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EDI Administrator/Programmer

MetroPlus Health Plan
United States, New York, New York
160 Water Street (Show on map)
Dec 03, 2024
EDI Administrator/Programmer

Job Ref: 107985

Category: Information Technology

Department: INFORMATION TECHNOLOGY

Location: 50 Water Street, 7th Floor,
New York,
NY 10004

Job Type: Regular

Employment Type: Full-Time

Hire In Rate: $105,774.00

Salary Range: $105,774.00 - $105,774.00

Empower. Unite. Care.

MetroPlusHealth is committed to empowering New Yorkers by uniting communities through care. We believe that Health care is a right, not a privilege. If you have compassion and a collaborative spirit, work with us. You can come to work being proud of what you do every day.

About NYC Health + Hospitals

MetroPlusHealth provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlusHealth's network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlusHealth has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Position Overview

The EDI Administrator/Programmer will be responsible for BizTalk administration and BizTalk Application development.

Job Description
  • BizTalk administration and maintenance
  • Develop and support BizTalk application
  • Responsible for testing, maintaining, enhancing, and supporting HIPAA EDI (837,835, 834, 270, 271, 276, 277, 278, 274...) transactions and applications
  • Implement Companion Guides and Trading Partner Agreements
  • Support day-to-day operations of EDI, including identifying any technical problems with sending/receiving transactions
  • Interface with providers, vendors, and internal departments to address technical issues related to EDI
  • Review electronic data received from providers/vendors to ensure presence and accuracy of critical data elements
  • Ongoing review of system setup and processes to ensure accurate and optimum setup for data selection
Minimum Qualifications
  • Bachelor's degree in Computer Science or related field required.
  • 5 + years' experience in BizTalk, including implementing and supporting BizTalk environments, building and deploying BizTalk solutions, and performing performance tuning and disaster recovery.
  • Experience in administration and operations of large-scale, real-time, 24x7 BizTalk 2020, 2016, 2013-R2 environments, including but not limited to:
  • Highly available clustered BizTalk environments with SQL Server Always On
  • BizTalk Hosts, Isolated Hosts, Orchestrations, Dynamic Ports
  • BizTalk Adapters: WCF, SQL Server, Oracle, SFTP, SMTP, etc.
  • BizTalk Rule Engine
  • BizTalk EDI and Trading Partner Management
  • BizTalk BAM and BAM Portal
  • BizTalk ESB and ESB Portal
  • BizTalk Throttling
  • BizTalk deployment and release management technologies
  • BizTalk monitoring technologies.
  • HIPPA EDI ANSI X.12 Experience is required.
  • Experience in programming include coding, testing and deployment.
  • Experience with DevOps and GitHub
  • Experience with Azure Integration Services and Azure Functions
  • Proficient understanding of code versioning tools such as DevOps
  • Proficiency in C#, VB.net, Visual Studio 2013-2019.
  • Experience with XML-based technologies.
  • HL7 Experience is desirable.
  • Experience with SQL Server is highly desirable.
  • Familiarity with ANSI X.12 and EDIFACT standards is preferable
  • Salesforce and MuleSoft Experience is a plus

Professional Competencies

  • Must be able to work independently and to attend to detail.
  • Critical Thinking and problem-solving skills
  • Interpersonal skills to be able to work with team of members on assigned project.

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