EDI Developer at Partner's Healthcare in Somerville, Massachusetts

Job Description:

Site: Mass General Brigham Health Plan Holding Company, Inc.


At Mass General Brigham, we know it takes a surprising range of talented professionals to advance our mission-from doctors, nurses, business people and tech experts, to dedicated researchers and systems analysts. As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community. We place great value on being a diverse, equitable and inclusive organization as we aim to reflect the diversity of the patients we serve.


At Mass General Brigham, we believe a diverse set of backgrounds and lived experiences makes us stronger by challenging our assumptions with new perspectives that can drive revolutionary discoveries in medical innovations in research and patient care. Therefore, we invite and welcome applicants from traditionally underrepresented groups in healthcare - people of color, people with disabilities, LGBTQ community, and/or gender expansive, first and second-generation immigrants, veterans, and people from different socioeconomic backgrounds - to apply.



Job Summary
As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass General Brigham supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care, and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research. We're focused on a people-first culture for our system's patients and our professional family. That's why we provide our employees with more ways to achieve their potential. Mass General Brigham is committed to aligning our employees' personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal development-and we recognize success at every step. Our employees use the Mass General Brigham values to govern decisions, actions, and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration. Neighborhood Health Plan is seeking an experienced EDI Developer who is responsible for the design, development and maintenance of EDI solutions for HIPAA EDI like 270/271, 276/277, 278, 820, 834, 835, 837 and 999 transactions. Must have a good understanding of the HIPAA EDI Implementations and Companion guides used across Health Care industry. Must have software development experience and should be able to follow design principles and coding/best practices for development. Should be able to work in cross functional project teams and follow SDLC processes. A good hands on experience with development tools such as Visual Studio, C#.NET, Microsoft SQL Server 2008R2, T-SQL and BizTalk Server are essential for this role. Primary Responsibilities: - Programming, including writing T-SQL in SQL Server and SSIS packages, which support the Vendor Interfaces. - Analyze business and system requirements, including impact analyses on existing systems, to develop systems specifications - In partnership with the business units, design, prepare and execute unit test plans for application upgrades and enhancements. - General data mapping of ANSI HIPAA EDI files, including coding, translation, development, testing and deployment or EDI applications. - Perform analysis on systems and processes to become a subject matter expert, in order to help and support the business units. - Work with hosted vendors to accomplish SDLC objectives - Provide data analysis support for NHP business areas in order to assist with the business areas' information, reporting and application development needs. Data analysis entails understanding the flow of data and its interdependency among QNXT core modules such as Member - Enrollment and Services, Claims Processing, Provider Relations, Clinical Systems and Finance. - Track and monitor problem tickets to insure 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 inter-operability of systems. - Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect. - Assist in requirements gathering with end users to clearly define information needs and translate those requirements into specifications for development. '- 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 are performing effectively.



Qualifications


Qualifications - Bachelor's degree in Computer Science, Electronic Engineering, Information Systems and/or relevant years of experience in lieu of degree - Three to five years working experience in application development, support and maintenance in a dynamic, Microsoft environment. Healthcare systems related experience is preferred - Understanding of the data dependencies that exist between applications and systems - Experience with QNXT and CCA or other Integrated HealthCare Systems - ASP.NET, C# and SharePoint Applications - Experience required in SSIS packages, ANSI X12, XML, HL7 formatted EDI transactions - Experience with the development and support of intra-application data exchanges, job scheduling and inter-job dependencies - Demonstrated ability to develop customized solutions to meet business requirements - Strong analytical, programming and demonstrated project management skills. - Must have demonstrated ability to interact effectively and maintain productive interpersonal relations. - Accountable for delivering high quality work - Respects the talent and unique contribution of every individual, culture and ethnic group and treats all people in a fair and equitable manner



Additional Job Details (if applicable)


Additional Job Description



Remote Type


Remote



Work Location


399 Revolution Drive



Scheduled Weekly Hours


40



Employee Type


Regular



Work Shift


Day (United States of America)



EEO Statement:


Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. 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, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.




Mass General Brigham Competency Framework



At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.