Company :HM Health Solutions
Job Description :
This person will support dental claims processing from various input mediums including but not limited to OCR, Electronic 837 and Paper entry through adjudication/validation and output support. This role provides application development services typically as a of a project team or in an application support role. Developers analyze, design, code, test and implement systematic solutions to meet customer requirements that adhere to Highmark IT standards and policies. Developers provide general support to maintain applications that meet the service levels, system availability, performance and quality levels required by their customers.
- Responsible for analyzing, designing, coding, testing and implementing application enhancements, as well as providing general production support, meeting defined scope, target dates and budgets with minimal or no defects.
- Utilizes and participates in the full system development life cycle, per current Highmark SDLC standards.
- Collaborates with customers, business analysts, partners, and IT team members to understand business requirements that drive the analysis and design of quality technical solutions. Concentrates on providing innovative solutions to business needs.
- Provides required technical support, including release implementations, on-call and 24x7 supports when necessary.
- Performs work in compliance with all Highmark and Highmark IT standards, policies and procedures.
- Actively participates on project teams in various project roles, including, but not limited to, Developer, Technical Lead and Project Manager, based upon level of experience.
- Effectively communicates with team members, customers, partners and management, including assisting with or conducting technical walkthroughs, reporting project status, enabling vendor solutions and providing accurate and concise documentation.
- Other duties as assigned or requested.
- Bachelor’s degree in Information Technology or related field (exempted degree requirement effective July 2014)
- 3 years of experience as a developer
- Experience with Project Management tools
- Experience with databases
- Experience with multiple coding languages
- This requires US citizenship due to government data restrictions
- Experience in COBOL, JCL, IMS DB/DC and DB2 highly desired
- Familiarity with Tracemaster and IDZ/Gitlab helpful
- Claims systems experience ideal
- Problem solving, root cause analysis, and issue resolution
- Demonstrated leadership skills
- Experience in Healthcare or Health Insurance Industry
- Experience with technology platforms, application development tools, business processes, software development life cycle used by Highmark enterprise
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.
Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
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