Tegria

Product Manager

• Define and communicate the vision, roadmap, and priorities for healthcare EDI products and services
• Own and prioritize the EDI product backlog, including features, enhancements, defects, and technical debt
• Align EDI initiatives with organizational objectives
• Evaluate industry trends, regulatory changes, and emerging technologies
• Gather requirements and define solutions with business operations, claims, enrollment, provider services, finance, compliance, and IT teams
• Serve as the primary point of contact for EDI product decisions and issue resolution
• Facilitate communication with internal stakeholders, external trading partners, vendors, and clearinghouses
• Develop business requirements, user stories, acceptance criteria, and process flows
• Lead backlog grooming, sprint planning, and product demonstrations in Agile environments
• Ensure solutions meet business, quality, and regulatory requirements
• Support User Acceptance Testing and production implementation
• Oversee EDI transaction processing and integration performance
• Monitor and improve transaction quality, accuracy, and timeliness
• Support implementation and maintenance of healthcare transaction sets, including claims, remittance, eligibility, claim status, prior authorization, enrollment, and NCPDP pharmacy transactions
• Coordinate onboarding and testing of new trading partners
• Ensure compliance with HIPAA, CMS, state regulations, and organizational standards
• Support regulatory initiatives and remediation efforts with compliance and audit teams
• Maintain documentation, process standards, and governance controls
• Define and monitor KPIs for EDI operations and product performance
• Analyze transaction trends, error rates, and operational metrics
• Drive continuous improvement to increase automation, efficiency, and customer satisfaction

EDI Product Owner

Business Intelligence Developer

• Design, develop, test, and maintain Epic Cogito reporting solutions using Reporting Workbench, Radar Dashboards, SlicerDicer, SQL, and Clarity/Caboodle databases
• Create and optimize reports, dashboards, scorecards, and self-service analytics tools for healthcare stakeholders
• Develop data extracts, queries, and reporting solutions for clinical, financial, quality, compliance, and operational initiatives
• Gather requirements and translate business needs into technical reporting solutions
• Analyze healthcare data trends and provide insights for strategic decision-making
• Ensure data accuracy, integrity, governance, and compliance with HIPAA and organizational policies
• Troubleshoot report performance issues and optimize database queries
• Support Epic upgrades, enhancements, and reporting and analytics implementation projects
• Maintain technical documentation, data dictionaries, report inventories, and standard operating procedures
• Participate in testing, validation, and quality assurance activities
• Provide end-user training and support for reporting and analytics tools

Software Engineer

• Design, develop, configure, and maintain Edifecs applications and healthcare EDI interfaces
• Develop and support HIPAA transaction processing, including 834, 835, 837, 270/271, 276/277, and 278 transactions
• Configure and maintain Edifecs modules including XEngine, SpecBuilder, Transaction Management, and STPM
• Analyze business requirements and translate them into technical solutions
• Create mapping specifications and validation rules for inbound and outbound healthcare transactions
• Troubleshoot production issues, perform root cause analysis, and resolve data integration problems
• Collaborate with business analysts, product owners, vendors, and operations teams to improve EDI workflows
• Support unit, integration, regression, and user acceptance testing
• Ensure compliance with HIPAA regulations and healthcare industry standards
• Develop technical documentation, design documents, and support procedures

Edifecs Developer

Security Engineer

• Monitor networks, systems, and applications for security breaches, vulnerabilities, and suspicious activity
• Implement and maintain security measures protecting PHI and EHR
• Conduct risk assessments, vulnerability scans, and penetration testing across clinical and administrative systems
• Ensure compliance with HIPAA, HITECH, HITRUST, and other healthcare regulatory frameworks
• Develop, update, and enforce security policies, procedures, and incident response plans
• Investigate security incidents, perform root-cause analysis, and coordinate remediation
• Collaborate with IT, clinical, and compliance teams to secure medical devices and connected health technologies
• Manage identity and access controls, including role-based access for clinical staff
• Provide security awareness training, phishing simulations, and best-practice education
• Monitor emerging threats, ransomware trends, and healthcare-sector attack patterns
• Support regulatory, auditor, and third-party audits and assessments
• Evaluate and recommend security tools, technologies, and vendor solutions

EDI Product Owner

Business Intelligence Developer

Edifecs Developer

Cyber Security Specialist