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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