Sr EDI Integration Engineer II

American Specialty Health Incorporated is seeking an EDI Senior Integration Engineer II to join our Information Technology department. This position will lead Healthcare EDI projects, including but not limited to, file transformations through traditional mapping techniques with the ASH Gateway tool. This role owns delivery of client and internal reporting including X12 transactions and monitors jobs tied to key reporting, mapping, and file delivery processes. The SR Engineer II role also mentors and provides leadership through project management, peer code reviews, developing automation of manual tasks, and supporting monitoring of key jobs. This role will engage in external calls, new file testing, QA, and other coordination with clients and/or Trading Partners.

Salary Range 

American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $89,300 to $120,000 Full-Time Annual Salary Range.

Remote Worker Considerations

Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).  

Responsibilities

• Maintains existing and develops new mapping across a variety of file types, manages inbound file/data processing, develops new files/reports.

• Manages a range of Healthcare EDI transactions including enrollment, benefits, claims, and financial transactions.

• Independently develops and reviews mapping and translations between data elements for file feeds.

• Leads the implementation of Healthcare EDI connections between client and ASH; provides technical leadership for implementations and the ongoing oversight for workloads in production including monitoring those workloads for error identification/resolution, defining and developing continuous improvement opportunities, and proactively communicating with the trading partners and/or customers to reduce/prevent errors.

• Creates and/or maintains appropriate system and process documentation. Provides support to more junior engineers on their documentation.

• Defines application and/or process enhancements and upgrades; develops plans to complete enhancements.

• Leads testing effort by coaching more junior team members on testing and engaging with user acceptance testing (UAT) and assisting in defect resolution.

• Code reviews and provides feedback on the development process for SQL reports.

• Oversees the execution, monitoring, and automating of routine EDI jobs.

• Maintains advanced understanding of general business logic for areas with which the role is most commonly working.

• Recommends possible improvements in applications and executes on said plans.

• Work independently with minimal supervision.

Qualifications

• Bachelor’s degree in information systems or business degree or equivalent experience. If equivalent experience, high school diploma required.

• At least 8 years of relevant Healthcare EDI experience. 

• At least 8 years of relational database experience and at least 6 of progressive experience performing computer programming using C#, Java.

• At least 8 years of experience with XML, XSLT, and JSON.

• At least 8 years of experience with ETL operations in a Microsoft SQL Server environment using DTS or SSIS.

• At least 8 years of experience with development of large enterprise level applications with Visual Studio.

• Advanced-level Excel skills preferred.

• Experience with ASC X12 5010 Standards in a healthcare environment required.

• At least 8 years of practical experience with third-party Healthcare EDI mapping and business process tools is preferred.

• Knowledge of SSRS, Microsoft Azure, Logic Apps, Azure Functions.

• Knowledge of HIPAA guidelines and training.

• Experience with automating and monitoring manual ETL jobs and reporting.

• Experience with third-party Healthcare EDI mapping and business process tools is required.

• Experience with SDLC and manage implementation from start to finish.

• Demonstrates creative problem solving and solves complex challenges using critical thinking.

• Shows initiative and leads others to accomplish a goal.

• Leads requirement gathering discussions with Healthcare EDI peers and business users; outlines defined requirements with appropriate attention to detail.

• Creating and leading code review standard practices.

• Experience of business operations and processes affected by data transformation from one format to another.

• Provide mentorship and guidance on projects to junior level associates.

• Ability to effectively partner with senior level staff to both define and execute on business goals and objectives.

• Demonstrated ability to mentor and guide other staff members on team projects.

• Demonstrated ability to train and create training documents on all Healthcare EDI processes.

Core Competencies

• Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.

• Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.

• Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.

• Ability to effectively organize, prioritize, multi-task and manage time.

• Demonstrated accuracy and productivity in a changing environment with constant interruptions.

• Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions.

• Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time with ability to travel within and outside the facility.

Physical Requirements

Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility or work from home. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.

Environmental Conditions

Work from home (WFH) setting.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to sex (including pregnancy, childbirth, related medical conditions, breastfeeding, and reproductive health decision-making), gender, gender identity, gender expression, race, color, religion (including religious dress and grooming practices), creed, national origin, citizenship, ancestry, physical or mental disability, legally-protected medical condition, marital status, age, sexual orientation, genetic information, military or veteran status, political affiliation, or any other basis protected by applicable local, federal or state law. 

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

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