Implementation Consultant

Role Overview

• Implement and configure Edifecs applications for payer systems on AWS, Azure cloud or virtual machines.
• Implement and manage integrations between Edifecs’ products and solutions and Customer’s on-premise systems.
• Analyze business requirements and translate them into technical configurations, workflows, and mapping documents.
• Develop and test real-time and batch integrations using EDI (X12: 834, 837, 835, 270/271, 276/277, 278) FHIR (CMS Interoperability APIs) HL7 v2/v3.
• Implement service-based integrations via RESTful APIs, SOAP Web Services, ESBs, and iPaaS platforms.
• Create mapping specifications and perform data validation, reconciliation, and error resolution.
• Support ETL processes and legacy data migration to new payer systems.
• Assist QA teams with creating technical test cases and validating system configurations and interfaces during SIT/UAT.
• Partner with business analysts, SMEs, solution architects and delivery leads to ensure alignment of technical deliverables.
• Develop appropriate training and development plans to meet the client's particular maintenance level and to configure the software according to the project plan.
• Provide post-implementation support during the transition from implementation to maintenance.
• Provide software and client specific training and develop training documentation based on present standards and client needs.
• Participate in design workshops, integration sessions, and go-live readiness planning.
• Provide technical guidance to junior implementation staff and contribute to solution documentation.

Requirements

• Bachelor’s in computer science or other technology related program or equivalent experience in implementing, and operating Java stack-based enterprise applications.
• 2 years of experience in technical healthcare system implementation, preferably with a payer or health plan.
• Familiarity of X12 standards, FHIR and other standards-based interoperability / integration patterns in the Healthcare Industry.
• Hands-on experience in analyzing transactions and creating interfaces for transactions such as X12 837, 835, 834, proprietary formats and deep knowledge of coding standards such as LOINC, SNOMED, ICD 10.
• Familiarity with data formats: JSON, XML, HL7v2 messages, X12, flat files (CSV, pipe-delimited, etc.).
• Knowledge of healthcare EDI transactions (834, 837, 835, 270/271, 278).
• Proficiency in data modeling (logical & physical) and relational databases (SQL Server, Oracle)
• Experience implementing solutions on AWS, Azure using CI/CD pipelines (GitLab, Jenkins, Terraform, CloudFormation)
• Experience working in Agile or SAFe environments.
• Working knowledge of java programming language and good understanding of SOAP and REST based web services.
• Prior experience troubleshooting performance problems that may have many underlying causes such as Disk, Database, Network, Messaging and other platform / 3rd party solutions.
• Prior experience in troubleshooting problems in java based applications using opensource tools / JDK tools such as jstack, visualvm, jconsole, jmap and similar tools to identify memory issues, deadlocks, application performance.
• Experience using integration engines or tools (e.g., Mirth Connect, InterSystems, AWS Glue, Talend) is a plus.

Tech Stack

• AWS
• Azure
• Cloud
• ETL
• Java
• Jenkins
• Open Source
• Oracle
• SOAP
• SQL
• Terraform

Benefits

• medical, dental, vision, disability, and life insurance coverage
• 401(k) savings plans
• paid family leave
• 9 paid holidays per year
• 17-27 days of Paid Time Off (PTO) per year, depending on specific level and length of service with Cotiviti