$136,296.78–$177,185.82 Per Year
To develop and maintain HIPAA compliant ANSI X12 transactions and support in EDI and other
application development at PHC. Responsibilities include designing, coding, testing, and
implementing each of the federal and/or state mandated transactions and other EDI applications
using tools & technologies such as Edifecs’s Smart Trading including Spec Builder, Enterprise
Application Manager, XEngine and Transaction Manager and scheduling systems such as Active
Batch and database technologies such as MS SQL Server & Oracle and MS .Net/SSIS/SSRS and
Web Services.
Responsibilities:
- Develop HIPAA compliant ANSI X12 EDI transactions and support EDI application
development using an established SDLC methodology - Proficiency in one or more modern programming languages like C# and Java
- Experience in managing EDIFECS installation, usage and overall working conditions
- Create/update maps, guidelines and profiles using Edifecs tools such as SpecBuilder,
Map Builder, XEngine and EAM as per the requirements.
Have good understanding of business rules and extensive experience creating EDI
process flows and roadmaps - Interpret business issues and recommend EDIFECS solutions/best practices
- Develop web services using technologies such as .NET, SOAP, HTTP, WSDL, XSD, and
REST - Provide on-going maintenance support to EDI and HIPAA transactions, processes and
application development - Have strong PL/SQL background with extensive experience coding Stored Procedures,
Functions triggers in Oracle 11 and above - Have strong specialization or substantial project work in Python object-oriented
programming or Windows PowerShell scripting - Lead the team in designing, coding, testing and implementation of newer processes and
systems - Learn state-of-the-art development tools, programming techniques and bring-in
innovative ideas to keep improving the existing processes and applications. - Use sound technical judgment and make appropriate system decisions.
- Provide training and assistance to less experienced staff as needed.
- Create and maintain documentation for assigned projects and participate in team
meetings, conferences and problem solving discussions
Secondary Duties and Responsibilities
- Perform other assigned or needed activities required to assure success of the EDI
development role and to support other work of the IT Department.
Qualifications:
Education and Experience | Bachelor’s degree in Computer Science, Business or a related field
preferred. Minimum of 5-8 plus years of experience in Information
Systems building and working with EDI transactions. Minimum two
years of experience in health care & EDI. Experience with large,
highly complex projects desired. |
Special Skills, Licenses andCertifications | Experience with development of EDI transactions. Knowledge of EDI
translators is required. At least 5 years of experience with EDI
Development using Edifecs’s Smart Trading including Spec Builder,
Enterprise Application Manager, XEngine and Transaction Manager
Version 9 & above and Oracle Enterprise Edition Release 12 & above,
MS SQL Server Version 2017 & above. Experience in relational
database DDL, DML, Transact SQL, PL/SQL / stored procedure is
required. Experience in building web services using technologies such
as SOAP, HTTP, WSDL, XSD, and REST. Experience with Microsoft
technologies such as MS .NET/SSIS/SSRS/WCF and Web Services is
required. Knowledge of health care coding systems. Writing and verbal
ability important. |
Performance Based Competencies | Ability to quickly acquire in-depth knowledge of AMYSIS software
and managed care issues. Strong written and oral communication skills
with ability to interpret and understand technical requirements.
Excellent analytical skills to troubleshoot and resolve systems
problems. |
Work Environment And Physical Demands | More than 50% of work time is spent at a video display terminal. May
be required to bend, stoop, kneel, crawl, or work in other non-standing
and non-sitting positions to install cabling, systems hardware and other
related equipment. |
All HealthPlan employees are expected to:
- Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$136,296.78 - $177,185.82
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
P
Partnership HealthPlan of California