Job Summary
Sr Developer in a hybrid work model designs and implements robust data integration solutions using IBM ACE ESQL and IBM Integration Bus to support Medicare and Medicaid claims processing while ensuring high-performance accuracy, regulatory compliance, and alignment with organizational objectives across complex stakeholder environments.
Responsibilities
- Design and implement scalable data integration solutions using IBM ACE ESQL and IBM Integration Bus that streamline Medicare and Medicaid claims processing workflows while maintaining high performance and reliability.
- Develop and optimize complex message flows and transformations that accurately handle claim data structures, benefit rules, and adjudication logic to reduce processing errors and rework.
- Analyze existing integration patterns and system interfaces and recommend enhancements that improve data quality, latency, and throughput for critical claims transactions.
- Collaborate with business analysts and domain experts to translate Medicare and Medicaid claims requirements into precise technical specifications and integration designs.
- Configure and maintain IBM Integration Bus environments including deployment, packaging, monitoring setup, and tuning activities to ensure stable day shift operations in a hybrid work setting.
- Create reusable ESQL components, mappings, and error handling frameworks that support consistent processing of multiple claim types and reduce future development effort.
- Investigate and resolve complex production incidents related to data integration or claims flows by performing root cause analysis and implementing durable corrective actions.
- Document integration designs, message models, and operational procedures in a clear and structured manner to support knowledge sharing and onboarding of peers and stakeholders.
- Collaborate with testing teams to define integration test strategies, build test data for claim scenarios, and validate end to end flows for Medicare and Medicaid transactions.
- Implement robust logging, auditing, and exception management within IBM ACE solutions to support compliance reporting and traceability for regulated healthcare data.
- Coordinate with infrastructure and security teams to ensure that data integration solutions follow organizational policies for data privacy, access control, and resilience without requiring travel.
- Guide peers on best practices for IBM ACE ESQL and IBM Integration Bus usage by sharing patterns, coding standards, and lessons learned from complex claims integration projects.
- Continuously evaluate new features and updates in IBM integration technologies and propose improvements that enhance business value and support future claims initiatives.