EDI Programmer/Analyst - Chula Vista, California, United States - Community Health Group

Community Health Group Chula Vista, California, United States

1 week ago

Permanent

Description

POSITION SUMMARY

Meets the needs of system users by meeting independently or as an Information Systems (IS) team member with the appropriate people to determine business needs; gathering information in order to define and develop reports and applications to meet those business needs including all those related to EDI; developing and maintaining Community Health Group web sites; providing technical assistance to Information Systems (IS) staff, developing written documentation such as specifications and operational procedures.

COMPLIANCE WITH REGULATIONS:

Works closely with all departments necessary to ensure that the processes, programs and services are accomplished in a timely and efficient manner in accordance with CHG policies and procedures and in compliance with applicable state and federal regulations including CMS and/or Medicare Part D and Special Needs Plan (SNP).

Requirements

RESPONSIBILITIES
Provides technical assistance by working with Business Analysts and Users to create and maintain applications and documentation.

Assist with writing, testing, troubleshooting, and implementing database-driven application programs including Community Health Group web sites using the standards established by the department; providing maintenance support; developing test plans; working with Database Manager to develop necessary databases and table design; working with users to develop external applications to compliment vendor purchased systems; attending on-going meetings related to projects; working on multiple projects concurrently.

Provides technical assistance by working with EDI/Compliance Analysts to create and maintain EDI related applications and documentation.

Assist with writing, testing, troubleshooting, and implementing database-driven EDI applications including Community Health Group EDI Portals using the standards established by the department.

Provides information by working with trading partners in sending and receiving HIPAA compliant EDI transactions; map ANSI standard transactions with CHG's health management computer system; work with internal users to validate EDI data; collaborate with vendors in resolving issues related to EDI processing; ensure sub-processes for EDI processing are in place; conduct systems administration, upgrades, and maintenance on the server translation software and EDI processing software; maintaining companion guides or other appropriate documentation of the EDI process and practices.

Enhances professional growth and development by participating in educational programs; reading current literature; attending inservice training and workshops; attending meetings as required and participating on committees as directed.

Stay current with HIPAA trends in respect to transaction code sets/EDI.

Supports the team effort by arranging and conducting meetings; assisting in the care and maintenance of department facilities, computer equipment, and supplies; maintaining departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards; performing other related duties as requested or assigned.

Maintains product and company reputation and contributes to the team effort by conveying professional image and accomplishing related tasks; participating on committees and in meetings; performing other duties as assigned or requested.

Education:
Bachelor's degree in Computer Science, Information Systems, Mathematics, or related technical discipline.

Experience/Skills:

At least two years of EDI systems analysis and design, development and implementation of computer applications in a client-server environment.

Development and maintenance of web-based user interfaces.

Programming in SQL, Microsoft Access or equivalent relational database management tool.

Experience with EDI Mapping, Oracle, Crystal Reports, C# and web based languages such as VB Script, Java, or HTML; experience working with multiple integrated systems; experience with developing specifications, test plans, and system documentation.

Ability to operate personal computers and other related peripherals.

Thorough working knowledge of Microsoft Access, Visual Basic, Visual Basic .Net, ASP .Net, Visual Basic Application (VBA) or SQL programming.

Healthcare background is preferred.

Excellent oral and written communication.

Good analytical, logical and organization skills.

Excellent time management; able to work on multiple projects concurrently.

Ability to adhere to security requirements and confidentiality as required by the company and HIPAA.

Physical Requirements:
Minimum 30 lb. lifting.

May be required to work evenings and/or weekends.

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