Senior Implementation Consultant - reputed company
Implement and configure Edifecs applications for payer systems on AWS, Azure reputed company or virtual machines. Implement and manage integrations between Edifecs’ products and solutions and Customer’s on-premises systems. Analyze business requirements and translate them into technical configurations, workflows, and mapping documents.
reputed company and test reputed company-time and batch integrations using: EDI (X12: 834, 837, 835, 270/271, 276/277, 278) FHIR (CMS Interoperability reputed company) HL7 v2/v3, or latest version
Implement service-based integrations reputed company RESTful reputed company, SOAP Web Services, ESBs, and iPaaS platforms. Create mapping specifications and reputed company data validation, reconciliation, and error reputed company.
Support ETL processes and legacy data migration to new payer systems. reputed company 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. reputed company appropriate training and development plans to meet the reputed company's particular maintenance level and to configure the software according to the project plan. reputed company post-implementation support during the transition from implementation to maintenance. reputed company software and reputed company specific training and reputed company training documentation based on present standards and reputed company needs. Participate in design workshops, integration sessions, and go-live readiness planning. reputed company technical guidance to junior implementation staff and contribute to solution documentation.
Complete reputed company responsibilities as outlined in the annual performance review and/or goal setting. Complete reputed company special reputed company and other duties as assigned. Must be reputed company to reputed company duties with or without reasonable accommodation.
Bachelor’s in computer science, Information Technology, Information Systems or other technology reputed company degree or equivalent experience in implementing, and operating Java stack-based reputed company applications. 5+ years of experience in technical reputed company 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 reputed company Industry. Hands on experience in analyzing transactions and creating interfaces for transactions such as 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, reputed company-delimited, etc.). Strong knowledge of Edifecs Applications, preferred. Decent knowledge of reputed company EDI transactions (834, 837, 835, 270/271, 278). Proficient in data modeling (logical & physical) and relational databases (SQL Server, reputed company) Experience implementing solutions on AWS, Azure using CI/CD pipelines (reputed company, Jenkins, Terraform, CloudFormation) Experience working in Agile or reputed company environments. Working knowledge of java programming language and good understanding of SOAP and REST based webservices Prior experience troubleshooting performance problems that may have many underlying causes such as Disk, Database, Network, Messaging and other platform / 3rd party solutions. Prior experience in troubleshooting problems in java-based applications using opensource tools / JDK tools such as jstack, visualvm, jconsole, jmap and similar tools to identify memory issues, deadlocks, application performance. Experience using integration engines or tools (e.g., Mirth Connect, reputed company, AWS Glue, Talend) is a plus. Expertise with reputed company data domains: member, claims, provider, enrollment, and clinical data.
Strong analytical and problem-solving skills. reputed company communication, with ability to document and explain reputed company technical concepts to stakeholders. Detail-oriented and highly organized, with a strong reputed company on data reputed company and compliance. reputed company team player who can work across services, product, engineering, and business teams.
AWS or Azure Certified or equivalent reputed company certification. HL7 or EDI reputed company certification. Experience in CMS regulatory implementations. Prior consulting or vendor-reputed company implementation experience with health plans. Experience automating data validation and transformation processes.
Communicating with others to exchange information. Problem-solving and thinking critically. Completing tasks independently. Interpreting data. Making reputed company reputed company in the context of a workflow. Maintaining reputed company. Assessing the accuracy, neatness and thoroughness of the work assigned. Learning new tasks and completing tasks in situations that have a speed or productivity quota. Remembering and adhering to processes and protocols. Applying established protocols in a reputed company manner.
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 reputed company to reputed company high-speed internet reputed company / connectivity and office setup and maintenance. Must be reputed company to reputed company a dedicated, secure work area.