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Work Schedule/Shift

Day

Job ID

5000515890406

Req. No

70041377

Job Title

Health Plans Developer I

Region

CHRISTUS System Office

Category

Information Technology

Division

Not Defined

Company

CHRISTUS Health

Travel

None

Facility

CHRISTUS Information Mgmt-79100

Address

919 Hidden Ridge
Irving, TX  75038
US

Type

Full Time

Apply Now Health Plans Developer I Job in Irving

The Health Plans Developer I reports to the Manager of Health Plan Services, in the Information Management (IM) department, is primarily responsible for Tier III activities related to translating business requirements to design and then into working code that handles custom data formats, workflows and rules as it relates to key Health Plan technology systems. Specifically, the position works closely with CHIRISTUS Health Plan Business Analysts and other IM teams as it relates to data integration, technical process documentation, business requirements analysis, ad hoc and standard reports, and testing of electronic transactions. This position provides Incident, Problem Request, and Change managmenet supporting and following ITIL best practices.
MAJOR RESPONSIBILITIES
  • Develop transformations using ETL
  • Provides/coordinates resolution of issues while recommending procedures and controls for problem prevention, escalation, etc.
  • Follows the outlined Service Management Processes including issue/request SLA and SEV1 and 2 application outages.
  • Responsible for thorough documentation within call tracking database and knowledge database to document work around or resolution of frequent incidents to enhance quality of problem resolutions for future incidents.
  • Coordinates code changes with appropriate vendor related to Health Plan issues
  • Collaborates with various IM teams to identify and infrastructure related issues that have resulted in application issues.
  • Aggressively manages personal workload related to open issues and service requests to ensure agreed upon SLA's are met.
  • Provides/coordinates resolution of issues while recommending procedures and controls for problem prevention, escalation, etc.
  • Follows the outlined Service Management Processes including Incident, Change, Problem, Request management.
  • Plans, analyzes, researchs, designs, codes, deploys, tests software applications in SQL server, SSIS, SSRS, XSLT and crystal reports
  • Develops reports and extracts using ETL or SQL as per specifications and requirements
  • Analyzes business requirements and documents functional requirements
  • Prepares technical design documents
  • Participate in peer review and unit testing of applications
  • Provides Tier III support and maintenance of all Health Plan applications
  • Works with the business and the IM team regarding application configuration changes and system upgrades
  • Prepares weekly status report for tasks assigned
  • Develops healthcare EDI X12 files as per vendor companion guide
  • Works with end user to discuss on solutions, concerns and suggestions
  • Demonstrates strong communication and human relationship skills.
  • Provides effective customer service by being courteous, polite and friendly at all times. Acknowledge customers timely in order to determine their need and help the customer resolve the issue or request. Participate in departmental programs that promote and deliver exceptional customer service.
  • Performs other duties and special projects as requested Pursue professional growth and development through personal reading, seminars, workshops and professional affiliations to keep abreast of the trends in his/her field of expertise. May be required to travel to perform duties.
  • May be required to work outside of normal working hours.
  • May be required to work long hours during critical problems or implementations.
  • Bachelor's Degree or combined equivalent experience.
  • 2+ years of experience SQL, ETL (SSIS preferred), SSRS and Crystal Reports
  • Working knowledge in XML, XSLT and batch commands
  • Working knowledge of the Affordable Care Act/Health Insurance Exchange Medicaid, Medicare, and Commercial Health Plans
  • Functional expertise in healthcare business areas, EDI (HIPAA Transactions) processing, integration
  • Knowledge of EDI Healthcare Transactions (820, 270, 271, 834, 837, 270, 271 etc...)
  • Technical experience in EDI Mapping tools , Trading Partner Configuration, Databases (SQL Server), Reporting, Sharepoint, Microsoft Office Suite - Excel, Access, PowerPoint, etc.
  • Knowledge of industry standard health data and code sets such as ICD-10, CPT/HCPCS, Revenue codes, 5010, NCPDP Eligibility / Enrollment Data Model & Structure, Member/Eligibility Input & Output Feeds
  • Working knowledge of relational databases and structure with 2+ years of recent experience in writing Stored Procedures, User Defined Functions, Views, using SQL Server and 2+ years of recent experience with any ETL tools, preferrably SSIS/SSRS.
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