X12 Data Architect

About Our Team

At i4DM, our core values of People Matter, Integrity, and a Commitment to Excellence drive all that we do. By joining i4DM, you’ll become a part of a fun and diverse team of talented and creative consultants who share the goal of using the latest technology to solve business challenges. We provide our clients with a dynamic mix of services and deliver focused solutions like no one else.

We’re seeking talented and bright team players who are passionate about technology and want to work in a fast-paced, dynamic, and ego-free culture while applying a creative approach to problem-solving. Team members who like to grow their skill sets while solving challenging, real world business problems thrive at i4DM.

About the Role

i4DM is seeking an X12 Data Architect to join our fast-growing IT-project based consulting business. We need a well-rounded team member with a background in data architecture activities, extract-transform-load (ETL) processes, and data warehouse solutions design, as well as experience with HL7 integration, X12 EDI 837 and 835 transactions sets, and working knowledge of HIPAA. 

We’re seeking talented and bright consultants who are passionate about technology and want to work in a fast-paced, dynamic, and ego-free culture while applying a creative approach to problem-solving. By joining our team, you’ll become a part of a fun and diverse team of talented and creative people who share the goal of using the latest technology to solve customer challenges. You’ll work with a team to help our client overcome their most difficult challenges in consolidating and presenting critical data in actionable format. 

RESPONSIBILITIES:

• Design and implement X12 data architecture solutions for software integration projects and coordinate applications across functions or between organizations 
• Collaborate with key stakeholders to understand business requirements and translate them into X12 data models, structures, and HL7 interfaces 
• Design and maintain X12 data dictionaries, HL7 message structures, mapping tables, and other reference materials for seamless data integration and interoperability
• Implement data governance practices specific to healthcare data, ensuring data quality, integrity, and security
• Identify and resolve data inconsistencies, validation errors, or HIPAA compliance violations
• Conduct performance tuning and optimization of data process and transformation process to meet system requirements
• Keep up to date with industry trends, best practices, and emerging technologies related to X12, HL7, and HIPAA
• Collaborate with cross-functional teams, including healthcare professionals and IT staff to integrate software solutions with other applications or organizations
• Document data architecture solutions, including data models, data flows, HL7 message structures, and integration patterns
• Apply advanced consulting skills, extensive technical expertise, and full industry knowledge to develop innovative solutions and present to clients

MINIMUM QUALIFICATIONS

• 8+ years of experience with HL7 integration
• 5+ years of experience in programming and working with X12 EDI 837 and 835 transaction sets
• 2+ years of working knowledge of the Health Insurance Portability and Accountability Act (HIPAA) and incorporating security into systems to protect Personally Identifiable Information (PII) and Personal Health Information (PHI)
• 2+ years of experience in relational healthcare claims data and auto-adjudication claims processes, with an understanding of Explanation of Benefits (EOB)
• 1+ years of experience in programming and working with Fast Healthcare Interoperability Resource (FHIR) transactions
• Experience with participating in component and data architecture design, performance monitoring, data exchange hubs, and transport mechanisms
• Knowledge of scripting, database, and data science tools, including REST Web Services and JavaScript
• Knowledge of systems analysis, design, development, quality assurance, and integration methodologies to develop quality technical solutions
• Ability to troubleshoot and maintain services of existing HL7 transaction generation and processing code
• Ability to obtain and maintain a Public Trust or Suitability/Fitness determination based on client requirements
• Bachelor’s degree

PREFERRED QUALIFICATIONS

• Experience with SQL
• Experience with generating X12 test data
• Experience with presenting to, working with, and advising senior-level clients
• Knowledge of biology and microbiology
• Knowledge of healthcare claims codes, such as CPT, Procedures, Diagnosis, NDC, Claims Adjustment, and/or Taxonomy Codes
• Ability to present to clients on interoperability solutions, architecture, and technical recommendations
• Public Trust
• Master’s degree in Business Management, Public Health, or Health Informatics
• CMMI’s Data Management Maturity (DMM) Certification

TAG: INDMJC

Benefits:

Comprehensive healthcare coverage, HSA Plan, Life and Disability Insurance, and Retirement Savings Plan.

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