Interoperability Engineer
ProgenyHealth, LLC
full-time
Posted on:
Location Type: Remote
Location: United States
Visit company websiteExplore more
About the role
- Collaborate with engineering and product teams to design, develop, and support technical interoperability solutions
- Support interoperability initiatives throughout the planning, design, development, implementation, and production monitoring stages in a delegated authority healthcare environment
- Focus on Prior Authorization and Claims process improvements
- Maintain, update, and take ownership of existing and new interoperability products and integrations
- Participate in Agile Project Planning & Estimation meetings, reviewing feature backlogs and identifying potential impacts to timelines, budgets, resources, and project scope
- Facilitate clear communication and expectation alignment with integration partners
- Participate in client planning meetings discussing Electronic Data Interchange (EDI), Prior Authorization, Claims workflows, and Web Service interface designs with external partners
- Design, develop, implement, test, and support custom interoperability interfaces using NextGen Mirth Connect or equivalent integration platforms
- Write, optimize, and maintain SQL queries to support interface logic, data validation, and reconciliation
- Build and enhance integrations supporting Prior Authorization and Claims workflows
- Thoroughly analyze problem definitions, requirements, and software deliverables to ensure solutions are scalable, performant, and reliable
- Validate and verify that software and integration requirements are achieved
- Perform support duties for production data exchange solutions
- Monitor existing interfaces, resolving or escalating errors and performance issues as appropriate
- Troubleshoot complex Prior Authorization and Claims integration issues and perform root cause analysis
- Prioritize customer and operational issues appropriately and communicate updates clearly
Requirements
- Bachelor’s degree in a related field of study or discipline (Computer Science, Information Technology, Software Engineering, Management Information Systems)
- 5+ years of experience supporting Agile software development teams delivering integration or interoperability solutions
- Experience in the development, testing, and utilization of Web Services and REST-based Web APIs (SOAP experience a plus)
- Hands-on experience with NextGen Mirth Connect (preferred) or another interoperability/integration engine
- Knowledge of healthcare standards and protocols, including X12, HL7, FHIR, and CCDA
- Hospital or managed care information systems experience; integration of third-party COTS software with proprietary applications preferred
- 2+ years of SQL experience, including the ability to write and optimize join-based queries
- Experience with X12 278, 834, 270/271, and 835/837 transaction standards (preferred)
- Prior experience supporting Prior Authorization and Claims workflows, including payer integrations and delegated authority models
- Microsoft SQL Server Integration Services, Reporting Services, and Analysis Services experience
- Experience with JSON, WebAPI, and SOAP-based integrations
- SQL Server database management application experience
- SQL query development and optimization experience
- Awareness of Microsoft Azure services and cloud-based integration environments
- Strong understanding of software development lifecycle best practices and processes
Benefits
- Paid Time Off
- Paid Parental Leave
- Medical, dental, vision benefits
- 401K with company match
- Short- and Long-Term Disability
- Group Life Insurance
- Tuition reimbursement
- Professional development opportunities
- Business Casual work environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
SQLNextGen Mirth ConnectWeb ServicesREST-based Web APIsSOAPX12HL7FHIRCCDAJSON
Soft skills
collaborationcommunicationproblem analysiscustomer focusoperational prioritization