Job Title: Technical Lead, EDI
Location: Remote

Type: Contract
Compensation:
Contractor Work Model: Remote

Title: Technical Lead, EDI
ALTA is supporting an 6-month contract-to-hire opportunity working 100% remote.
ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Program & Project Management, Application Development, Cybersecurity, Data & Advanced Analytics, and Agile Transformation Services.

Candidate needs to lead but can also code and be in the mix with the developers.
EDIFECS Experience / HealthCare / EDI transactions real-time 270/1 276/7 and 834 Enrollment, 837 Claims, 835 Remittance Advice, etc.
Strong healthcare EDI Processing – Facets adjudication platform a plus.

This position supports TRICARE Prime® Demo by CareSource Military & Veterans, which aims to enhance healthcare access and prioritize the unique needs of the military community. We encourage military affiliated individuals, veterans, military spouses, and those with prior TRICARE experience to apply.

The Technical Lead, EDI is responsible for owning technical delivery and technical management for a defined domain or platform. The role will work closely with cross-functional teams, including product managers, designers, and quality assurance, to ensure the successful delivery of solutions within the defined scope, timeline, and quality standards.

     Essential Functions:

Work with the EDI Manager to develop high-level implementation plans for the delivery of new technology; validate business proposition of this technology; evaluate currently deployed services and develop plan to optimize delivery Improve platform resiliency across all aspects of EDI, real time and batch transactions Prioritize team activities based upon IT leadership priorities and bandwidth Represent IT in project/business meetings and engagement Improve solution functionality and efficiency with added business value Collaborate closely with other business areas to optimize the use of systems and applications Apply creative thinking in problem solving and identifying opportunities for improvement Provide subject matter expertise for technical guidance, training and direction Provide direction, lead and review of work products and daily tasks for quality Design, architect, and oversee the development of complex software systems, ensuring scalability, reliability, and maintainability Drive the full development lifecycle, from requirements gathering and design to implementation, testing, and deployment Establish and enforce coding standards, best practices, and development methodologies within the team Conduct regular code reviews to ensure code quality, performance, and adherence to architectural principles Identify technical risks and propose effective mitigation strategies to ensure project success Accountable for EDI Service Level Agreements (SLAs) across all HIPAA transactions Collaborate with product managers to prioritize and schedule project deliverables based on business objectives and resource availability Provide accurate and timely progress updates to project stakeholders, highlighting achievements, challenges, and proposed solutions Stay up to date with the latest industry trends, technologies, and frameworks, and evaluate their potential application in the organization Perform any other job duties as requested
Nice to Have: Enterprise Data Warehouse (EDW) experience:  Previous experience extracting data from an EDW and providing requirements/validation on EDW data is a plus. State SLA reporting: Understanding state Service Level Agreements (SLAs) such as accuracy, completeness, timeliness, and throughput, with experience creating dashboard reports for SLA metrics. NCPDP transaction management: Previous experience managing NCPDP transactions is an advantage but not required. Claims adjudication systems: Knowledge of FACETS or similar claims adjudication systems. EDIFECS expertise: Familiarity with the EDIFECS Encounter Management system.


System One, and its subsidiaries including Joulé, ALTA IT Services, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

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Ref: #860-IT Cincinnati

System One, and its subsidiaries including Joulé, ALTA IT Services, TeamPeople, and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.