Sr. Software Engineer - Blue Cross Blue Shield of Arizona

Phoenix, AZ

About the Job

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy.AZ Blue offersa variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.

Purpose of the Job

Serving as a Senior Software Engineer, you will be part of a team that designs, develops, and integrates highly complex software solutions within Blue Cross Blue Shield of Arizona. You will assist with the design, development, rollout, and support of technical and business environments in our healthcare payer space. Your solutions will facilitate the efficient delivery of managed care services for our Blue Cross Blue Shield (BcBs) Arizona members and business support customers. You will work alongside teams of software engineers, contractors, and business staff while serving as a resource and source matter expert for other software engineering teams. Your software solutions will be consistent with HIPAA compliant, industry, State, and federal requirements.

Qualifications

REQUIRED QUALIFICATIONS

Required Work Experience

Utilize various technologies (EdiDev, RDP Crystal, IBM MQ, MS BizTalk, MS SSIS, Web Services, etc.) that support the development and maintenance of ETL solutions that exchange data with internal and external systems including external trading partners (Vendors, providers, and health care regulators, etc.) using a variety of proprietary and standardized interchange formats (ANSI X.12 EDI transaction sets, JSOM, XML, CSV/Pipe, Tab, etc.)
Intimate knowledge and experience developing and supporting HIPAA ANSI X.12 5010 transaction sets for EDI 27x (270/271, 276/277, 278-13/278-11), EDI 277S/277U, EDI 834, EDI 835, EDI 820 - Minimum of (5) years’ experience.
- Knowledge supporting ANSI X.12 EDI 837i,p,d transaction sets a plus
- Experience and support of BSBS BlueCard ITS 27x workflow processes a plus
- Biztalk Configuration (Trading Partner setup, send ports, receive locations/ports), especially as it relates to the processing of inbound/outbound HIPAA transactions including 834, 835, and 837s; and
- Use of Washington Publishing Company (WPC) documentation, standards, aids, and code sets
- IBM MQ message delivery development and support a plus
- Experience developing and supporting EDIDEV or RDP Crystal technologies a plus.
Experience developing, administering, and supporting Microsoft web-based technologies including ASP.NET (Web Forms, C#/.NET Framework 4.52/4.6, AJAX, HTML 5/6, CSS3, JavaScript, JQuery 3, Bootstrap, Entity Framework 6.x, Telerik controls, IIS 10+) to create integrated enterprise managed care applications and solutions. - Minimum of (5) years’ experience
- MVC 5/6 and Razor experience a plus.
Experience developing and supporting Arizona AHCCCS Medicaid and/or ALTCS membership enrollment and eligibility services, including use of PMMIS a plus.
Experience supporting managed health care systems includingmembership information (demographics, enrollments, eligibility/coverage codes), claim/encounter adjudication and payment elements and principles (Coinsurance, Premiums, Deductibles, Copays, Benefit Coverage, Prior Authorizations, Provider Data, Coordination of Benefits. Etc.) for Physical Health, Behavioral Health, Pharmacy, and other provisioned services such as Dental, Lab, Transportation, etc.
At least ten (10) years’ experience developing and tuningcomplex SQL Server T-SQL stored procedures, functions, dynamic SQL, views, CTEs, triggers, indexes, etc. including knowledge of advanced relational database design concepts.
- Experience using MS SQL Server 2012-2022 and SSMS
At least five (5) years’ experience using and building Visual Studio .NET/C# solutions including, Business Intelligence projects (SSRS, SSIS ETL, etc.)
Experience using Microsoft DevOps or Team Foundation Server (TFS), CI/CD, and GIT a plus.

Required Education

Bachelor’s degree or equivalent in Computer Science, Software Engineering, or related field of study and 10 years of progressive, post-bachelor’s software development experience in the Healthcare industry or related occupation.

Required Licenses

Required Certifications

PREFERRED QUALIFICATIONS

Preferred Work Experience

10 years of experience software development supporting health care payer applications.

Preferred Education

Bachelor’s degree

Preferred Licenses

Preferred Certifications

Essential Job Functions and Responsibilities

Participate in business requirements meetings to gather and record business requirements. Help to define functional requirements needed for internally developed solutions.
Coordinate, solicit, analyze, and verify customer requirements for completeness, consistency, comprehensibility, feasibility, and conformity to established software design and development standards.
Design, develop, and deploy software solutions that address the needs of business stakeholders and are consistent with HIPAA, industry, BCBS Association, State and Federal standards, as well as BCBSAz established standards, policies, and procedures.
Ability to develop, document, and maintain business requirement documents (BRD), technical design documentation (TDD), standard operating procedures (SOP)/Runbooks in addition to creation of ERDs, data dictionaries, process flow models, specifications, diagrams, and charts.
Knowledge and use of Atlassian Confluence a plus
Experience using enterprise scheduling technologies (Ex. JAMS, Windows, SQL Server, etc.)
Research and resolve production issues.
Experience with Visio a plus
Experience developing and supporting RESTFUL web services a plus.
Work cooperatively, positively, and collaboratively with interdisciplinary technology and business teams
Manage time effectively to handle multiple critical level requests.
Adaptable to dynamic environment having ability to produce under stressful situations.
Familiar with ITIL Service Delivery and Lean Six Sigma best practices.

Competencies

REQUIRED COMPETENCIES

Required Job Skills

Ability to code in multiple languages
Business oriented approach to software development
Ability to find the correct balance between demand and capacity when establishing priorities for the organization

Required Professional Competencies

Well-versed in analytics
Understanding of various software development lifecycle
Knowledge of software configuration management and change management practices

Required Leadership and Personal Effectiveness Competencies

Diverse and global teaming and collaboration
Ability to communicate effectively
Wide degree of creativity and latitude
self-motivated and able to work with little supervision, who consistently take the initiative to get things done, do things before being asked by others or forced to by events.

PREFERRED COMPETENCIES

Preferred Job Skills

Preferred Professional Competencies

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Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.

Source : Blue Cross Blue Shield of Arizona