- Develop and Maintain BizTalk Solutions: Design, develop, implement, and maintain BizTalk solutions to support the processing of 837 (electronic healthcare claims) and 835 (electronic healthcare remittances) transactions.
- EDI Integrations Formats: 837, 835, 277CA
- Configuration and Optimization: Configure, fine-tune, and optimize BizTalk applications to ensure high performance, scalability, and reliability.
- Data Mapping and Transformation: Create and manage data maps and transformation processes to convert data from various source formats to standardized formats and vice versa.
- Monitoring and Troubleshooting: Monitor BizTalk server components, diagnose and resolve issues, and ensure the continuous availability of healthcare claims processing systems.
- Compliance and Security: Stay updated on the latest healthcare industry standards, including HIPAA, and ensure that all transactions and data exchanges comply with the necessary security and privacy regulations.
- Collaboration: Work closely with cross-functional teams, including business analysts, QA testers, and other developers, to gather requirements, design solutions, and resolve issues.
- Documentation: Maintain comprehensive documentation of BizTalk solutions, including technical specifications, architecture diagrams, and operational procedures.
- Performance Optimization: Identify and implement performance enhancements to ensure efficient processing of large volumes of healthcare claims.
Qualifications:
- Bachelor's degree in Computer Science, Information Technology, or a related field.
- Proven experience as a BizTalk Developer with a strong focus on healthcare claims processing, specifically 837 and 835 transactions.
- Proficiency in BizTalk Server, including the development of schemas, maps, orchestrations, and pipelines.
- In-depth knowledge of EDI standards and formats, especially in the context of healthcare claims.
- Familiarity with healthcare industry regulations, such as HIPAA and HL7.
- Strong problem-solving and troubleshooting skills.
- Excellent communication and collaboration abilities.
- Healthcare domain knowledge is a plus.
- Microsoft BizTalk certification is advantageous but not required
Primary Technology: Biztalk
Additional: API, SQL Server, Oracle development