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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. Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and.

YEAR

Overview:
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:
<ul><li>Develop HIPAA compliant ANSI X12 EDI transactions and support EDI application development using an established SDLC methodology</li><li>Proficiency in one or more modern programming languages like C# and Java</li><li>Experience in managing EDIFECS installation, usage and overall working conditions</li><li>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</li><li>Interpret business issues and recommend EDIFECS solutions/best practices</li><li>Develop web services using technologies such as .NET, SOAP, HTTP, WSDL, XSD, and REST</li><li>Provide on-going maintenance support to EDI and HIPAA transactions, processes and application development</li><li>Have strong PL/SQL background with extensive experience coding Stored Procedures, Functions triggers in Oracle 11 and above</li><li>Have strong specialization or substantial project work in Python object-oriented programming or Windows PowerShell scripting</li><li>Lead the team in designing, coding, testing and implementation of newer processes and systems</li><li>Learn state-of-the-art development tools, programming techniques and bring-in innovative ideas to keep improving the existing processes and applications.</li><li>Use sound technical judgment and make appropriate system decisions.</li><li>Provide training and assistance to less experienced staff as needed.</li><li>Create and maintain documentation for assigned projects and participate in team meetings, conferences and problem solving discussions</li></ul> Secondary Duties and Responsibilities <ul><li>Perform other assigned or needed activities required to assure success of the EDI development role and to support other work of the IT Department.</li></ul>

Qualifications:
<table style="border-collapse:collapse"><tbody><tr><td style="width:113.4pt;padding:0in 5.4pt 0in 5.4pt">Education and Experience</td><td style="width:365.4pt;padding:0in 5.4pt 0in 5.4pt">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.</td></tr><tr><td style="width:113.4pt;padding:0in 5.4pt 0in 5.4pt">Special Skills, Licenses andCertifications</td><td style="width:365.4pt;padding:0in 5.4pt 0in 5.4pt">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. </td></tr><tr><td style="width:113.4pt;padding:0in 5.4pt 0in 5.4pt">Performance Based Competencies</td><td style="width:365.4pt;padding:0in 5.4pt 0in 5.4pt">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.</td></tr><tr><td style="width:113.4pt;padding:0in 5.4pt 0in 5.4pt">Work Environment And Physical Demands</td><td style="width:365.4pt;padding:0in 5.4pt 0in 5.4pt">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.</td></tr></tbody></table>  All HealthPlan employees are expected to: <ul><li style="margin-left:0.4in">Provide the highest possible level of service to clients;</li><li style="margin-left:0.4in">Promote teamwork and cooperative effort among employees;</li><li style="margin-left:0.4in">Maintain safe practices; and</li><li style="margin-left:0.4in">Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.</li></ul> 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.

Partnership HealthPlan of California

Senior EDI Application Developer

American National Standards Institute (ANSI)

Analysis Skills

Best Practices

Cartography

Communication Skills

Computer Science

Customer Support/Service

Documentation

Electronic Data Interchange (EDI)

Enterprise Applications

HIPAA (Health Insurance Portability and Accountability Act)

HTTP (HyperText Transport Protocol)

Healthcare

Identify Issues

Internet Technology

Java

Managed Care

Microsoft .NET

Microsoft C# (C Sharp)

Object Oriented (OO)

Oracle 11i

Physical Demands

Presentation/Verbal Skills

Problem Solving Skills

Process Flow

Process Improvement

Programming Languages

Programming Methodologies

Programming Tools

Python Programming/Scripting Language

REST (Representational State Transfer)

SOAP (Simple Object Access Protocol)

Scripting (Scripting Languages)

Software Administration

Software Development

Systems Administration/Management

Systems Hardware

Team Lead/Manager

Testing

Training/Teaching

Transaction Processing/Management

WSDL (Web Services Description Language)

Web Programming

Web Services

Windows PowerShell

Writing Skills

XSD (XML Schema Definition)

[AW]-iCims

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Senior EDI Application DeveloperPartnership HealthPlan of California

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