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Edifecs/EDI Technical Lead - Only apply if you have Edifices experience
Edifecs/EDI Technical Lead - Only apply if you have Edifices experienceCareSource • United States
Edifecs / EDI Technical Lead - Only apply if you have Edifices experience

Edifecs / EDI Technical Lead - Only apply if you have Edifices experience

CareSource • United States
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Job Summary :

The Edifecs / EDI Technical Lead is responsible for owning technical delivery and technical management for a defined domain or platform. The role will work closely with cross-functional teams, including product managers, designers, and quality assurance, to ensure the successful delivery of solutions within the defined scope, timeline, and quality standards.

Essential Functions :

  • Work with the EDI Manager to develop high-level implementation plans for the delivery of new technology; validate business proposition of this technology; evaluate currently deployed services and develop plan to optimize delivery
  • Improve platform resiliency across all aspects of EDI, real time and batch transactions
  • Prioritize team activities based upon IT leadership priorities and bandwidth
  • Represent IT in project / business meetings and engagements
  • Improve solution functionality and efficiency with added business value
  • Collaborate closely with other business areas to optimize the use of systems and applications
  • Apply creative thinking in problem solving and identifying opportunities for improvement
  • Provide subject matter expertise for technical guidance, training and direction
  • Provide direction, lead and review of work products and daily tasks for quality
  • Design, architect, and oversee the development of complex software systems, ensuring scalability, reliability, and maintainability
  • Drive the full development lifecycle, from requirements gathering and design to implementation, testing, and deployment
  • Establish and enforce coding standards, best practices, and development methodologies within the team
  • Conduct regular code reviews to ensure code quality, performance, and adherence to architectural principles
  • Identify technical risks and propose effective mitigation strategies to ensure project success
  • Accountable for EDI Service Level Agreements (SLAs) across all HIPAA transactions
  • Collaborate with product managers to prioritize and schedule project deliverables based on business objectives and resource availability
  • Provide accurate and timely progress updates to project stakeholders, highlighting achievements, challenges, and proposed solutions
  • Stay up to date with the latest industry trends, technologies, and frameworks, and evaluate their potential application in the organization
  • Perform any other job duties as requested

Education and Experience :

  • Bachelor’s degree in Business, Computer Science or related field or equivalent work experience is required
  • Five (5) years or more active experience within software development (Edifecs, Integration, Database, Portal preferred) required
  • Five (5) years of experience working in a medium or large operating environment supporting 1,000,000+ transactions per month
  • Five (5) years of programming and analysis experience
  • Experience with Agile methodologies is required
  • Experience with Edifecs (Smart Trading, Enrollment Manager, Encounters) preferred
  • Experience translating business requirements into technical specifications
  • Three (3) years of experience within Technology / Architecture leadership is preferred
  • Project planning and project management experience is preferred
  • Experience with Product Management environment and Cloud technologies is preferred
  • Military affiliation or TRICARE experience is preferred
  • Competencies, Knowledge and Skills :

  • Strong understanding of all EDI transactions in the healthcare domain (834, 837, 270 / 271, 276 / 277, 835, 820, 275, 278)
  • Expert level skills in technical architecture, project management, and team collaboration
  • Strong analytical, evaluative and problem solving abilities
  • Knowledge of the healthcare and managed care philosophy is preferred
  • Critical listening and thinking skills
  • Strong learning competency and ability to teach others
  • Solid project planning and management abilities
  • Technical teaching, programming, analysis and specification skills
  • Network protocols and security standards (may require)
  • Application development tools methodologies (e.g. Agile) and Architecture skills
  • Strong knowledge of best practices relative to application development or infrastructure standards
  • Excellent written and oral communication skills
  • Effective organization and prioritization skills
  • Licensure and Certification :

  • Cloud certification a plus
  • Working Conditions :

  • General office environment; may be required to sit or stand for extended periods of time
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    Technical Lead • United States