Senior EDI Software Developer

Senior EDI Software Developer

Req number:

R7472

Employment type:

Full time

Worksite flexibility:

OnsiteWho we are

CAI is a global services firm with over 9,000 associates worldwide and a yearly revenue of $1.3 billion+. We have over 40 years of excellence in uniting talent and technology to power the possible for our clients, colleagues, and communities. As a privately held company, we have the freedom and focus to do what is right—whatever it takes. Our tailor-made solutions create lasting results across the public and commercial sectors, and we are trailblazers in bringing neurodiversity to the enterprise.

Job Summary

We are looking for a motivated Senior EDI Software Developer ready to take us to the next level! If you have strong expertise in EDI file formats and claims processing, and are looking for your next career move, apply now.

Job Description

We are looking for a Senior EDI Software Developer to support and enhance claims processing and EDI transactions for IDOH’s ACAPS system. This position will be Full-Time, On-site, and on a 3–6-month contract basis. With employees expected to work in office 5 days per week.  

This position does not offer employment sponsorship. All candidates must be eligible to work without need for sponsorship by employer.

What You’ll Do

• Review and update all documentation related to claims processing and EDI transactions

• Identify undocumented claims processing and EDI processes, and document them

• Act as a subject matter expert (SME) for the development team during the rewrite of IDOH’s ACAPS system in .Net

• Act as liaison between the OTC team and the Children’s program area for claims processing issues

• Collaborate with technical and functional staff on detailed business requirements, aligning business processes and technology with project goals, agency standards, federal, and state policies

• Write technical specifications based on conceptual design and stated business requirements

• Test new and existing systems for functionality and accuracy

• Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts

• Provide helpdesk-level support for EDI claim transactions, including onboarding new healthcare providers and clearinghouses

• Work independently with minimal guidance and collaborate with ISDH external partners as needed

What You'll Need

Required:

• Bachelor’s Degree in Computer Science or related fields with IT experience

• Database knowledge

• 5+ years of experience understanding EDI file formats (835, 837, 210)

• Knowledge of HIPAA regulations

• Ability to solve complex troubleshooting issues

• Excellent verbal and written communication skills

Preferred:

• Health industry experience

• Knowledge of IBM Websphere (WTX)

• Database/SQL experience

Physical Demands 

• Ability to safely and successfully perform the essential job functions consistent with the ADA and other federal, state, and local standards

• Sedentary work that involves sitting or remaining stationary most of the time with occasional need to move around the office to attend meetings, etc.

• Ability to conduct repetitive tasks on a computer, utilizing a mouse, keyboard, and monitor

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Reasonable accommodation statement

If you require a reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employment selection process, please direct your inquiries to [email protected] or (888) 824 – 8111.

$50 - $59 per hour

The pay range for this position is listed above. Exact compensation may vary based on several factors, including location, experience, and education. Benefit packages include medical, dental, and vision insurance, as well as 401k retirement account access. Employees in this role may also be entitled to paid sick leave and/or other paid time off as provided by applicable law.