Healthcare EiPaaS Developer

🔥 18 hours ago

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Avēsis

WebsiteLinkedInAll Job Openings

501 - 1000 employees

Founded 1978

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare Insurance • Wellness

Avēsis is a company dedicated to providing comprehensive specialty benefits focused on improving access, equity, and health outcomes. Specializing in dental and vision plans, Avēsis offers flexible, affordable, and outcome-focused oral health benefits as well as vision plans that connect eye health to overall well-being. With over 40 years of experience, Avēsis is committed to personalized care and building community health networks to service government partners, commercial providers, employers, and brokers. Avēsis operates as a wholly owned subsidiary of Guardian, and leverages tailored network and product solutions to deliver accessible quality care to members, while also administering Medicaid, Medicare, and other essential benefits programs.

📋 Description

• The EiPaaS Developer role resides within the Operations department and is responsible for overall ownership of the EiPaaS application (Bridgegate) and its environment. • Ensure the accurate, timely, and compliant processing of 834 electronic files, provider files, and other items processed through the EiPaaS/Bridgegate application, while maintaining enterprise-wide oversight of all Bridgegate workflows. • Manage end-to-end processing of HIPAA-compliant healthcare EDI transaction sets, including 834 enrollment files and familiarity with 837 claims and 270/271 eligibility transactions. • Build, configure, and maintain templates for new 834 electronic files as business needs evolve. • Monitor all EiPaaS/Bridgegate workflows, not limited to 834 transactions. • Design and implement comprehensive logging, alerting, and monitoring processes to capture EDI transaction logs, metadata, and automated alerts for data processing anomalies. • Serve as the primary point of contact for all EiPaaS related issues. • Maintain detailed documentation for templates, workflows, transaction logic, and monitoring controls.

🎯 Requirements

• Associate’s Degree in Business, Information Systems, Healthcare Administration, Operations Management, or related field (or equivalent work experience). • 2+ years of experience in operations, EDI processing, healthcare enrollment, or systems workflow management. • 1-2 years of direct experience working with 834 electronic files and understanding of EDI file structures. • Experience using Bridgegate or a comparable integration or data workflow platform. • Demonstrated experience monitoring automated workflows and resolving production issues. • Strong analytical and troubleshooting skills with attention to detail. • Ability to interpret data mappings and validate file outputs. • Proficiency with Excel and basic data analysis tools. • Strong written and verbal communication skills.

🏖️ Benefits

• Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. • Life and disability insurance. • A great 401(k) with company match. • Tuition assistance, paid parental leave and backup family care. • Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. • Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. • Employee Resource Groups that advocate for inclusion and diversity in all that we do. • Social responsibility in all aspects of our work.