Homeoffice Software Engineer III with verification

Position Description

Base pay is influenced by several factors including a candidate’s qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.”

Primary responsibility includes software development and testing for FEP claims as well as FEP Enrollment processing platforms. Functional knowledge of health insurance concepts including member eligibility, claims processing and provider demographic data. Represents team in advisory and decision-making capacity while participating in corporate projects. Serves in a consulting capacity to gather and assist in documenting business requirements. Provides technical input into solution architecture on small to large size projects. Provides guidance to business analysts who will be responsible for additional requirement and/or solution documentation. Must support departmental operational processes including on call rotation, production support activities and incident/management procedures.

Responsibilities And Qualifications

• Analyzes/researches business problems to determine the impact on existing business and IT systems and procedures, as well as the feasibility of automation.
• Conforms with PMO guidelines and procedures when developing IT solutions to defined business problems using structured methodologies. Conducts meetings with customers to ensure requirements are defined and adequately satisfied.
• Designs innovative solutions using emerging and existing technologies for business problems and determines feasibility and practicality of implementation within current or future environments.
• Prepares test data and conducts program and system tests to ensure compliance. Assists customers in establishing acceptance criteria and effectiveness of proposed solutions.
• Maintains knowledge of the department’s programming languages and tools, coding and design techniques, data base management systems, processing platforms and emerging technologies through continued education.
  
  

Experience/Skills

• Experience developing Oracle PL/SQL stored procedures preferred but not required.
• Experience and knowledge of ETL development tools (ie. Informatica IDMC).
• Experience with Subversion as a source code management tool.
• Experience with API web service development preferred but not required.
• Experience working with an enterprise batch schedule (i.e. Tidal). Ability to understand complex dependencies between batch jobs and requirements for defining new batch jobs in an existing schedule.
• Ability to participate in a production support on-call schedule.
• Experience working with integrated business systems that handles claims processing, membership, network, and clinical processes. Experience in health insurance platforms preferred but not required.
• Experience with BCBSA or FEP claim processes preferred but not required.
• Knowledge of ITIL service management concepts including change, incident, and request management is preferred but not required.
  
  

Education

• A Bachelor's degree in Computer Science, Business Administration or related field.
  
  

Physical Demands

• While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see. The employee must occasionally lift and/or move up to 5 pounds.
  
  

About Us

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a diverse and caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career.

And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.

Capital Blue Cross is an independent licensee of the Blue Cross Blue Shield Association. We are an equal opportunity/affirmative action employer and do not discriminate on the basis of race, color, religion, national origin, gender, sexual orientation, gender identity, age, genetic information, physical or mental disability, veteran status, or marital status, or any other status protected by applicable law.