Sr. Java Health Plans EDI Specialist

We are looking for an experienced Java Developer to assist us with the development and maintenance of our electronic data interfaces and CMS government reporting processes. The ideal candidate will possess experience working as a Java and SQL developer who can develop complex automated processes utilizing standard HIPAA formats and custom file requirements.

Must report on site 5 days a week

Responsibilities:

• Maintenance & enhancement of multiple automated data interfaces using both standard HIPAA formats and custom data layouts for eligibility & claims processing
• Support the processes related to the submission of encounter data to contracted health plans
• Accurately monitor and reconcile submitted encounters against response files to ensure timely resolution of submission issues
• Development of processes to generate various data universes as required by CMS
• Develop customized reporting as requested by clients & internal users
• Troubleshoot Production issues  
• Prepare documentation describing relevant applications & interfaces
• Provide off-hours support as required

Qualifications:

• Must have professional experience with standard HIPAA formats (837, 277, 835, 834, etc.)
• Must have hands-on experience designing, developing and maintaining API's.
• Must have experience with CMS, DHS reporting requirements & formats and encounter submissions is required.
• Must have experience with EDI translation software, experience with iWay software is a plus.
• Familiarity with managed care health programs and the insurance industry is required
• Must have a high level of competency in designing, coding, testing, debugging, documenting, and supporting production-quality Java applications.  
• Must have professional experience including expert knowledge of Java, SQL, XML, SFTP, & JDBC required.
• Experience working with database systems such as DB2 and MySQL.
• Experience with MS Excel functions that includes working with large datasets and creating standardized reporting.
• Working knowledge of Microsoft office applications (Excel, Word, Access, etc.)
• Experience working in an AS/400 environment.
• Working knowledge of COBOL is a plus.  

In addition to these qualifications, we also look for the following attributes: 

• Strong ability to analyze existing code and to formulate and implement changes
• Ability to work independently and within a team environment
• Self-directed with excellent time management skills
• Organized and extremely attentive to detail
• Effective, honest, and clear communication style
• A good sense of humor

Featured Benefits

• Competitive salary
• Vacation and Sick/Personal Time
• Medical Insurance
• Hearing Program Discount
• Short- & Long-Term Disability Insurance
• Life Insurance
• Flexible Spending Account
• 401(k)
• Employee Referral Program
• Employee Recognition
• Tuition Reimbursement
• Professional Development Training

About Benecard Services our affiliated companies:

Benecard Services, LLC

Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in-house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.

Website: http://www.benecard.com

BeneCard PBF

BeneCard PBF provides self-funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.

Website: http://benecardpbf.com

National Vision Administrators

For over 40 years, National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions. Providing millions of people throughout the United States with vision care programs that help them be smarter buyers of eye care and eyewear, NVA is particularly well suited to address today's health benefit challenges as it relates to eye care. We offer cost-effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high-quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.

Website:  http://www.e-nva.com

We are an Equal Opportunity employer.