Required Skills

business analysts QA testers

Work Authorization

  • US Citizen

  • Green Card

  • EAD (OPT/CPT/GC/H4)

Preferred Employment

  • Corp-Corp

  • W2-Permanent

  • W2-Contract

  • Contract to Hire

Employment Type

  • Consulting/Contract

education qualification

  • UG :- - Not Required

  • PG :- - Not Required

Other Information

  • No of position :- ( 1 )

  • Post :- 13th Oct 2023

JOB DETAIL

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.

Healthcare domain knowledge is a plus.

Microsoft BizTalk certification is advantageous but not required.

Key Responsibilities:

 

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.

Company Information