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Lead and oversee healthcare quality analytics and informatics staff. Develop and present analyses supporting quality metrics, collaborate with stakeholders and IT, respond to regulators, and manage hiring, training, and performance of the informatics team.

Analyzes, maps, tests, supports, and documents EDI trading-partner files and integrated data systems. Responsibilities include production support, SQL querying, API and transaction testing, defect resolution, monitoring, reporting, technical specifications, data mapping, requirements analysis, and project participation. The role requires real-time EDI 27X expertise, supports healthcare-related integrations, participates in on-call rotation, and may mentor junior analysts at higher levels.

Owns and prioritizes the product backlog for real-time EDI 27X capabilities. Creates and decomposes business requirements into user stories, defines acceptance criteria, supports Scrum ceremonies, reviews test cases, accepts completed stories, and represents business needs to technology teams. The role also coordinates projects, forecasts effort, supports governance and quality programs, mentors team members, manages stakeholder communication, and develops processes for advancing technology capabilities.

Designs, develops, integrates, tests, and validates complex healthcare software. Provides architecture and coding expertise, leads technical proposals and program objectives, defines features, supports customers, and serves as the primary technical authority. Requires hands-on QNXT experience, healthcare software architecture expertise, integration experience, analytics knowledge, software development lifecycle understanding, and configuration and change management knowledge.

Owns and prioritizes the product backlog for real-time EDI 27X capabilities. Develops business user stories and acceptance criteria, partners with Scrum Masters and project managers, supports Agile ceremonies, reviews test cases, accepts completed stories, and aligns product priorities with customer and business needs. The role also evaluates project effort, supports planning, mentors team members, develops procedures, and coordinates with business, IT, operational, and third-party stakeholders.

Design and deliver enterprise data integration and application architectures. Lead technical design from concept through production, guide engineering teams, ensure scalable, secure, maintainable solutions, produce architecture artifacts, and mentor staff while aligning implementations with business needs.

Provide in-house legal services including negotiating and drafting contracts, advising on healthcare, IT (AI and cybersecurity), procurement, and regulatory compliance; manage vendor and related-party agreements; coordinate responses to complaints and investigations; support No Surprises Act compliance; work with Internal Audit on fraud matters; engage internal clients to deliver legal advice aligned with business objectives.

Lead BI analyst responsible for developing and maintaining data warehouse reports, mapping source systems to BI systems, building ETL/OLAP solutions, ensuring data quality and metadata management, mentoring staff, supporting production cycles, and providing user training and support in a hybrid Arizona-based role.

Serve as Product Owner for claims payment operations, working with business, vendors, and IT to define and prioritize backlog, create user stories, ensure traceability, accept completed stories, support UAT, and mentor team members. Drive product backlog grooming, sprint participation, and stakeholder communication to deliver payment and claims features.

Manage Edifecs EDI platform health, governance, vendor relationships, and TPDM operational excellence across EDI, ETL, and Delivery pillars. Own intake & triage, metrics/scorecards, documentation governance, capacity/technical-debt management, and cross-pillar escalations. Coach and develop staff, drive continuous improvement, manage SLAs and vendor performance, and translate strategic initiatives into executable plans.