Sr Implementation Consultant

About the role

The Senior Implementation Consultant assists in the testing and implementation of Edifecs’ solutions for clients. This role involves installing and configuring Edifecs products under the direction of a Technical Project Manager or Solution Architect, including product installation on client hardware, configuration, development of programs and tasks, and setup to fully implement the solution. Duties range from product training to addressing client-specific requirements, development, and deployment, with a focus on client coordination, communication, and technical understanding of Edifecs’ solutions and transaction flows.

Responsibilities

• Implement and configure Edifecs applications for payer systems on AWS, Azure cloud, or virtual machines.
• Implement and manage integrations between Edifecs’ products and customer’s on-premise systems.
• Analyze business requirements and translate them into technical configurations, workflows, and mapping documents.
• Develop and test real-time and batch integrations using:
  • EDI (X12: 834, 837, 835, 270/271, 276/277, 278)
  • FHIR (CMS Interoperability APIs)
  • HL7 v2/v3
• Implement service-based integrations via RESTful APIs, SOAP Web Services, ESBs, and iPaaS platforms.
• Create mapping specifications and perform data validation, reconciliation, and error resolution.
• Support ETL processes and legacy data migration to new payer systems.
• Perform data profiling, cleansing, transformation, and loading activities.
• Assist QA teams with creating technical test cases and validating system configurations and interfaces during SIT/UAT.
• Partner with business analysts, SMEs, solution architects, and delivery leads to ensure alignment of technical deliverables.
• Develop training and development plans to meet the client's maintenance level and configure software according to the project plan.
• Provide post-implementation support during the transition from implementation to maintenance.
• Provide software and client-specific training and develop training documentation based on standards and client needs.
• Participate in design workshops, integration sessions, and go-live readiness planning.
• Provide technical guidance to junior implementation staff and contribute to solution documentation.

Requirements

• Bachelor’s degree in Computer Science, Information Technology, Information Systems, or other technology-related field, or equivalent experience in implementing and operating Java stack-based enterprise applications.
• 5+ years of experience in technical healthcare system implementation, preferably with a payer or health plan.
• 3+ years of experience with Electronic Data Interchange (EDI) mapping and EDI analysis.
• Deep understanding of X12 standards, FHIR, and other standards-based interoperability/integration patterns in the healthcare industry.
• Hands-on experience analyzing transactions and creating interfaces for X12 837, 835, 834, proprietary formats, and deep knowledge of coding standards such as LOINC, SNOMED, ICD 10.
• Familiarity with data formats: JSON, XML, HL7v2 messages, X12, flat files (CSV, pipe-delimited, etc.).
• Strong knowledge of Edifecs Applications.
• Proficiency in data modeling (logical & physical) and relational databases (SQL Server, Oracle).
• Experience implementing solutions on AWS, Azure using CI/CD pipelines (GitLab, Jenkins, Terraform, CloudFormation).
• Experience working in Agile or SAFe environments.
• Working knowledge of Java programming language and good understanding of SOAP and REST-based web services.
• Prior experience troubleshooting performance problems in areas such as Disk, Database, Network, Messaging, and other platform/3rd party solutions.
• Prior experience troubleshooting problems in Java-based applications using open-source tools/JDK tools such as jstack, VisualVM, jconsole, jmap, and similar tools to identify memory issues, deadlocks, and application performance.
• Experience using integration engines or tools (e.g., Mirth Connect, InterSystems, AWS Glue, Talend) is a plus.
• Expertise with healthcare data domains: member, claims, provider, enrollment, and clinical data.

Skills

• Ability to work independently as well as collaborate as a team with a sense of urgency.
• Professional handling of confidential information.
• Value-driven, with success based on the impact of work rather than its complexity or effort level.
• Ability to handle multiple tasks, prioritize, and meet deadlines.

Working Conditions

• Flexibility to work with global teams as well as geographically dispersed US-based teams.
• Remaining in a stationary position, often standing or sitting for prolonged periods.
• Repeating motions that may include the wrists, hands, and/or fingers.
• Must be able to provide a dedicated, secure work area.
• Must be able to provide high-speed internet access/connectivity and office setup and maintenance.

Pay

Base compensation ranges from $100,000 to $145,000 per year. Specific offers are determined by various factors, including experience, education, skills, certifications, and other business needs.

Benefits

• Medical, dental, vision, disability, and life insurance coverage.
• 401(k) savings plans.
• Paid family leave.
• 9 paid holidays per year.
• 17–27 days of Paid Time Off (PTO) per year, depending on level and length of service.