It’s an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances.
The EDI Analyst III provides senior level development and support for Electronic Data Interchange (EDI) processes and utilities, including testing, implementing and maintaining EDI transactions. This person handles communications with trading partners for EDI transaction set-up and ongoing maintenance and support. Additionally, they monitor and oversee scheduling of daily batch production jobs including job scheduling as required, maintaining accurate records of all production processing, problem resolution/escalation, and daily request processing. This position will conduct secure transfer of information to and from outside vendors via FTPS, SFTP, or FTP and PGP encryption protocols.
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Our Investment in You:- Full-time remote work
- Competitive salaries
- Excellent benefits
Key Functions/Responsibilities:
- Serves as primary resource of knowledge and experience as a technical contact for internal and external stakeholders on any EDI-related issues
- Monitors, audits and maintains interfaces between business systems to include interfaces between internal and external partners with key focus on external Electronic Data Interface (EDI) processes
- Diagnoses EDI process problems of a complex nature, coordinating with other technical and/or business resources as necessary for assistance
- Ensure and provide on-call application technical support for production EDI systems
- Plays lead role in the development and execution of test scenarios and cases of new or revised program functions
- Oversees and coordinates testing of application solutions, including functional testing, regression testing, and performance optimization
- Plays lead role in the definition of requirements for EDI applications supporting the Health Plan
- Designs, develops, tests, and implements new software applications and EDI programs, maps, and processes through entire life cycle
- Oversees EDI & batch processes day-to-day to identify and address problems as they arise and to track levels of activity, compiling and tracking metrics for senior management
- Sets up and maintains the administration of production system batch processes, including setup, configuration, installation and scheduling using Tidal Enterprise Job Schedule
- Assists with FTP account configuration
- Provides guidance to less experienced staff
- No direct Supervisory responsibilities
This description is intended to provide a clear, accurate, yet concise statement of the primary work elements, and to organize the information in a standardized format. It is not intended to describe all the responsibilities and duties for this position, nor should it serve as the sole criteria for personnel decisions and actions. This description is neither an employment agreement nor an expressed or implied employment contract, and WellSense may modify it at any time.
Qualifications:
Education:
- Bachelor’s Degree in Computer Science, Management Information Systems, related field, or an equivalent combination of education, training and experience is required
Experience:
- 6 + years’ experience in the development and/or support of software systems are required
- Experience with SQL and relational databases
- Experience with multi-tiered client-server and web-based applications
- Experience with EDI and data translation tools (preferably BizTalk)
- Some experience with Microsoft development tools, such as VB, VB Script, .NET or ASP
Preferred/Desirable:
- Experience in the healthcare industry preferred
- Experience with Microsoft SQL 2005, Sybase, or Oracle preferred
- Experience with Tidal Enterprise Job Scheduler preferred
Competencies, Skills, and Attributes:
- Knowledge of HIPAA transactions
- Knowledge of command language for MS Windows operating systems and related peripheral equipment
- Knowledge of VB scripting, and Secure FTP Protocols
- Demonstrated ability to accurately interpret computer-issued error messages and take appropriate action
- Demonstrated effective oral and written communication skills
- Must be self-motivated and able to work independently
- Exhibits high standards of business and ethical conduct
- Continuously works on improving knowledge and skills
- Accepts challenges and takes initiative
- Experience with Trizetto’s E-Facets Application a plus
About WellSense
WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances.
- WellSense will require proof of COVID-19 vaccination(s) as a term of employment for all employees. The company may make exceptions to this requirement in certain limited circumstances for religious or medical purposes.
Required Skills
Required Experience
