)