Join Softrams: A Leader in Digital Services and Emerging Technologies
Softrams is a fast-growing digital services firm in the Washington Metropolitan region, specializing in human-centered solutions, HX, AI, cloud, DevOps, and cyber security. Our mission is to empower digital services and craft innovative solutions that make a meaningful impact. With offices in Leesburg, VA, Baltimore, MD, and Plano, TX, and teams spread across the U.S., we're a 100% remote-first team environment that values flexibility, collaboration, and employee growth.Awards and Recognition
Softrams has received numerous accolades for our work and company culture:
- Recognized as a Top Workplace USA (2024)
- Recognized as one of the Top Workplaces in Technology (2023, 2021)
- INC 5000, Fastest growing companies in America (2023, 2022)
- Washington Business Journal Top 75 Fastest Growing Companies in Greater Washington area
- 2020 NXT UP - Top Federal Emerging Technology and consulting firms
- 2020 Inaugural DC Metro’s Most Successful Companies
- 2020 Washington Technology Fast 50
- NVTC Tech 100 (2020, 2019)
Job Summary
We're seeking an experienced Healthcare Provider Data Subject Matter Expert (SME) to join our team. As a Healthcare Provider Data SME, you will be responsible for providing expertise in EDI 270/271 transactions and healthcare benefits policies. You will work closely with our agile team to support and build modern, usable, and responsive applications for mission-critical U.S. federal government health IT solutions.
Key Responsibilities
- Attend and participate in standards/sanctioning workgroups across the healthcare EDI industry, representing federal government interests and providing guidance and feedback to business stakeholders.
- Perform impact assessments on upcoming standard changes, identifying necessary changes to the program, and work with the team and stakeholders to implement timely modifications to the system.
- Identify and communicate changes to the EDI 270/271 transactions to prepare end-users and various stakeholders on upcoming standard changes.
- As a Federal initiative, identify ways to securely improve medical provider information, expedite the claims processing cycle, and preserve the Medicare endowment.
- Evaluate business processes and operations by implementing subject expertise, identifying problem areas, and providing relevant business solutions.
- Offer guidance and required knowledge to product teams during the software development life cycle.
- Analyze eligibility/benefits inquiry to identify trends and gaps to the EDI 270/271 transaction.
- Offer consulting services, contribute to specialized knowledge, and provide mentorship and training to teams.
- Verify business and technical information, including training manuals, user guides, and system requirements.
- Publicize important information and documents processes to stakeholders.
- Perform hands-on basic data query and exploratory analysis work and/or guide others in needed data analysis and interpret findings.
Requirements
Essential Qualifications
- Bachelor’s degree in Information Technology, Computer Science, or a related discipline.
- 8 or more years of experience in related positions, including as a SME, policy analyst, data engineer, product analyst, product manager, and other software and application development work.
- Minimum 3-5 years of working experience directly with HIPAA (Health Insurance Portability and Accountability Act) rules requirements for health plans, healthcare clearinghouses, and healthcare providers in transmitting claims and other patient-identifiable health information in specific X12 EDI healthcare transaction sets.
- X12 5010A1 experience with real-time applications is essential.
- Broad experience with a variety of X12N transactions is preferred.
- Involvement and deep understanding of X12N (including workgroups), CAQH CORE, and/or HL7 FHIR relevant to benefit eligibility is strongly preferred.
- Experience engineering and/or implementing SOAP and/or REST connectivity for real-time eligibility transactions is highly desirable.
- Experience with high availability, multi-environment AWS implementations that process 24/7/365 is highly preferable.
- Experience with fully redundant, high-volume (billions annually) applications is highly desirable.
- Experience working with agile teams.
Preferred Qualifications
- Experience with EDI 270/271 transactions and healthcare benefits policies.
- Knowledge of healthcare industry trends and regulations.
- Experience with data analysis and interpretation.
- Strong communication and interpersonal skills.
Clearance Requirements
- Ability to obtain a U.S. Federal Position of Trust clearance designation.
- Must reside in and be able to perform work in the United States.
- Must have lived in the United States for 3 of the last 5 years.
What We Offer
Compensation and Benefits
- Competitive salary.
- 65%-75% company-sponsored (including dependents) premiums towards medical, dental, and vision insurance.
- 100% employer-sponsored STD, LTD, and life insurance (min $100K).
- Voluntary life insurance option available.
- Retirement 401(k) plan with employer matching.
- Immediate vesting.
- Vacation and sick leave.
- Maternity and parental leave.
- Discretionary bonuses, spot awards, gifts, and tenure-based rewards.
- Company-sponsored role-based training and certifications.
- Monthly Doordash DashPass subscription.
- Group discounts via LifeMart ADP.
Work Environment and Culture
- 100% remote-first team environment.
- Flexible work hours.
- Opportunities for growth and professional development.
- Collaborative and agile team.
- Recognition and rewards for outstanding performance.
How to Apply
If you're a motivated and experienced Healthcare Provider Data SME looking for a new challenge, we encourage you to apply. Please submit your application, including your resume and a cover letter, to [[email protected]](mailto:[email protected]).
Don't hesitate to apply if you don't meet every single requirement. We value a great attitude and a willingness to learn above all. We look forward to hearing from you!
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