Senior EDI Engineer

Posted 2 Days Ago
Hiring Remotely in United States
Remote
115K-172K Annually
Senior level
Healthtech • Software
The Role
Designs, develops, maintains, and supports software applications focused on HIPAA EDI transactions for dental and vision healthcare benefits. Responsibilities include Agile development, production issue triage, technical investigation, secure coding, unit testing, architecture and impact analysis, documentation, and implementing newly legislated EDI standards. The role also serves as a subsystem subject matter expert and uses AI tools responsibly.
Summary Generated by Built In

What are important things that YOU need to know about this role? 

  • Experience: Bring your expertise in C# development, along with experience using AI tools and technologies. Knowledge of the dental and vision insurance industry is a strong advantage.
  • Hours: Full-time, Monday through Friday daytime hours with flexibility built into your schedule.
  • Work Location: This is a 100% remote, permanent work-from-home opportunity, offering the flexibility to do your best work from the comfort of your home.

What will YOU be doing for us?   To design, develop and maintain software applications of varying complexities and on varying tech stacks - in the healthcare space heavily focused on HIPAA EDI transactions.

What will YOU be working on every day? 

  • Actively participate in an Agile scrum team, sizing work efforts and decomposing functionality and iteratively delivering value.
  • Work collaboratively with internal resources to assess and understand technical specifications and business requirements for new systems including data streaming, AI, and regulatory compliance.
  • Develop and maintain current modules, unit tests, applications or processes in production.
  • Triage production issues and affect solutions 
  • Conduct impact analysis for required changes
  • Investigate technologies and research for solutions related to architecture and requirements 
  • Act as a Subject Matter Expert (SME) for various sub systems or client communications when system capabilities must be understood. 
  • Assist in establishing feature estimates and timelines.
  • Perform software design and coding according to SKYGEN accepted secure coding patterns 
  • Work collaboratively with internal team members on investigating and fixing defects 
  • Assist in resolving more complex and escalated operational support as necessary.
  • Develop new processes for currently unsupported or newly legislated HIPAA EDI standards. 
  • Technical Documentation including reverse engineering documentation from existing production code for undocumented legacy processes
  • Responsible use of AI tools, models, and outputs

Additional Responsibilities:

  • Develop new processes for currently unsupported or newly legislated HIPAA EDI standards. 
  • Technical Documentation including reverse engineering documentation from existing production code for undocumented legacy processes
  • Responsible use of AI tools, models, and outputs

What qualifications do YOU need to have to be GOOD candidate?

  • Required Level of Education, Licenses, and/or Certificates
    • Bachelor’s degree in computer science or related field highly preferred or equivalent years of experience or certification.
  • Required Level of Experience
    • Five to Seven years of professional work experience in software engineering.
  • Required Knowledge, Skills, and Abilities
    • Strong knowledge of software design and development techniques
    • Knowledge and proficiency in various technical areas
      • Object Oriented Design and Development
      • Relational Database Concepts
      • Secure Coding Patterns (OWASP)
      • Significant Knowledge and experience with at least a few of these: NET Core, RESTful API, C#, React, Angular, JavaScript, data streaming technologies (Kafka/redpanda), SQL Server, SSIS, Azure Document Intelligence Studio, 
    • Basic knowledge of healthcare industry, specifically EDI transactions for Dental and Vision

What qualifications do YOU need to have to be a GREAT candidate? 

  • Preferred Full-Stack Knowledge, Skills, and Abilities
    • Extensive Knowledge of health care HIPAA standards and EDI Processing
      • 270/271
      • 276/277
      • 277CA
      • 278
      • 834
      • 835
      • 837(D,P,I)
      • 999
    • Knowledge of data streaming technologies (Kafka/redpanda)
    • General Azure Cloud concepts
    • Knowledge and proficiency in:
      • API Gateway Pattern; Azure API Management Services
      • Microservices Architectural Pattern
      • Event-driven Architectural Pattern
      • CI/CD, pipelines, Vault
      • Azure Dev Ops, GitHub
    • Use of AI:
      • GitHub Copilot
      • Cursor AI 
      • An understanding of the right model for the job

The salary range and midpoint is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

Compensation Range: $114,838 - $172,258

Compensation Midpoint: $143,548

 

 

About UsSKYGEN is the trusted partner for specialty benefits payers and government agencies responsible for the delivery and administration of dental and vision benefits. Through cutting-edge technology and service solutions, SKYGEN empowers clients to become the most efficient, effective healthcare organizations in the country.

 
Equal Opportunity Employer, including Protected Veterans and Individuals with Disabilities.

Skills Required

  • Five to seven years of professional software engineering experience
  • Strong knowledge of software design and development techniques
  • Object-oriented design and development knowledge
  • Relational database concepts knowledge
  • Secure coding patterns, including OWASP
  • Significant experience with several listed technologies, including .NET Core, RESTful APIs, C#, React, Angular, JavaScript, Kafka or Redpanda, SQL Server, SSIS, and Azure Document Intelligence Studio
  • Basic healthcare industry knowledge, specifically dental and vision EDI transactions
  • Bachelor's degree in computer science or related field, or equivalent experience or certification
  • Extensive knowledge of HIPAA standards and EDI processing
  • Knowledge of HIPAA EDI transactions 270/271, 276/277, 277CA, 278, 834, 835, 837, and 999
  • Knowledge of Kafka or Redpanda data streaming technologies
  • General Azure cloud concepts
  • Knowledge of Azure API Management and API Gateway patterns
  • Knowledge of microservices and event-driven architecture patterns
  • Knowledge of CI/CD, pipelines, Vault, Azure DevOps, and GitHub
  • Experience using GitHub Copilot and Cursor AI, including selecting appropriate AI models
Am I A Good Fit?
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The Company
HQ: Menomonee Falls, Wisconsin
470 Employees
Year Founded: 1993

What We Do

SKYGEN powers dental and vision connectivity solutions that inspire clients to move confidently into the future by employing technology that creates unparalleled efficiencies, streamlines marketplace interactions and drives better healthcare access, value and satisfaction. We help dental, vision and other specialty benefit payers in both commercial and government markets become the most efficient and effective healthcare organizations in the country through intelligent software as a service (SaaS) automation, technology-enabled services, marketplace connectivity and risk management solutions. SKYGEN powers the nation’s largest healthcare insurers with clients operating in more than 100 markets, serving more than 35 million member lives on its technology platform, and 10 million member lives through its technology-enabled services. For more information, www.SKYGENUSA.com. We're looking for innovative individuals to join our team! Learn more about SKYGEN, our culture, and how we can power your career today. We offer exceptional professional growth opportunities; a healthy work-life balance; and competitive salary and benefits. Positions are posted at http://skygenusa.com/Careers.htm.

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