Technical Lead, EDI

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August 19

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CareSource

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Healthcare Insurance

CareSource is a health services company focused on providing affordable health insurance and healthcare solutions. It offers a wide range of plans including Medicaid, Marketplace, and Medicare Advantage, targeting low-income adults, families, children, pregnant women, elderly adults, and people with disabilities. Additionally, CareSource provides members with resources for COVID-19 support, dental, vision, and hearing benefits, as well as pharmacy services. The company emphasizes easy access to healthcare management through online platforms and a mobile app.

1001 - 5000 employees

Founded 30+ years

⚕️ Healthcare Insurance

📋 Description

• 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

🎯 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 • Military affiliation or TRICARE experience is preferred

🏖️ Benefits

• Bonus tied to company and individual performance • Substantial and comprehensive total rewards package • Focus on employee total well-being