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Senior Claims and Remit Support Developer (X12, C#, SQL Required) - Experian Health

Remote,., .
Software Development
C#
SQL
X12
healthcare
EDI

Company Description

At Experian Health, our employees can shape more than products – they shape the future of U.S. healthcare. Experian Health is a pioneer for innovations leading the way in revenue cycle management, identity management, patient engagement, and care management for hospitals, physician groups, labs, pharmacies and other risk-bearing entities. Our success relies on people who are given the freedom to imagine new frontiers in the rapidly changing healthcare space and push the boundaries of innovation. Help us realize our vision of applying data for good and changing the healthcare landscape for the better – for all of us.

Our mission is to use data driven insights to simplify healthcare for all. Simply put, we want to make the healthcare system work better for us as consumers and for those who work in healthcare. Our ONE Experian Health culture is the centerpiece of making this happen. Our aspiration is to bring people together who are driven by purpose and want to make a difference.  We strive to have a diverse group of people and minds who are:

  • OPEN: Have a growth mindset and collaborate often with others to make things happen
  • NIMBLE:  Always embracing change and pushing the envelope on innovative ways to solve problems
  • EFFECTIVE:  Accountable to themselves and to others

Job Description

The Claims and Remit Support Developer Senior is responsible for serving as a resource to a software development team to ensure the smooth functioning of technical operations including customer support of provider-specific claim processing solutions, implementing, and configuring customer environments, analysis, and maintenance within the Experian Health product portfolio.

  • Ensure provider-specific support development and processes meet corporate policies for security, consistency, and professional software development standards
  • Identify and encourage process improvement within the team
  • Provide training and support, provide constructive feedback, and mentor team members
  • Participate in code and design reviews to minimize rework and catch issues early in the process
  • Identify problems/solutions and research on complex issues
  • Perform and maintain routing program and system maintenance
  • Effectively communicate and collaborate with internal and external groups to define process requirements for projects
  • Identify and resolve issues that create product performance obstacles to lessen customer disruption
  • Work with claims core development and other teams to support programming aligns with and leverages the core components, of each product’s core system components
  • Handle production incidents and collaborate with cross-functional teams to ensure stability of the product
  • Apply advance skills to solve complex problems in creative and effective ways
  • Convert business requirements to eventual code deployment using new and existing tools and system specs
  • Ensure provider-specific solutions are delivered in a timely manner, to meet ongoing support commitments
  • Provide support to customer
  • Other duties as required

Qualifications

  • Bachelor’s degree in Computer Science or related field
  • 8+ years of programming and analysis experience, in a computing environment required
  • Equivalent combination of education and experience may be considered
  • Experience in C#, SQL required
  • Experience with X12 transactions required. Healthcare EDI (83x, 27x) preferred.
  • .Net, scripting, and automation highly preferred
  • Experience in healthcare industry highly preferred
  • Ability to work independently and in a team environment
  • Must be adept, in working in an agile team environment
  • Excellent verbal and written communications skills
  • Solid analytical and problem-solving skills

Additional Information

Our goal is to create a thriving, inclusive and diverse team where people love their work and love working together. We believe that diversity, equity and inclusion is essential to our purpose of creating a better tomorrow. We value the uniqueness of every individual and want you to bring your whole, authentic self to work. For us, this is The Power of YOU and it ensures that we live what we believe.

All your information will be kept confidential according to EEO guidelines. Experian is proud to be an Equal Opportunity and Affirmative Action employer. Anyone needing accommodation to complete the interview process should notify the talent acquisition partner.

The word "Experian" is a registered trademark in the EU and other countries and is owned by Experian Ltd. and/or its associated companies.

EOE including Disability/Veterans

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