X12 EDI Engineer Jobs

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7d ago

Senior Software Engineer – Healthcare Systems

Health Plan of San Mateo San Francisco, CA

San Francisco, CA

7d ago

$118k - $152k/yr Full time Manager Senior Health Systems

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Job Description

Health Plan of San Mateo is seeking a Senior Software Engineer for Healthcare Systems to guide the design, modernization, and integration of its core payer applications. This hands-on technical leader will drive architecture, automation, and team development to deliver reliable, scalable healthcare IT solutions. The role is onsite in California with a salary range of USD 118,408 to 152,098 per year.

Responsibilities

Build, lead, and mentor a team of self-motivated professionals, modeling accountability and fostering a culture of psychological safety.
Guide direct reports toward high performance and professional conduct with clear, constructive feedback.
Hold regular one-on-one discussions focused on performance, development, and career progression.
Ensure compliance with labor laws and organizational policies while promoting a positive, inclusive culture.
Assist in budgeting and monitoring to optimize resource use and policy adherence.
Define priorities, timelines, and ownership for both support and project work.
Proactively remove blockers and manage risks to maintain stable production and workflow.
Leverage metrics to reduce recurring issues and improve system reliability.
Steer the team to balance support demand with planned initiatives, allocating resources to high-priority objectives.
Lead workflow improvements, reduce manual effort, and elevate service quality.
Navigate change with clear expectations, training, and practical documentation.
Encourage continuous learning and cross-training to mitigate single points of failure.
Drive modernization of applications and integrations to better meet business needs.
Collaborate on organization-wide projects to enhance operational efficiency and effectiveness.
Build strong partnerships with business and IT peers to align priorities and deliver outcomes.
Coordinate with vendors and external partners, set expectations, and manage escalations to resolution.
Communicate effectively across technical and non-technical audiences to keep stakeholders informed.
Foster trust through transparency, follow-through, and constructive issue resolution.
Provide coverage and escalation support as needed to ensure continuity of operations.
Adhere to work performance norms and attendance expectations.
Perform other duties as assigned.

Requirements

Bachelor’s degree in computer science or related field.
Five to seven years of information technology management experience in a healthcare environment.
Two to four years of management experience preferred.
Equivalent combination of education and experience may be considered.
Advanced skills in project and program management.
Advanced skills in leading change control, release management, test planning, and implementation coordination.
Intermediate skills in service management fundamentals, including SLA/OLA management and incident/problem response.
Advanced proficiency with Microsoft Office Suite (Outlook, Word, Excel, Teams, Visio, PowerPoint).
Extensive knowledge of core health plan operations and payer functions (benefits/eligibility, claims, encounters, authorizations, provider configuration) and how application decisions impact downstream reporting and finance.
Extensive knowledge of security, privacy, and compliance, including PHI protection and access/audit controls.
Extensive knowledge of people leadership fundamentals for a technical team.
Working knowledge of healthcare data exchange standards (HIPAA/X12 EDI) and supporting vendor, provider, and partner integrations.
Working knowledge of application configuration and technical fundamentals, including relational databases/SQL, data flows, interfaces, and practical automation/scripting to support team efficiency.
Working knowledge of vendor-supported systems and vendor management, including requirements definition, issue escalation, and coordinating fixes and enhancements.
Ability to translate business needs into actionable technical work, communicate tradeoffs, and align stakeholders on scope, timelines, and outcomes.
Proven ability to analyze and troubleshoot complex application, data, and integration issues, driving root-cause resolution and stability improvements.
Proven ability to enforce disciplined change/release, testing, documentation, and operational readiness practices.
Ability to identify and implement process improvements and automation to increase efficiency, reduce manual effort, and improve data quality.

Technologies

Unix/AIX
COBOL
SQL
HIPAA/X12 EDI
Microsoft Office Suite (Outlook, Word, Excel, Teams, Visio, PowerPoint)

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