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EDI Gateway and Clearinghouse Product Owner

2 months ago


Texas, United States Gainwell Technologies LLC Full time
About This Role

We are seeking a highly skilled EDI Gateway and Clearinghouse Product Owner to join our team at Gainwell Technologies LLC. As a key member of our organization, you will be responsible for leading the development and implementation of our EDI Gateway and Clearinghouse solutions.

Key Responsibilities
  • Lead the product development and implementation of our EDI Gateway and Clearinghouse solutions, ensuring they meet the needs of our clients and stakeholders.
  • Collaborate with cross-functional teams, including development, quality assurance, and project management, to ensure timely and successful delivery of projects.
  • Develop and maintain a deep understanding of our clients' business needs and requirements, and translate those into technical solutions.
  • Work closely with our technical teams to design, develop, and test EDI Gateway and Clearinghouse solutions, ensuring they meet the required standards and regulations.
  • Provide technical guidance and support to our clients, ensuring they have a seamless experience with our solutions.
  • Stay up-to-date with industry trends, best practices, and regulatory requirements, and apply that knowledge to improve our solutions and services.
  • Lead and participate in process improvement initiatives, identifying areas for optimization and implementing changes to improve efficiency and effectiveness.
  • Develop and maintain relationships with key stakeholders, including clients, partners, and internal teams, to ensure successful project delivery and ongoing support.
  • Contribute to the development of our company's technical strategy, providing input on new technologies, tools, and methodologies.
Requirements
  • 10+ years of experience in EDI software and tools, including EDI translators, EDI gateways, and secure file transfer protocols (SFTP, FTPS, AS2).
  • Comprehensive understanding of the EDI process, including data formats, data mapping, data transformation, and data validation.
  • Proficiency in Medicaid-specific EDI standards and transactions, such as X12 (including 837, 835, 834, 270/271, 275, 276/277, 278), NCPDP, or other applicable Medicaid EDI standards.
  • Understanding of healthcare data privacy and security best practices, including encryption, access controls, audit trails, and data masking.
  • Experience with EDI transactions commonly used in healthcare, such as claims, eligibility verification, remittance advice, and prior authorization.
  • Familiarity with database systems, data modeling, and SQL queries, and data integration platforms commonly used in MMIS environments.
What We Offer

We offer a competitive salary range of $108,500.00 - $155,000.00 per year, depending on location, experience, and qualifications. Our comprehensive benefits package includes a 401(k) employer match, comprehensive health benefits, and educational assistance. We also offer a generous, flexible vacation policy and opportunities for professional growth and development.

We are an equal opportunity employer and welcome applications from diverse candidates. If you are a motivated and experienced professional looking to join a dynamic team, please submit your application.