[Remote] Sr Implementation Consultant
Note: The job is a remote job and is open to candidates in USA. Cotiviti is a healthcare technology company that provides solutions for payer systems and healthcare data interoperability. The Senior Implementation Consultant implements, configures, tests, and supports Edifecs solutions, integrations, and data workflows across cloud and on-premise environments. The role also translates business requirements, supports QA and go-live activities, trains clients, and provides technical guidance to junior staff.
Responsibilities
- 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
- Perform data profiling, cleansing, transformation, and loading activities
- 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
Skills
- Bachelor's in computer science, Information Technology, Information Systems or other technology related degree or equivalent experience in implementing, and operating Java stack-based enterprise applications
- 5+ years of experience in technical healthcare system implementation, preferably with a payer or health plan
- 3+ years of experience with Electronic Data Interchange (EDI) mapping and EDI analysis
- Deep understanding 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.)
- Strong knowledge of Edifecs Applications
- Decent 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 webservices
- 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
- Expertise with healthcare data domains: member, claims, provider, enrollment, and clinical data
- Ability to work independently as well as collaborate as a team with a sense of urgency
- Professional with the ability to properly handle confidential information
- Be value-driven, understand that success is based on the impact of your work rather than its complexity or the level of effort
- Ability to handle multiple tasks, prioritize, and meet deadlines
- Flexibility to work with global teams as well as geographically dispersed US-based teams
- Remaining in a stationary position, often standing or sitting for prolonged periods
- Repeating motions that may include the wrists, hands, and/or fingers
- Must be able to provide a dedicated, secure work area
- Must be able to provide high-speed internet access/connectivity and office setup and maintenance
- 5+ years of experience in technical healthcare system implementation, preferably with a payer or health plan
- Experience using integration engines or tools (e.g., Mirth Connect, InterSystems, AWS Glue, Talend) is a plus
Benefits
- Medical insurance coverage
- Dental insurance coverage
- Vision insurance coverage
- Disability insurance coverage
- 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
Company Overview
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