QUALIFICATIONS:

Education Level: Bachelor’s Degree in Information Technology or Computer Science OR in lieu of a Bachelor’s degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

PREFERRED QUALIFICATIONS:

• Have EDIFECS development and system maintenance experience.
• Have HIPAA EDI transaction experience mainly enrollments (834) and payment (820). Other HIPAA transactions is a plus.

KNOWLEDGE, SKILLS AND ABILITIES (KSAS)

• Knowledge of programming languages and web-based technologies.
• Proficient in Microsoft Office applications.
• Ability to collaborate to solve technical problems across teams.
• Excellent communication skills both written and verbal.Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
• 
  Salary Range: $113,256 - $224,939
  Salary Range Disclaimer
  The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate’s work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case’s facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
  Department
  EDI Biz Ops
  Equal Employment Opportunity
  CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
  Where To Apply
  Please visit our website to apply: www.carefirst.com/careers
  Federal Disc/Physical Demand
  Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PURPOSE:

Defines, designs and develops system requirements. Performs trade-off analysis of performance, life-cycle cost, risk, producibility, and other system or program requirements. Assesses architecture and current hardware limitations, defines and designs system specifications, and evaluates input/output processes and working parameters for hardware/software compatibility. Coordinates design of subsystems and integration of total system. Defines system support requirements to include monitoring, capacity, staffing and patching/updating. Analyzes and resolves program support deficiencies. Conducts independent technical investigations in systems design.

ESSENTIAL FUNCTIONS:

• Installs, tunes, upgrades, troubleshoots, and maintains all computer systems relevant to the supported applications including all necessary tasks to perform operating system administration, user account management, disaster recovery strategy and networking configuration.
• Develop and implement techniques to prevent system problems, troubleshoots incidents to recover services, and support the root cause analysis.
• Evaluates new systems by performing in-depth tests, including end-user reviews. Researches software and related products to support recommendations and purchasing. Determines systems integration issues by evaluating components; developing and completing performance tests; analyzing test data; studying project requirements; analyzing user and potential user input; evaluating similar and related products and systems. Develop system automation and system integration of business processes.
• Improves engineering job knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; benchmarking state-of-the-art practices; participating in professional societies.
• Acts as a mentor for junior and senior team members.