New

EDI Developer

Mass General Brigham Health Plan
United States, Massachusetts, Somerville
399 Revolution Drive (Show on map)
Oct 08, 2025
The Opportunity MGBHP is seeking an experienced EDI Developer who is responsible for the design, development and maintenance of EDI solutions for HIPAA EDI like 270/271, 276/277, 278, 820, 834, 835, 837 and 999 transactions. Must have a good understanding of the HIPAA EDI Implementations and Companion guides used across Health Care industry. Must have software development experience and should be able to follow design principles and coding/best practices for development. Should be able to work in cross functional project teams and follow SDLC processes. A good hands on experience with development tools such as Visual Studio, C#.NET, Microsoft SQL Server 2008R2, T-SQL and BizTalk Server are essential for this role Primary Responsibilities: Programming, including writing T-SQL in SQL Server and SSIS packages, which support the Vendor Interfaces. Analyze business and system requirements, including impact analyses on existing systems, to develop systems specifications In partnership with the business units, design, prepare and execute unit test plans for application upgrades and enhancements. General data mapping of ANSI HIPAA EDI files, including coding, translation, development, testing and deployment or EDI applications. Perform analysis on systems and processes to become a subject matter expert, in order to help and support the business units. Work with hosted vendors to accomplish SDLC objectives Provide data analysis support for NHP business areas in order to assist with the business areas' information, reporting and application development needs. Data analysis entails understanding the flow of data and its interdependency among QNXT core modules such as Member Enrollment and Services, Claims Processing, Provider Relations, Clinical Systems and Finance. Track and monitor problem tickets to insure timely resolution Communicate status and escalate issues as needed. Identify and resolve problems related to business processes and applications. Coordinate and/or perform change and revision management to ensure inter-operability of systems. Anticipates and meets, or exceeds, internal and/or external customer expectations and requirements; establishes and maintains effective relationships with customers and gains their trust and respect. Assist in requirements gathering with end users to clearly define information needs and translate those requirements into specifications for development. Participate in change management, disaster recovery and production support operations. Coordinate technical support and software upgrades with in-house staff and outside vendors to ensure NHP applications are performing effectively. Education Bachelor's Degree Computer Science required or Bachelor's Degree Computer Applications required or Bachelor's Degree Related Field of Study required Qualifications - Three to five years working experience in application development, support and maintenance in a dynamic, Microsoft environment. Healthcare systems related experience is preferred - Understanding of the data dependencies that exist between applications and systems - Experience with QNXT and CCA or other Integrated HealthCare Systems - ASP.NET, C# and SharePoint Applications - Experience required in SSIS packages, ANSI X12, XML, HL7 formatted EDI transactions - Experience with the development and support of intra-application data exchanges, job scheduling and inter-job dependencies - Demonstrated ability to develop customized solutions to meet business requirements - Strong analytical, programming and demonstrated project management skills. - Must have demonstrated ability to interact effectively and maintain productive interpersonal relations. - Accountable for delivering high quality work - Respects the talent and unique contribution of every individual, culture and ethnic group and treats all people in a fair and equitable manner Knowledge, Skills and Abilities - Understanding of core programming principles, including design. - Ability to work in at least one programming language (ex: JavaScript, SQL, etc.). - Excellent critical thinking and analytical skills. - Excellent time management skills. - Strong project management skills. - Excellent communications skills both written and oral. Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.