Full-Time

Senior EDI Solutions Architect

Posted on 9/13/2024

Macro Health

Macro Health

51-200 employees

Data analytics and connectivity for healthcare payers

Data & Analytics
Enterprise Software
Healthcare

Compensation Overview

$140k - $155kAnnually

+ Bonus + Equity + 401k Match

Senior

Remote in USA

Category
Solution Engineering
Sales & Solution Engineering
Required Skills
Customer Service
SCRUM
Requirements
  • Self-starter with the ability to take ownership, work with tight timelines, and handle various tasks simultaneously
  • Strongly motivated to give exceptional customer service and ensure a positive client experience
  • Expert understanding of HIPAA transaction sets like 837,834, 835, 278
  • Hands-on experience with HIPAA logical mapping and system implementation
  • General knowledge of healthcare operations, payer business processes and provider and EDI infrastructures
  • Experience with building cloud services or SaaS technologies
  • Strong knowledge of and aptitude for cloud computing principles
  • Ability to develop strong working relationship with engineering and stakeholder groups
  • Curiosity and skill to dig deeper into requirements and the 'why' with limited guidance
  • Excellent oral, written documentation, and presentation abilities
  • Demonstrated ability to contribute to the creation of a positive work culture
  • BS in Computer Science/Information Systems or equivalent experience
  • 7+ years’ experience as a software Systems Analyst or Business Analyst, gathering/documenting business requirements and translating into technical specifications
  • 7+ years’ experience working in a US Healthcare Payer environment
  • 5+ years’ experience in an external, client facing role
Responsibilities
  • Creates implementation strategies to align with and achieve stakeholder goals
  • Collaborates with internal and external stakeholders to deliver integration objectives;
  • Defines and implements implementation strategies consistent with stakeholder goals;
  • Provides subject matter expertise to EDI Solution Architects as they design and build integration solutions
  • Works closely with Healthcare Payers and Networks to understand their operational and technical integration requirements in order to define requirements and design integration solutions.
  • Creates data exchange specifications and requirements to support healthcare data integrations;
  • Works closely with engineers to provide clear requirements for building customer integrations;
  • Produces documentation to achieve high quality integrations;
  • Builds and tests customer integrations and documentation;
  • Assists with internal testing and works closely with customers during UAT phase of implementation projects.
  • Reviews implementation integration solutions for completeness and fulfilment of all requirements
  • As a SME, provides EDI and industry knowledge-sharing across all MacroHealth’s teams;
  • Maintains a deep understanding of MacroHealth’s platform product capabilities;
  • Work closely with Product Management to provide input and feedback on platform features and functionality to support building customer integrations;
  • Participates actively in Scrum related activities, including sprint planning and grooming.
  • Proactively works to identify new features required to optimize integrations;
  • Builds and continuously optimizes implementation processes and procedures.
  • Recognized as a leader in area of specialty;
  • Collaborates with team to achieve organizational goals;
  • Contributes to development of a positive work culture by demonstrating teamwork and alignment with core company values;
  • Constructively escalates problems and issues;
  • Actively collaborates with other departments and teams.

MacroHealth offers data analytics and connectivity solutions for healthcare payers, including insurance companies and health plan providers. Their main product, the Intelligent Health Market as a Service (IHMaaS) platform, uses real-time data to help clients optimize operations, reduce costs, and improve patient care. Unlike competitors, MacroHealth focuses on long-term partnerships by providing a subscription-based service that integrates various healthcare networks into a single platform. The goal is to enhance efficiency and cost savings without compromising quality.

Company Stage

Series A

Total Funding

$39.9M

Headquarters

Kirkland, Washington

Founded

2017

Growth & Insights
Headcount

6 month growth

8%

1 year growth

25%

2 year growth

34%
Simplify Jobs

Simplify's Take

What believers are saying

  • Telehealth integration is increasingly important, boosting platforms like MacroHealth's.
  • AI in claims processing is gaining traction, enhancing cost savings and efficiency.
  • Demand for real-time data analytics in healthcare is rising, benefiting MacroHealth.

What critics are saying

  • Emerging health tech startups could erode MacroHealth's market share.
  • Continuous updates may be needed to keep MacroHealth's platform competitive.
  • Data privacy concerns and regulatory scrutiny could impact MacroHealth's operations.

What makes Macro Health unique

  • MacroHealth's IHMaaS platform offers real-time data analytics for healthcare payers.
  • The platform integrates various healthcare networks into a single streamlined connection.
  • MacroHealth's subscription model ensures long-term partnerships and recurring revenue streams.

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