Epic Bridges certification, bachelor’s degree, and 5+ years of integration experience required; prior experience with Diplomat, Microsoft SSIS, Informatica PowerCenter, or IBM Integration Bus preferred
Collaborate with project teams to design, develop, and deliver healthcare interface and integration solutions that ensure reliable message movement, translation, and data exchange
Analyze business and technical requirements to create detailed messaging specifications, perform gap analyses, and recommend solutions aligned with organizational standards
Build and support HL7, EDI, CSV, and XML interfaces; troubleshoot and resolve message transformation, communication, and flow issues across systems
Create and maintain technical documentation, translation plans, and testing protocols to ensure quality and repeatability of integration processes
Partner with customers and vendors to clarify interface requirements, support integration testing, and deliver production-ready solutions within defined timelines
Independently lead financial and reimbursement analysis, evaluating rate proposals, payer contract terms, and health plan methodologies to identify optimization opportunities
Develop and maintain advanced financial reporting using EPSi, SQL, Epic Clarity, and Power BI to assess contracted rates, reimbursement trends, and performance metrics
Manage end-to-end rate review processes and collaborate with contract modeling teams to ensure accurate implementation of negotiated terms within pricing and contract management systems
Monitor data integrity across financial systems, proactively improving processes, and providing insights and recommendations to Contracting leadership based on payer reporting trends
Maintain expertise in reimbursement methodologies, payer policies, and regulatory requirements while supporting system-wide financial projects, special initiatives, and committee activities
