Edifecs/EDI Tech Lead

CareSource

1d•$94,100 - $164,800

About The Position

This position supports TRICARE Prime® Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veterans, military spouses, and those with prior TRICARE experience to apply. The Edifecs/EDI Tech 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.

Requirements

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
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
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

Nice To Haves

Military affiliation or TRICARE experience is preferred
Knowledge of the healthcare and managed care philosophy is preferred
Cloud certification a plus

Responsibilities

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