Sr. Java Health Plans EDI Specialist

Overview

Join to apply for the Sr. Java Health Plans EDI Specialist role at Benecard Services, LLC
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Base pay range: $/yr - $/yr

• Maintenance & enhancement of multiple automated data interfaces using both standard HIPAA formats and custom data layouts for eligibility & claims processing
• Support the processes related to the submission of encounter data to contracted health plans
• Accurately monitor and reconcile submitted encounters against response files to ensure timely resolution of submission issues
• Development of processes to generate various data universes as required by CMS
• Develop customized reporting as requested by clients & internal users
• Troubleshoot Production issues
• Prepare documentation describing relevant applications & interfaces
• Provide off-hours support as required

• Must have professional experience with standard HIPAA formats (837, 277, 835, 834, etc.)
• Must have experience with CMS, DHS reporting requirements & formats and encounter submissions is required
• Must have experience with EDI translation software, experience with iWay software is a plus
• Familiarity with managed care health programs and the insurance industry is required
• Must have a high level of competency in designing, coding, testing, debugging, documenting, and supporting production-quality Java applications
• Must have professional experience including expert knowledge of Java, SQL, XML, SFTP, & JDBC required
• Experience working with database systems such as DB2 and MySQL
• Experience with MS Excel functions that includes working with large datasets and creating standardized reporting
• Working knowledge of Microsoft office applications (Excel, Word, Access, etc.)
• Experience working in an AS/400 environment
• Working knowledge of COBOL is a plus

• Strong ability to analyze existing code and to formulate and implement changes
• Ability to work independently and within a team environment
• Self-directed with excellent time management skills
• Organized and extremely attentive to detail
• Effective, honest, and clear communication style
• A good sense of humor

• Competitive salary
• Vacation and Sick/Personal Time
• Medical Insurance
• Hearing Program Discount
• Short- & Long-Term Disability Insurance
• Life Insurance
• Flexible Spending Account
• 401(k)
• Employee Referral Program
• Employee Recognition
• Tuition Reimbursement
• Professional Development Training

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

Benecard Services, LLC

Benecard Services, LLC provides affiliated companies and services including Bene Card PBF and National Vision Administrators. More information at their respective websites: , ,

We are an Equal Opportunity employer.

• Mid-Senior level

• Full-time

• Engineering and Information Technology

• Pharmaceutical Manufacturing

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