Site: Mass General Brigham Health Plan Holding Company, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Job Summary

Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a member of Mass General Brigham, we are at the forefront of transformation with one of the world’s leading integrated healthcare systems. Together, we are providing our members with innovative solutions centered on their health needs to expand access to seamless and affordable care and coverage.
Our work centers on creating an exceptional member experience – a commitment that starts with our employees. Working with some of the most accomplished professionals in healthcare today, our employees have opportunities to learn and contribute expertise within a welcoming and supportive environment that embraces their unique and varied backgrounds, experiences, and skills.
We are pleased to offer competitive salaries and a benefits package with flexible work options, career growth opportunities, and much more.
The EPIC EDI Developer is an experienced developer with the capability to work on and provide technical leadership for small to medium‑sized projects from an implementation perspective. The role is responsible for designing and developing EDI mappings, interpreting implementation and companion guides related to EDI transactions and exchanges, and supporting industry‑standard healthcare integrations.
Reporting directly to the Manager, the EPIC EDI Developer is a key member of the Mass General Brigham Health Plan (MGBHP) Application and E‑Business Integration team. The primary responsibilities of this role include the design, development, build, testing, implementation, and ongoing maintenance of new and existing Epic interfaces. The position also provides training and support to end users and ensures that integration standards and data flows between Epic and other systems are consistent, standardized, and compliant with MGBHP policies and procedures.
This role is responsible for the overall design, development, maintenance, and support of all standard (HIPAA X12 and HL7) EDI and custom (proprietary) EDI processes used within the MGBHP EDI infrastructure.
Essential Functions
-Leads business and systems requirements analysis efforts including impact analyses on existing systems, to develop design and systems specifications
-Manage Epic Interface Build within the Epic Bridges application
-Perform interface application testing from test scripts as necessary
-Engage in activities including analysis, review, testing, troubleshooting, and design of new features and fixes related to Epic Upgrades
-Partake in internal integration workgroups focused on the maintenance, build, optimization, and behavior of active and future interfaces
-Participates in interface-focused cross-team meetings with the MGBHP application teams to ensure communication and collaboration
-Programming including Visual Studio, ASP.NET, C#, Microsoft BizTalk Server development for HIPAA EDI development.
-Programming, including writing T-SQL in SQL Server and SSIS packages, which support the Vendor Interfaces.
-Utilizes expertise with integrated healthcare systems to provide technical guidance to the development and/or support team.
-Identifies, troubleshoots and resolves problems related to business processes and applications.
-Analyzes business and system requirements, including impact analyses on existing systems, to develop design and systems specifications.
-Tracks and monitors problem tickets to insure timely resolution.
-Reviews and analyzes system logs and Microsoft and third-party management products to preemptively detect and correct system issues. Performs capacity planning to ensure adequate availability and performance.
-Communicates status, coordinates and escalates issues as needed.
-Participates in change management, disaster recovery and production support operations.
-Coordinates and leads technical support and software upgrades with in-house staff and outside vendors to ensure MGBHP applications are performing effectively.

Education

• Bachelor's Degree required; experience can be considered in lieu of a degree

Experience

• At least 3-5 years of applications development experience required
• At least 3-5 years of relevant working experience with EPIC integration and working on EDI transactions processing, design, development, and maintenance in Microsoft technologies platform highly preferred
• HL7 certification or equivalent experience strongly preferred

• Understanding of BizTalk Server and the areas of BizTalk based applications related to EDI transactions processing like maps, pipelines schemas, orchestrations etc. preferred
• Knowledge of QNXT data model in all the critical modules like Group, Member, Provider, Claims etc. preferred
• Understanding of health insurance business applications and data model preferred
• Familiarity with Business Analysis and System Integration related business processes preferred
• Demonstrated ability to lead the development of EPIC integration and EDI solutions, workflows, business workflows to meet business requirements

Knowledge, Skills, and Abilities

• Understanding of core programming principles, including design.
• Ability to work in at least one programming language (ex: JavaScript, SQL, etc.).
• Excellent critical thinking and analytical skills.
• Excellent time management skills.
• Strong project management skills.
• Excellent communications skills both written and oral.
• Strong analytical, programming and demonstrated project management skills.
• Respect the talent and unique contribution of every individual
• Exercise self-awareness; monitor impact on others; is receptive to and seek out feedback; use self-discipline to adjust to feedback.
• Accountable for delivering high quality work. Act with a clear sense of ownership.

Working Conditions

• M-F Eastern Business Hours required

• Hybrid model includes weekly and monthly in office workdays

• Flexibility for business needs to be onsite needed

• Remote workdays require stable, secure, quiet, compliant workspace

Hybrid

399 Revolution Drive

40

Regular

Day (United States of America)

Pay Range

$62,836.80 - $89,762.40/Annual

Grade

5

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

8925 Mass General Brigham Health Plan Holding Company, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran’s Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework