Medical Data Reporting / EDI Application Developer - Sedgwick Claims Management Services, Inc.

Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. 

A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work.

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Medical Data Reporting / EDI Application Developer

PRIMARY PURPOSE: To design and maintain robust, scalable software architecture for one or more elements of CMS software systems; to oversee programming, implementation and maintenance revisions of specified projects; and to evaluate technologies and provide consultation regarding applications and systems needs related to these elements.

ESSENTIAL FUNCTIONS and RESPONSIBILITIES

• Ensures software scalability and data integrity throughout all claims-related applications.
• Ensures software compatibility and alignment with overall business, IT and infrastructure strategies.
• Identifies and directs implementation of strategies for maintaining JURIS data and application integration.
• Collaborates with management and colleagues throughout CMS and develops overall designs and defines projects for implementation of strategic technology initiatives.
• Consults with project managers to keep informed of active and future projects and to identify areas of overlap.
• Assists as needed in implementation of large client programs involving numerous interfaces or system modifications.
• Manages analyst/programmers as needed.
• Reviews software change requests to identify duplication, similarities, and feasibility and recommends specific actions needed.
• Provides recommendations toward prioritization of tactical and strategic change requests.
• Assists in projecting software and hardware requirements for claims-related applications.

ADDITIONAL FUNCTIONS and RESPONSIBILITIES

• Performs other duties as assigned.
• Supports the organization's quality program(s).

SUPERVISORY RESPONSIBILITIES

• Administers company personnel policies in all areas and follows company staffing standards and training recommendations.
• Interviews, hires and establishes colleague performance development plans; conducts colleague performance discussions.
• Provides support, guidance, leadership and motivation to promote maximum performance.

QUALIFICATIONS

• .NET, C#, HTML, Vue JS, java script
• EDI Application Development Experience. IE: 837, 835, ANSI 850 and ACK Files
• Strong SQL query, insert, updates and SSRS Experience

Education & Licensing

Bachelor's degree with major in Information Systems or Management from an accredited college or university preferred. Masters degree strongly preferred.

Experience

Ten (10) years of related experience or equivalent combination of education or experience required to include seven (7) years of software and development experience. Five (5) years hands-on programming experience in database and data driven applications strongly preferred.

Skills & Knowledge

• High level knowledge of software development areas including software development life cycle methodologies, specification development, security, application modularization and logic specifications
• Strong oral and written communication, including technical writing skills and presentation skills
• PC literate, including Microsoft Office products
• Leadership/management/motivational skills
• Analytical and interpretive skills
• Strong organizational skills
• Excellent interpersonal skills
• Excellent negotiation skills
• Ability to work in a team environment
• Ability to meet or exceed Performance Competencies

WORK ENVIRONMENT

When applicable and appropriate, consideration will be given to reasonable accommodations.

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines

Physical: Computer keyboarding, travel as required

Auditory/Visual: Hearing, vision and talking

NOTE: Credit security clearance, confirmed via a background credit check, is required for this position.

The statements contained in this document are intended to describe the general nature and level of work being performed by a colleague assigned to this description. They are not intended to constitute a comprehensive list of functions, duties, or local variances. Management retains the discretion to add or to change the duties of the position at any time.

Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace.

If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles.