Techical Manager EDI-Healthcare

HumCap, Inc.
Plano, TX, US
Full-time
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Job Description

Job Description

The Technical Manager EDI- Healthcare is a strategic role at the heart of our healthcare clearinghouse operations, ensuring the seamless execution of technical processes and the delivery of high-quality software solutions.

This individual will be instrumental in driving the technical direction of the organization, fostering innovation, and maintaining our commitment to excellence in serving the needs of payers and providers.

What you’ll be doing?

  • Spearhead the implementation of Healthcare Clearinghouse practices, including mastery over X12 EDI transactions (837, 835, 270 / 271, 276 / 277), and ensure compliance for CAQH requirements.
  • Utilize expert knowledge in payer and provider requirements, including HIPAA guidelines, data mapping, reporting, and various data formats (XML, JSON, CSV).
  • Lead and guide the technical team in all phases of the software development lifecycle, ensuring successful project delivery.
  • Uphold and promote high standards of software quality within the team by cultivating best practices and a culture of continuous improvement.
  • Offer technical leadership and mentorship to team members, enhancing their skills and fostering a collaborative environment.
  • Engage in cross-functional collaboration with developers, business analysts, and architects to design, develop, test, and maintain robust applications.
  • Facilitate the documentation of user requirements, user stories, and project estimates.
  • Generate comprehensive reports and manuals to communicate the status, operation, and maintenance of software systems.
  • Conduct and participate in peer-reviews of solution designs and code, ensuring adherence to industry standards.
  • Manage the packaging and deployment of software releases, and fine-tune application integrations.
  • Resolve technical issues, applying diagnostic and troubleshooting expertise to maintain application performance.
  • Commit to delivering on-time and on-budget solutions, aligning with the organization’s high-quality development principles.
  • Provide advanced support to business users, addressing complex issues as a third-level support expert.

Required skills :

  • A bachelor’s degree in computer science, engineering, or a related discipline.
  • Management certification relevant to the role is highly desirable.
  • Proven experience in a similar leadership position, preferably within a healthcare clearinghouse environment.
  • Exceptional technical skills, with a strong ability to diagnose and troubleshoot software issues.
  • Demonstrated leadership and organizational prowess, with a track record of managing high-performing teams.
  • A proactive approach to building professional relationships with both staff and clients.
  • Outstanding communication skills, capable of motivating teams and engaging with stakeholders at all levels.

Location :

This position is located in the Dallas, TX office. This is a hybrid position with requirements of 3 days in office per week.

30+ days ago
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