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COTIVITI, INC. Implementation Consultant in SOUTH JORDAN, Utah

Implementation Consultant

Job Locations

 

US-Remote

ID

 

2026-18862

 

 

 

 

Category 

Client Services  

 

Position Type 

Full-Time

Overview

 

The Implementation Consultant assists in the testing and implementation of Edifecs' solutions purchased by that client. The Implementation Consultant will generally be involved in installing and configuring under the direction of the Technical Project Manager and/or Implementation/Solution Architect. This includes installation of products on client hardware; configuration and development of programs, tasks and guidelines, and setup to fully implement an Edifecs solution. Duties can range from delivery of product training to new client specific requirements, development and deployment. The role involves client coordination and communication as well as technical understanding of Edifecs' solutions and the transactions that flow through this position. 

 

 

 

 

 

Responsibilities

 

System Implementation and Configuration

Implement and configure Edifecs applications for payer systems on AWS, Azure cloud or virtual machines.

  • Implement and manage integrations between Edifecs' products and solutions and Customer's on-premise systems.

  • Analyze business requirements and translate them into technical configurations, workflows, and mapping documents.

     

Integration and Data exchange

  • Develop and test real-time and batch integrations using:

  • EDI (X12: 834, 837, 835, 270/271, 276/277, 278)

  • FHIR (CMS Interoperability APIs)

  • HL7 v2/v3

  • Implement service-based integrations via RESTful APIs, SOAP Web Services, ESBs, and iPaaS platforms.

  • Create mapping specifications and perform data validation, reconciliation, and error resolution.

     

Data Strategy and Migration

  • Support ETL processes and legacy data migration to new payer systems.

  • Perform data profiling, cleansing, transformation, and loading activities.

  • Assist QA teams with creating technical test cases and validating system configurations and interfaces during SIT/UAT.

Collaboration and Delivery

  • Partner with business analysts, SMEs, solution architects and delivery leads to ensure alignment of technical deliverables.

  • Develop appropriate training and development plans to meet the client's particular maintenance level and to configure the software according to the project plan.

  • Provide post-implementation support during the transition from implementation to maintenance.

  • Provide software and client specific training and develop training documentation based on present standards and client needs.

  • Participate in design workshops, integration sessions, and go-live readiness planning.

  • Provide technical guidance to junior implementation staff and contribute to solution documentation.

     

This job description is intended to describe the general nature and level of work being performed and is not to be construed as an exhaustive list of responsibilities, duties and skills required. This job description does not constitute an employment agreement and is subject to change as the needs of Cotiviti and requirements of the job change.  

 

 

 

 

 

Qualifications

 

Education and Experience:

  • Bachelor's in computer science or other technology related program or equivalent experience in implementing, and operating Java stack-based enterprise applications.

  • 2 years of experience in technical healthcare system implementation, preferably with a payer or health plan.

  • Famil iarity of X12 standards, FHIR and other standards-based interoperability / integration patterns in the Healthcare Industry.

  • Hands on experience in analyzing transactions and creating interfaces for transactions such as X12 837, 835, 834, proprietary formats and deep knowledge of coding standards such as LOINC, SNOMED, ICD 10.

Technical... For full info follow application link.

 

Eq al Opportunity Employer/Protected Veterans/Individuals with Disabilities

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