Avēsis · 1 month ago
Healthcare EiPaaS Developer
United States
Full-time
Remote
Entry, Mid Level
$67K/yr - $112K/yr
2+ years expAvēsis is a leading provider of supplemental benefits, seeking a Healthcare EiPaaS Developer to join their Operations department. This role is responsible for the overall ownership and management of the EiPaaS application, ensuring accurate processing of electronic files and maintaining workflow integrity.
Information Technology
Responsibilities
Manage end-to-end processing of HIPAA-compliant healthcare EDI transaction sets, including 834 enrollment files and familiarity with 837 claims and 270/271 eligibility transactions
Interpret and implement EDI files in accordance with ANSI ASC X12 standards
Build, configure, and maintain templates for new 834 electronic files as business needs evolve
Validate data mappings and transformation logic to ensure accuracy, compliance, and data integrity
Support onboarding of new partners and file configurations
Maintain working knowledge of ANSI ASC X12 EDI standards and transaction set structures
Manage and monitor secure file transfers using FTP/SFTP protocols
Ensure secure transmission, receipt validation, and acknowledgment processing where applicable
Troubleshoot connectivity, transmission failures, and formatting discrepancies
Monitor all EiPaaS/Bridgegate workflows, not limited to 834 transactions
Design and implement comprehensive logging, alerting, and monitoring processes to capture EDI transaction logs, metadata, and automated alerts for data processing anomalies
Review system-generated logs to identify errors, processing gaps, or performance degradation
Establish proactive monitoring controls to minimize operational disruption
Serve as the primary point of contact for all EiPaaS related issues
Investigate and resolve workflow errors, mapping issues, and data discrepancies
Perform root cause analysis and implement corrective and preventive actions
Escalating platform-level or infrastructure concerns to IT or vendors when necessary
Maintain detailed documentation for templates, workflows, transaction logic, and monitoring controls
Establish and maintain standard operating procedures
Ensure compliance with internal controls, audit standards, and data governance policies
Participate in testing and validation of workflow enhancements before deployment
Qualification
Required
Associate's Degree in Business, Information Systems, Healthcare Administration, Operations Management, or related field (or equivalent work experience)
2+ years of experience in operations, EDI processing, healthcare enrollment, or systems workflow management
1-2 years of direct experience working with 834 electronic files and understanding of EDI file structures
Experience using Bridgegate or a comparable integration or data workflow platform
Demonstrated experience monitoring automated workflows and resolving production issues
Strong analytical and troubleshooting skills with attention to detail
Ability to interpret data mappings and validate file outputs
Proficiency with Excel and basic data analysis tools
Strong written and verbal communication skills
As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient
Preferred
Bachelor's degree in Information Systems, Healthcare IT, Business Analytics, or related discipline
3–5+ years of experience supporting EDI transactions, healthcare eligibility files, or system integrations
Advanced experience configuring templates and workflows within Bridgegate
Experience onboarding new trading partners and implementing new 834 file configurations
Working knowledge of additional EDI transaction sets (e.g., 820, 835, 837)
Familiarity with SQL, data mapping logic, or API integrations
Experience in a regulated healthcare or insurance environment
Experience participating in audits, compliance reviews, or internal control processes
Demonstrated process improvement experience within an operational environment
Benefits
Benefits, bonuses, and commission
Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period
Life and disability insurance
A great 401(k) with company match
Tuition assistance, paid parental leave and backup family care
Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent
Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best
Employee Resource Groups that advocate for inclusion and diversity in all that we do
Company
Avēsis
Avēsis has been providing essential ancillary benefit solutions since 1978.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2016-01-30Acquired
Leadership Team
Sean Slovenski
Chief Executive Officer
Karim Bennis
Executive Vice President, Chief Operating Officer
Recent News
2024-01-03
2023-09-26
Company data provided by crunchbase