Software Engineer, Electronic Data Interchange & Interoperability Systems We are hiring a Software Engineer at BCBST! In this role, you will support the teams responsible for BCBST’s enterprise transaction gateway, which receives and processes electronic healthcare claims and other administrative transactions. You will design, build, and maintain Java-based APIs that validate incoming transactions against X12 EDI standards and business rules before routing them to downstream adjudication systems. You’ll work primarily with claims while also supporting payment, enrollment, and other healthcare EDI transactions. You’ll help advance the team’s modernization efforts by transforming established transaction-processing capabilities into Java-based APIs and integrated workflows. To be successful in this role, you’ll bring strong backend development experience, initiative, effective communication skills, ownership, follow-through, and resourcefulness. Experience with healthcare EDI transaction processing, X12 standards, Java API development, claims processing workflows, DB2 or other SQL-based databases, JSON, and system-to-system integration are essential. Experience with Edifecs/Cotiviti, enterprise application modernization, or reengineering established functionality as API-based services is also highly relevant. Note: This is a remote, work-from-home position. The final round of interviews will take place on-site in our Chattanooga, TN office. This role participates in a two-week on-call rotation. Sponsorship is not available for this role. Job Responsibilities Formulates and defines system scope and objectives through research and fact-finding to design, develop, modify, or integrate complex information systems. Devises or modifies application systems and procedures to optimize functional requirements including capacity, operating time, response time, and form of desired results. Designs, codes, tests, debugs, and documents programs, subroutines, and scripts. May serve one or more project team roles, such as project lead, business systems analyst, or technical lead, for small to medium efforts or manage phases of medium to large efforts. Maintains technical skill set for software languages, databases, platforms, operating systems, utilities and networks needed to support work assignments. Responds to system failures and performance events by taking appropriate measures to reduce system downtime and eliminate recurrence of problems. Regularly provides guidance and training to less-experienced analysts/programmers. Job Qualifications Education Bachelors Degree in Computer Science or equivalent work experience required. Equivalent years of experience are determined as one year of technical experience for every year of college requested. Experience 1 year - Experience with information technology concepts, application development methodology, terminology, and standards required 3 years - Systems and programming experience required 1 year - Expert working knowledge of at least one programming language in use at BCBST. Skills\Certifications Proven skill with information technology in use at BCBST is required Proven analysis, design, and coding skills, and demonstrated success in leading large and complex projects Demonstrated ability to interpret and translate technical and/or or complex concepts into information meaningful to project team members and/or business personnel. Be organized, reliable, and able to manage multiple tasks with exceptional work ethic. Leadership skills Must be able to communicate effectively with both technical and non-technical co-workers Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means. As Tennessee's largest health benefit plan company, we've been helping Tennesseans find their own unique paths to good health since 1945. More than that, we're your neighbors and friends – fellow Tennesseans with deep roots of caring tradition, a focused approach to physical, financial and community good health for today, and a bright outlook for an even healthier tomorrow. At BCBST, we empower our employees to thrive both independently and collaboratively, creating a collective impact on the lives of our members. We seek talented individuals who excel in a team environment, share responsibility, and embrace accountability. We're also seeking candidates who are proficient in the Microsoft Office suite, including Microsoft Teams, organized, and capable of managing multiple assignments or projects simultaneously. Additional, strong interpersonal abilities along with strong oral and written communication skills are important across all roles at BCBST. We foster a culture where innovation is encouraged. That includes using AI enabled tools responsibly to support everyday work — guided by proven workflows, templates, and policies. As roles become more advanced, we expect employees to leverage AI more broadly to transform how we serve members. BCBST is a remote-first organization with many employees working primarily from their homes. Each position within the company is classified as either fully remote, partially remote, or office based. BCBST hires employees for remote positions from across the U.S. with the exception of the following states: California, Massachusetts, New Hampshire, New Jersey, and New York. Applicants living in these states may move to an approved state prior to starting a position with BCBST at their own expense. If the position requires the individual to reside in Chattanooga, TN, they may be eligible for relocation assistance.

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