PacificSource Health Plans

Software Developer-EDI

Job Location US-OR-Springfield
Job ID
2018-15
Type
Regular Full-Time
Hiring Pay Range
68,000 - 88,000
# of Openings
1
Status
Exempt

Overview

Work within a team to develop EDI and other data solutions for internal and external customers and partners.  Responsibilities include analyzing requirements, understanding business processes and needs, and designing/building solutions to achieve business goals.  Solutions usually involve extract, transformation, and delivery of data derived from production platforms, business partner sources, and government sources.  Projects are completed with cross-functional teams of IT peers and business partners.  Manage time and expectations to ensure a high degree of stakeholder and user satisfaction.

Responsibilities

  1. Evaluate and prioritize stakeholder requests. Communicate promptly, consistently, and effectively with stakeholders.
  2. Balance high-priority work with lower priority maintenance work to ensure both success of projects and smooth operation of existing functions.
  3. Analyze and evaluate data sources, requirements, and business processes. Develop, optimize, and support code solutions within a structured coding environment.  Assess user requirements and provide input to departments.  Liaise with other IT staff to improve system efficiency, security, and functionality.
  4. Identify, diagnose, and resolve potential and evident system problems. Provide troubleshooting support to other staff.
  5. Support standard healthcare X12 transactions and environments, especially involving EDI 834, 835, and 837 document types.
  6. Work with Edifecs software to process EDI transactions and custom file formats.
  7. Design and apply new methods and procedures. Develop and test systems, programs, and database structure for efficiency and effectiveness.
  8. Prepare systems specifications, project plans, and other internal documents. Ensure users and partners understand nature of work being performed, as well as timeframes and milestones. Provide regular status updates to supervisors and stakeholders.
  9. Train users in technical aspects of systems.
  10. Participate in selection and recommendation of suppliers and vendors. Assist in management of those relationships.
  11. Proactively identify opportunities for system and process improvement. Work with management and stakeholders to prioritize and implement solutions accordingly.

Supporting Responsibilities:

  1. Meet department and company performance and attendance expectations.
  2. Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  3. Perform other duties as assigned.

Qualifications

 

Work Experience: Minimum of two years of real-world systems development and analysis in a business environment required.  Health insurance industry and claims or billing systems experience preferred. Experience with Electronic Data Interchange (EDI) strongly preferred.

 

Education, Certificates, Licenses: Bachelors degree or equivalent in Computer Science or closely related field and 2 years relevant experience.

 

Knowledge: Understanding of HIPAA X12 transactions. Visual Studio.NET languages and Microsoft Transact-SQL, normalized database design. Client/server design concepts. Structured code management best practices.  Self-management skills for coordinating numerous, simultaneous projects. Responsible for accurate, reliable design, development, maintenance, and testing of applications. Participate in broad information systems assignments requiring originality and ingenuity. Work independently and in teams. Proficient keyboarding required. Code Management (such as Visual SourceSafe); Use of change control and production control for deployments.

 

Competencies

Our Values

  • Building Customer Loyalty
  • Building Strategic Work Relationships
  • Contributing to Team Success
  • Planning and Organizing
  • Continuous Improvement
  • Adaptability
  • Building Trust
  • Work Standards

 

 

  • We are committed to doing the right thing.
  • We are one team working toward a common goal.
  • We are each responsible for our customers’ experience.
  • We practice open communication at all levels of the company to foster individual, team and company growth.
  • We actively participate in efforts to improve our many communities-internal and external.
  • We encourage creativity, innovation, continuous improvement and the pursuit of excellence.

 

 

Environment: Work inside in a general office setting with ergonomically configured equipment. Travel is required approximately 5% of the time.

 

Physical Requirements: Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.  Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

 

Disclaimer: This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.

 

 

PacificSource is an equal opportunity employer.  All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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