ProArch logo
ProArch

Consulting and technology- enabled by cloud, guided by data, fueled by apps, and secured by design.

IBM ITX Specialist

Billing SpecialistBilling SpecialistContractRemoteMid LevelTeam 201-500H1B SponsorCompany SiteLinkedIn

Location

India

Posted

17 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

IBM ITX Specialist

ProArch

Role Description Lead the scalable design and implementation of IBM ITX-based integration solutions across healthcare payer systems. - Architect and optimize transformation maps and data flows for high-volume healthcare EDI transactions such as 837, 835, 834, 270/271, and 276/277. - Ensure solution architectures are modular, extensible, and aligned with enterprise integration patterns and scalability goals. - Act as the SME for the ITX Pack for Healthcare Payer, offering best practices on compliance, transformation rules, and partner onboarding. - Collaborate across business and technical teams to translate complex integration needs into resilient and scalable ITX solutions. - Develop architectural and interface documentation supporting deployment, maintenance, and knowledge transfer. - Guide and mentor teams on solution design patterns, performance tuning, and reuse strategies. - Work with DevOps and release management teams to integrate ITX solutions into CI/CD pipelines and scalable infrastructure. - Conduct impact analysis and proactive performance testing to ensure long-term scalability and reliability. Qualifications - Bachelor’s degree in Computer Science, Information Systems, or related field (Master’s preferred). - 8+ years of experience in EDI/integration development, with at least 5 years of hands-on IBM ITX expertise in healthcare payer environments. - Proven experience in designing scalable data transformation solutions using IBM ITX with complex type trees and mapping. - Strong command of HIPAA X12 transaction sets and healthcare business processes (837 Claims, 835 Remittance, 834 Enrollment, etc.). - Demonstrated ability to lead enterprise-wide, scalable architecture initiatives and performance-tuned deployments. - Familiarity with enterprise integration platforms such as IBM B2Bi, Sterling Integrator, or equivalent. - Competence in scripting for automation (e.g., Shell, JavaScript, Python) and working with cloud or containerized environments. - Excellent communication skills, with the ability to present architecture decisions to both technical and business stakeholders. Company Description

Related Categories

Related Job Pages

More Billing Specialist Jobs

Full TimeRemoteTeam 11-50

Role Description You'll be joining our Tailwind team, supporting smaller short-term rental operators with outstanding guest communication and property management services. Tailwind combines smart technology with real people to deliver 24/7 support — helping our partners provide an exceptional guest experience while growing their businesses. This role blends technology, customer service, and problem-solving in a fast-paced, remote environment. - Respond promptly and professionally to guest inquiries via email, phone, and OTA messaging. - Provide accurate information regarding bookings, services, policies, and other inquiries. - Handle and resolve guest complaints and issues efficiently, ensuring guest satisfaction. - Assist with booking and confirming reservations. - Coordinate with internal teams, Property Managers, and Property Owners to ensure guest requests and special arrangements are met. - Create, update, and maintain guest communication templates and FAQs. - Ensure all communications reflect the partner's voice and guidelines. - Attend occasional virtual meetings and training sessions. - Provide constant feedback to the team regarding partner issues and suggestions to improve processes. - Vendor liaison for HVAC, plumbing, electrical, etc. - dispatch, invoicing, etc. Qualifications - Excellent written and verbal English skills for phone, text, and email communication. - Must be located within Metro Manila, Philippines. - Previous experience in guest services, reservations, or a related field. - Strong organizational and multitasking abilities. - Ability to work independently in a remote work environment. - Attention to detail and commitment to providing exceptional service. - Ability to show empathy, exhibit patience, and have a customer-centric mindset. - Possess critical thinking and problem-solving skills. - Ability to learn new software quickly and efficiently. - Willingness to ask questions when unclear about a task or process. - Short-term vacation rental experience, such as working at a property management company, in a guest communication service, or directly for a platform like Airbnb or VRBO is a must. - PMS experience in the short-term rental industry. - Must be willing to work weekends, afterhours, US time zone. Requirements - Internet speed minimum 30mbps: Needs to be Wired (Buy a dongle if no LAN port). - i5 8th Gen or higher. - Windows 10 / MacOS Catalina or higher. - Minimum of 8 GB RAM. - Private and quiet dedicated home office area (no roosters, dogs, children's noises in the background). - Back-ups in case of power or internet provider interruptions. - Good headset and webcam (preferably noise-canceling headset).

Philippines
Job Closed

Governance Risks and Benefits Specialist

NSW Government

The New South Wales (NSW) Government serves as the governing body for Australia’s most populous state, dedicated to delivering programs and services that enha

Title: Governance Risks & Benefits Specialist Location: Australia Reference number 103548-44164803 Occupation Transport and Safety Work type - Location Sydney City Salary Information Governance Risks & Benefits Specialist You’re open to a change of direction and a new challenge. You have the opportunity to gain a wealth of expertise and a diverse range of skills, providing insight and knowledge without losing sight of your work-life balance or wellbeing. In this role, you'll: Manage benefits realisation across a diverse portfolio of grant programs. You'll develop and maintain benefits frameworks, establish baselines, track realisation against targets and translate performance data into clear, credible reporting that gives senior leaders meaningful visibility over program outcomes and accountability. Coordinate risk management across a portfolio of interdependent grant programs. You'll maintain risk registers, support program teams to engage with risk processes, identify emerging issues and contribute to risk reporting that supports executive decision-making. Apply your expertise within a governance context. You'll contribute to the frameworks, templates, reports and dashboards that underpin compliant, transparent grant program management – ensuring benefits and risk oversight supports accountability across a portfolio of programs delivered by external partners. Support senior leaders and stakeholders with clear, evidence-based advice. You'll identify opportunities to improve frameworks and reporting practices, build effective working relationships across a multi-functional environment and contribute to continuous improvement in how the portfolio is managed. For more information on this position and business unit, view the role description and information pack. About you You are a benefits realisation management specialist. You have hands-on experience building and maintaining benefits frameworks at a portfolio level – setting baselines, tracking realisation, managing data quality across delivery partners and producing reporting that is credible and defensible. You're comfortable working in environments where outcomes are complex, time horizons are long and delivery is through third parties such as local councils. You also have working knowledge of risk management at a portfolio level and are comfortable contributing to risk registers and governance reporting. You communicate complex information clearly for senior audiences, manage competing priorities effectively and take ownership of your work while knowing when to escalate. Who we are Transport for NSW provides a safe, integrated, and efficient transport system. We connect people, communities and industry every day. Join us Our workforce is as diverse as the community we serve. If you’d like further information on our inclusion and diversity initiatives, visit Transport careers. We offer a wide range of employee benefits, like our award-winning flexible and hybrid work options. Regional candidates are encouraged to apply. This is a hybrid+ role designed for people living in NSW's regions or further away from the role's listed home base. It combines virtual work with in-person days at your team's home base.

Australia

Role Description The Post Entry Specialist is responsible for managing post-entry activities and filing amendments to CBP on behalf of importers, ensuring compliance and oversight after entry summary submission. This is a remote position based in the United States for candidates in certain states. - Prepare & submit Post Summary Corrections (PSCs) and protests to CBP within the required timelines - Maintain a professional relationship with U.S. Customs - Prepare letters, reports, and supporting documentation for CBP submissions including unreleased entries and cancellations - Update CBP entries and verify accuracy prior to filing - Manage Post Entry Services for U.S. Operations - Oversee reconciliation project - Provide customer support by addressing inquiries and resolving issues promptly Qualifications - CCS (Certified Customs Specialist) a plus - High school diploma or equivalent required - 3+ years of industry-related experience preferred in post entry audit, corrections, protests, CF28/29 - Understanding of U.S. Import Entry process and CBP requirements - Ability to troubleshoot customs-related issues - Intermediate proficiency in MS Office (Excel, Word, Outlook, Teams) - Strong verbal and written communication skills - Excellent organizational and time management skills - Meticulous attention to detail in ensuring accuracy and decision-making

United States
Job Closed
State of Washington logo

Contracts Specialist 3

State of Washington

Founded in 1889, the State of Washington was the 42nd American territory to be admitted to the United States. Located in the Pacific Northwest, Washington is situated south of the

Role Description This position supports contract managers within Health Care Authority (HCA) programs in drafting and negotiating contracts, grants, federal subgrants, tribal agreements, interagency agreements, and competitive solicitations. The CS3 works independently to make decisions in creating and building all types of legally sound contracts and solicitations. The ideal candidate will bring the ability to navigate ambiguity as well as experience with highly complex service contracts, subgrants, and grants to this role that supports important health care programs in the State of Washington. All HCA employees will apply an equity lens to their work, which may include but is not limited to all analyses of core business and processes. This position performs complex and/or politically sensitive activities related to contracts, grants, subawards, and competitive solicitations that support DBHR and OTA, which include state funded contracts and federally funded contracts utilized by these divisions. This position is eligible to telework and is typically not required to report on-site. The default assigned work location of all Health Care Authority (HCA) positions – both on-site and telework eligible positions – is within the State of Washington. This position reports to Olympia, WA. Frequency of onsite work will vary based on business and operational needs. All agency employees are required to report on-site in Olympia on their first and last days of employment to pick up and return state-issued equipment, regardless of telework status or location. Duties - Independently initiate, manage, and complete complex contracts, grants, and subawards, exercising sound judgment with minimal supervision in a fast-paced office. - Collaborate with program staff to translate their business needs into clear, enforceable contract terms, including statements of work (SOWs) and performance expectations. - Lead the development and management of competitive solicitations (contracts, grants, and subawards), including developing strategy, drafting the content and scoring methodology, and leading the evaluation, complaint, debrief, and award processes. - Identify, analyze, and mitigate risk in contract structure, language, and execution, including compliance with state and federal requirements. - Negotiate contract terms and conditions, including resolving complex or sensitive issues related to scope, payment structure, performance, and the allocation of risk. - Independently review contract requests and determine the applicable laws, policies, and regulations. - Provide expert-level guidance on contract strategy, structure, and compliance to internal and external stakeholders. - Provide training and guidance to agency staff on contracting processes and best practices. - Maintain multiple contract-related data systems through consistently accurate and timely data entry and documentation of work milestones, decisions, and facts. Qualifications - Qualifying candidates will meet one of the following criteria options: - Option 1: Seven (7) years of experience in negotiating, administering, or terminating government contracts, contract property management, contract cost or price analyses, or contract compliance administration. - Option 2: Associate degree involving major study in business administration, public administration, business law, commerce, mathematics, statistics, economics, or closely allied field and five (5) years of experience in negotiating, administering, or terminating government contracts, contract property management, contract cost or price analyses or contract compliance administration. - Option 3: Bachelor’s degree involving major study in business administration, public administration, business law, commerce, mathematics, statistics, economics, or closely allied field and three (3) years of experience in negotiating, administering, or terminating government contracts, contract property management, contract cost or price analyses, or contract compliance administration. - Option 4: Master’s degree involving major study in business administration, public administration, business law, commerce, mathematics, statistics, economics, or closely allied field and two (2) years of experience in negotiating, administering, or terminating government contracts, contract property management, contract cost or price analyses, or contract compliance administration. - Option 5: Law degree from an accredited college or university approved by the Washington State Bar Association and one (1) year of experience in negotiating, administering, or terminating government contracts, contract property management, contract cost or price analyses, or contract compliance administration. - Option 6: One (1) year of experience as a Contracts Specialist 2 in state government or equivalent role. Requirements - The ability to take action to learn and grow. - The ability to take action to meet the needs of others. - Demonstrated above average knowledge and skills regarding government contracting. - Demonstrated skills in providing leadership to co-workers and stakeholders. - Demonstrated ability to communicate clearly and effectively (oral and written) with internal and external stakeholders with diverse and divergent needs. - Demonstrated ability to deliver presentations and participate in meetings with other staff and stakeholders. - Demonstrated ability to adapt to change and quickly assimilate new information and requirements into daily work. Preferred Qualifications - Professional experience independently developing and building complex government contracts and/or subawards from intake of the request through execution. - Three (3) years of professional experience demonstrating advanced proficiency in government public contracting, including providing consultation to program staff and/or stakeholders. - Two (2) years of professional experience developing and providing consultation to contract managers on competitive government contracts in Washington. - Two (2) years of professional experience developing and providing consultation to develop non-competitive and competitive grants. - Provide consistent, high-quality (error free) reviews of written communication with acute attention to detail. - Ability to interpret and convey rules and regulations, and legal terminology to broad audiences. - Strong analytical ability demonstrated by using information received from another party to form a clear and rational thought process to assess and understand issues, evaluate options, create accurate conclusions, and make clear and sound decisions. How to Apply Only candidates who reflect the minimum qualifications on their NEOGOV profile will be considered. Failure to follow the application instructions below may lead to disqualification. To apply for this position, you will need to complete your profile which includes three professional references and attach in separate files: - A cover letter that specifically addresses how you meet the qualifications for this position. - Current resume. To take advantage of veteran preference, please do the following: - Attach a copy of your DD214 (Member 4 long-form copy), NGB 22, or USDVA signed verification of service letter. - Please black out any PII (personally identifiable information) data such as social security numbers. Include your name as it appears on your application in careers.wa.gov. Supplemental Information About HCA: Functioning as both the state's largest health care purchaser and its behavioral health authority, the Washington State Health Care Authority (HCA) is a leader in ensuring Washington residents have the opportunity to be as healthy as possible. - There are three pillars of our work: Apple Health (Medicaid); the Public Employees Benefits Board (PEBB) and School Employees Benefits Board (SEBB) programs; and behavioral health and recovery. - Under these pillars, HCA purchases health care, including behavioral health treatment for more than 2.7 million Washington residents and provides behavioral health prevention, crisis, and recovery supports to all Washington residents. What We Have to Offer - Meaningful work with friendly co-workers who care about those we serve. - A clear agency mission that drives our work and is person-centered. - A healthy work/life balance, including alternative/flexible schedules and mobile work options. - A great total compensation and benefit package. - A safe, pleasant workplace in a convenient location with restaurants and shopping nearby. - And free parking!

United States
$68.0K - $91.5K / year
Job Closed