Massachusetts General Hospital
Overview
Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals to advance our mission. We support patient care, research, teaching, and community service as a not-for-profit organization and invite applicants to join us. Job Summary The Opportunity: MGBHP is seeking an experienced EDI Developer responsible for the design, development, and maintenance of EDI solutions for HIPAA EDI transactions such as 270/271, 276/277, 278, 820, 834, 835, 837 and 999. Must have a solid understanding of HIPAA EDI implementations and companion guides used across the Health Care industry. Must have software development experience and the ability to follow design principles and best practices. Ability to work in cross-functional project teams and follow SDLC processes. Hands-on experience with development tools such as Visual Studio, C#.NET, Microsoft SQL Server, T-SQL, and BizTalk Server is essential for this role. Responsibilities
Programming, including writing T-SQL in SQL Server and SSIS packages to support Vendor Interfaces. Analyze business and system requirements, including impact analyses on existing systems, to develop system specifications. Design, prepare, and execute unit test plans for application upgrades and enhancements in partnership with the business units. Perform general data mapping of ANSI HIPAA EDI files, including coding, translation, development, testing and deployment of EDI applications. Analyze systems and processes to become a subject matter expert to support business units. Work with hosted vendors to achieve SDLC objectives. Provide data analysis support for NHP business areas to assist with information, reporting and application development needs; understand data flow and interdependencies among QNXT core modules such as Member Enrollment and Services, Claims Processing, Provider Relations, Clinical Systems and Finance. Track and monitor problem tickets to ensure timely resolution; communicate status and escalate issues as needed. Identify and resolve problems related to business processes and applications. Coordinate and/or perform change and revision management to ensure interoperability of systems. Anticipate and meet or exceed internal/external customer expectations; establish and maintain effective relationships with customers. Assist in requirements gathering with end users to define information needs and translate into development specifications. Participate in change management, disaster recovery, and production support operations. Coordinate technical support and software upgrades with in-house staff and outside vendors to ensure NHP applications perform effectively. Education
Bachelor's Degree in Computer Science, Computer Applications, or Related Field required. Qualifications
Three to five years of experience in application development, support and maintenance in a Microsoft environment; healthcare systems experience preferred. Understanding of data dependencies between applications and systems; experience with QNXT and CCA or other Integrated HealthCare Systems; ASP.NET, C# and SharePoint. Experience with SSIS packages, ANSI X12, XML, HL7 EDI transactions; experience with intra-application data exchanges, job scheduling and inter-job dependencies. Demonstrated ability to develop customized solutions to meet business requirements; strong analytical, programming and project management skills; ability to interact effectively with others. Commitment to delivering high-quality work and fostering fair and equitable treatment of all individuals. Knowledge, Skills and Abilities
Core programming principles and at least one programming language (e.g., JavaScript, SQL). Excellent critical thinking, analytical, time management and project management skills. Excellent written and oral communications. Additional Job Details
Remote Type : Hybrid Work Location : 399 Revolution Drive Scheduled Weekly Hours : 40 Employee Type : Regular Work Shift : Day (United States of America) Pay Range : $61,609.60 - $88,004.80/Annual Grade : 5 EEO Statement
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, or other status protected by law. We provide reasonable accommodations to participate in the application or interview process, perform essential job functions, and access benefits as required by law. For accommodations contact Human Resources at (857) 282-7642. Mass General Brigham Competency Framework At Mass General Brigham, the competency framework defines effective leadership by specifying the behaviors critical for successful performance at each job level. The framework comprises ten competencies and is used to evaluate performance, inform hiring decisions, identify development needs, and support talent development.
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Site: Mass General Brigham Health Plan Holding Company, Inc. Mass General Brigham relies on a wide range of professionals to advance our mission. We support patient care, research, teaching, and community service as a not-for-profit organization and invite applicants to join us. Job Summary The Opportunity: MGBHP is seeking an experienced EDI Developer responsible for the design, development, and maintenance of EDI solutions for HIPAA EDI transactions such as 270/271, 276/277, 278, 820, 834, 835, 837 and 999. Must have a solid understanding of HIPAA EDI implementations and companion guides used across the Health Care industry. Must have software development experience and the ability to follow design principles and best practices. Ability to work in cross-functional project teams and follow SDLC processes. Hands-on experience with development tools such as Visual Studio, C#.NET, Microsoft SQL Server, T-SQL, and BizTalk Server is essential for this role. Responsibilities
Programming, including writing T-SQL in SQL Server and SSIS packages to support Vendor Interfaces. Analyze business and system requirements, including impact analyses on existing systems, to develop system specifications. Design, prepare, and execute unit test plans for application upgrades and enhancements in partnership with the business units. Perform general data mapping of ANSI HIPAA EDI files, including coding, translation, development, testing and deployment of EDI applications. Analyze systems and processes to become a subject matter expert to support business units. Work with hosted vendors to achieve SDLC objectives. Provide data analysis support for NHP business areas to assist with information, reporting and application development needs; understand data flow and interdependencies among QNXT core modules such as Member Enrollment and Services, Claims Processing, Provider Relations, Clinical Systems and Finance. Track and monitor problem tickets to ensure timely resolution; communicate status and escalate issues as needed. Identify and resolve problems related to business processes and applications. Coordinate and/or perform change and revision management to ensure interoperability of systems. Anticipate and meet or exceed internal/external customer expectations; establish and maintain effective relationships with customers. Assist in requirements gathering with end users to define information needs and translate into development specifications. Participate in change management, disaster recovery, and production support operations. Coordinate technical support and software upgrades with in-house staff and outside vendors to ensure NHP applications perform effectively. Education
Bachelor's Degree in Computer Science, Computer Applications, or Related Field required. Qualifications
Three to five years of experience in application development, support and maintenance in a Microsoft environment; healthcare systems experience preferred. Understanding of data dependencies between applications and systems; experience with QNXT and CCA or other Integrated HealthCare Systems; ASP.NET, C# and SharePoint. Experience with SSIS packages, ANSI X12, XML, HL7 EDI transactions; experience with intra-application data exchanges, job scheduling and inter-job dependencies. Demonstrated ability to develop customized solutions to meet business requirements; strong analytical, programming and project management skills; ability to interact effectively with others. Commitment to delivering high-quality work and fostering fair and equitable treatment of all individuals. Knowledge, Skills and Abilities
Core programming principles and at least one programming language (e.g., JavaScript, SQL). Excellent critical thinking, analytical, time management and project management skills. Excellent written and oral communications. Additional Job Details
Remote Type : Hybrid Work Location : 399 Revolution Drive Scheduled Weekly Hours : 40 Employee Type : Regular Work Shift : Day (United States of America) Pay Range : $61,609.60 - $88,004.80/Annual Grade : 5 EEO Statement
Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, or other status protected by law. We provide reasonable accommodations to participate in the application or interview process, perform essential job functions, and access benefits as required by law. For accommodations contact Human Resources at (857) 282-7642. Mass General Brigham Competency Framework At Mass General Brigham, the competency framework defines effective leadership by specifying the behaviors critical for successful performance at each job level. The framework comprises ten competencies and is used to evaluate performance, inform hiring decisions, identify development needs, and support talent development.
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