EDI Enterprise Architect
The Electronic Data Interchange (EDI) Enterprise Architect has a major role in providing lead technical services to analyze, design, and deliver EDI system solutions for all HIPAA related X12 transactions. Lends expertise to answer technical consulting questions, individually or as part of a project team. Serves as a senior subject matter expert associated with content, processes, and procedures associated with EDI HIPAA related X12 transactions Promotes consistency and collaboration with all functional departments with primary focus on optimizing all business processes supported by information technology and ensuring compliance with all State and Federal regulations.
Duties and Responsibilities:
Responsibility A: Translates business needs into detail requirement specifications/companion guides.
- Identifies system or application needs.
- Analyzes current business practices, user needs and work flow processes.
- Develops Architecture Specification deliverables/companion guides that map customer business requirements into complete information systems (technologies, processes and people) or operational solutions.
- Performs vendor analysis and make recommendations.
- Understands the customer’s business problem, need, or opportunity and designs a virtualized solution that completely and
- correctly addresses the business problem, need, or opportunity.
Responsibility B: Facilitates EDI enterprise systems design and architecture.
- Leads the architectural design, development, deployment, and technical quality of large EDI enterprise solutions that span multiple technologies and disciplines.
- Devises or modifies procedures to solve problems considering system capacity, limitations, and desired results.
- Provides architectural direction for multiple medium to large sized projects concurrently in various stages of their lifecycle or a large project full time.
- Prior to first productive use, identifies the impacts and dependencies of the new system.
- Creates robust, scalable, sustainable data architecture that supports requirements.
- Demonstrate efficiencies of the new system and provide feedback to teams.
- Evaluates the effect of external factors on designed solution.
Responsibility C: Performs EDI systems design and analysis.
- Develops conceptual (theoretical) model from multiple data sources to improve performance.
- Identifies and documents the data sources, recipients, and interfaces that need to be developed to support data collection and maintenance.
- Prepares technical architectural and implementation design documents.
- Works closely with the DBA and system administrators to help insure the physical design meets the functional and performance requirements of the application.
Responsibility D: Analyzes EDI system problems and modifications.
- Analyzes clinical & business use of existing systems to identify problem to be resolved and defines system applications or process improvements
- Recommends modifications to application design or current procedures to maximize advantages of existing resources
- Bachelor’s Degree in computer science, business administration, healthcare administration or business or technology field
- 7 years EDI architecture and design, including 3 years of experience in management of health insurance payor systems
- Previous Health Plan Information Services experience people
Knowledge and Skills:
- Broad IT industry knowledge including X12 transactions (270/271, 276/277, 834, 835, 837P, 837I, and 837D), and databases (SQL Server, MS Access).Â Familiarity with Health Insurance business processes and practices.Â A working knowledge of a variety of hardware and software environments.
- Familiarity with Health Insurance business processes and practices.
- A working knowledge of a variety of hardware and software environments.
- Process mapping, group presentation, written and verbal communication, analytical, and organizational skills.
- Ability to handle multiple projects simultaneously while adhering to a stringent timeline.
- Ability to apply knowledge of how the industry uses IT-EDI to address business challenges using, for example, technical standards and infrastructure, cross-industry trends that impact IT investment, industry-specific roadmaps, and IT enablers.
- X12 knowledge preferred