EDI Architect; Remote

Overview

The following states/districts are excluded from this job ad: AK, CA, CO, CT, DC, HI, IL, LA, MA, MN, MO, NE, NV, NH, NJ, NM, NY, ND, OR, PR, RI, VT, WA, WY.

Location: Remote in any United States jurisdiction not excluded from this job advertisement.

Are you passionate about designing innovative solutions that drive efficiency and security in healthcare data exchange? We are seeking a highly skilled Electronic Data Interchange (EDI) Architect to lead architecture initiatives, develop cutting-edge integration strategies, and ensure seamless interoperability across critical healthcare systems.

The Electronic Data Interchange (EDI) Architect leads architecture initiatives and designs, develops, and implements solutions by analyzing business needs and resolving routine issues.

5 years of experience programming and working with X12 EDI transaction sets

Bachelors degree in computer science or related field; CMMI Data Management Maturity (DMM) Certification (preferred)

• Excellent experience programming X12 EDI transaction sets including 837P, 837I, 837D, 835, 834, 999, 277CA, 270/271, 276/277, and SNIP validation rules
• Above average experience with EDI toolsets (e.g., EDIFECs, Mule Soft, Biz Talk, Axway, Web Methods)
• Above average experience in Python, Java, and/or Scala for building data pipelines, microservices, and automation
• Above average experience in extract-transform-load (ETL) processes and tools (e.g., Apache, Talend, Informatica, SSIS)
• Above average experience in data integration strategies and best practices
• Above average understanding of microservices architecture patterns (e.g., REST APIs, containerization, service discovery, orchestration frameworks)
• Above average knowledge of systems analysis, design, development, quality assurance and integration methodologies
• Experience working with cloud environments (e.g., AWS, Azure, Google Cloud)
• Working knowledge of HIPAA
• Experience with participating in component and data architecture design, performance monitoring, data exchange hubs, and transport mechanisms
• Experience with data storage and processing tools (e.g., AWS Lambda, Azure Data Factory)
• Experience with microservices (e.g., Kubernetes, Docker)
• Knowledge of orchestrating complex data workflows and monitoring their performance using tools (e.g., Apache Airflow, AWS Step Functions, Azure Data Factory, Microsoft Fabric)
• Understanding of SQL and No
  
  SQL databases for efficient data handling
• Experience with relational healthcare claims data and auto-adjudication claims process with understanding of Explanation of Benefits (EOB)
• Experience incorporating security into systems to protect PII and PHI
• Familiarity with CI/CD pipelines for microservices deployment (preferred)

General Physical Requirements needed to perform the essential functions of this job may vary based on the location of the assignment.

• Assignment Location - Remote
• Sedentary work involving up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull, or otherwise move objects
• Typing, communication, repetitive motions
• Close visual acuity to prepare and analyze data, view computer monitors, and read
• Inside environmental conditions with protection from outside elements

Security:
Ability to obtain/maintain a Federal Civilian Public Trust

• U.S. Citizenship or Permanent Resident that has lived in the United States for at least 3 years

Federal Civilian Public Trust consists of a review of multiple items including background investigations, checks, and other credentials as described.

• Covers 10 year period and, in some instances, lifetime events
• OPM Security Investigations Index (SII)
• DOD Defense Central Investigations Index (DCII)
• National Agency Check (NAC) records
• FBI name check and fingerprint check
• Credit report check
• Written inquiries to previous employers and references
• Interviews with subject, spouse, neighbors, supervisor, coworkers
• Law enforcement check
• Court records check
• Education check – attendance and degrees

Tasks/activities include, but are not limited to:

• Designs, develops, and implements solutions for software integration projects
• Leads architecture initiatives, including the design of EDI/interface solutions, ETL processes, and data warehouse architectures
• Analyzes business needs and resolves routine issues
• Presents to senior-level clients on interoperability solutions, architecture, and technical recommendations
• Builds data pipelines
• Supports microservices and automation
• Coordinates applications across functions and between organizations
• Ensures the integration of projects meets organizational requirements
• Applies advanced consulting skills, extensive technical expertise, and full industry knowledge
• Develops innovative solutions to complex problems
• Works without considerable direction and mentors and supervises team members

The annual projected pay range for this position is $96,362.00 - $ with…