Remote, Work from home, Tennessee

eviCore is hiring an EDI developer/QA to provide expert content/professional leadership on complex engineering assignments/projects.

Responsibilities

• Designs and develops a consolidated, conformed enterprise data warehouse and data lake which store all critical data across Customer, Provider, Claims, Client and Benefits data.
• Designs, develops and implements methods, processes, tools and analyses to sift through large amounts of data stored in a data warehouse or data mart to find relationships and patterns.
• Participates in the delivery of the definitive enterprise information environment that enables strategic decision-making capabilities across enterprise via an analytics and reporting.
• Exercises considerable creativity, foresight, and judgment in conceiving, planning, and delivering initiatives.
• Uses deep professional knowledge and acumen to advise functional leaders.
• Focuses on providing thought leadership within Information Management but works on broader projects, which require understanding of wider business.
• Recognized internally as a subject matter expert.

Requirements

• ITXA, Sterling File Gateway, EDI Map Development, Sterling Connect: Direct, Symphonia, BPML, GPM& BPEL, XML,XSLT,XSD,WSDL, Sterling Secure Proxy, FTP, HTTP, HTTPS, SFTP, Sterling Control Center, MFT, Troubleshooting, GIS Map Editor, Visual Mapper, Performance Tuning, Production Support
• Extensive Knowledge on ITXA Application & ITX Mapping & Sterling Integrator Mapping
• Extensive experience in - trading partner setup / on-boarding, mapping specifications and documentation, troubleshooting, problem resolution, customer / vendor / internal customer data issue resolution, interface development for import / export of EDI data.
• Highly Experienced on RealTime processes setup and setting up required configuration end to end.
• Highly Experienced in handling the windows servers Admin work.
• Highly Experienced in doing the ITXA Installations on windows servers and Patching efforts.
• Highly Experienced in HIPAA (Health Insurance Portability and Accountability Act), Health Care industry providing Business Process Assessment, Requirements Gathering, Gap Analysis, Implementation and Testing.
• Develop Business and Technical Requirements for all 5010 EDI transactions: 270, 271, 276, 277, 278, 820, 834, 835, 837i, 837p, and 837d and unsolicited transactions (271U, 277U).
• Ability to create Business Processes (BP's) from scratch and understand existing ones.
• Provided analysis from a WTX perspective on map functionality and design for new maps and updated maps.
• Design, Develop and Test all the WTX Maps and moved to the Production Environment along with documentations.
• Should be able to Understand and Create Shell scripts, Perl scripts and Batch scripts to automate the FTP process, handling of data discards, data errors, compliance errors etc.
• Manage to receive large volume of files to trading partners using Sterling File Gateway(SFG)
• Sterling Control Center (SCC) Integration, monitoring, SI/Sterling File Gateway (SFG) instance sending notification via SMTP email server.
• Set up various communications using Protocols FTP, HTTP and SMTP with trading partners.
• Should be capable of handling Production failures and identify the root cause immediately and be able to provide appropriate solutions.
• Strong Relational DB understanding
• Expert in SQL design, development, and automation
• Conceptual, Logical and Physical data modeling
• Experience handling large data files and datasets
• Able to communicate with application developers and UX designers
• ANSI X12 HIPAA: 837 Claims (Institutional, Dental, Professional), 835 (Claim Payment/Remittance), 834 (Benefit Enrolment), 276 & 277 (Claim Status), 270 & 271 (Patient Eligibility), 278, 999, TA, a plus.

This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.

For this position, we anticipate offering an annual salary of $84,800 - $141,300, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Helping our customers achieve healthier, more secure lives is at the heart of what we do. While you take care of our customers, we'll take care of you through a comprehensive benefits program that helps you be at your best. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and best in class well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and dozens of corporate discounts on essentials you use every day. For more details on our employee benefits programs, please visit the "Life at Cigna" tab on our careersite: www.cigna.com/careers

About Cigna

Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.