Senior Integration Specialist at Universal Healthcare

Key Background Experience

Healthcare Industry knowledge
Information Technology
MapForce mapping
XSD creation

Purpose

The objective of this position is to focus on the more technical aspects of integration requirements due to medical schemes/administrators as well as other third party's we integrate with supply their own integration requirements rather than using the MediKredit prescribe integration requirements. The other technical aspects required for our normal vendor integrations as standard also required:

it is standard to supply XSD's for all integration requirements.
adopt to the latest technologies to do integrations with any of our clients by start implementing API's instead of the current way of integrations.
Adopt and understand new data communicated protocols.

The Requirements Are

The senior integration specialist is required to address these technical requirements, training these technical requirements to the rest of the integration team and ensure knowledge and skills transfer to the team.

Mapping from one XML specification to another XML specification ot other formats like JSON or even CSV, pipe delimited or fix format files using MapForce.
Do technical testing to ensure mapping is done correctly.
Generate the relevant stylesheet for IT to implement.
Creating XSD's for existing XML specifications as well as new XML specifications using XML Spy.
Do technic testing to ensure the XSD is aligned with the XML specification
Generate sample claims from the created XSD's for clients to assist with the integration.
Data communication protocols, existing HealhNet ST enhancements to use the latest comm's protocols, web services etc.
Use tools to test these comm's protocols.
Handover these protocols over to SQA to be able to test.
Latest integration protocols for example API's
Understand and manage the implementation of this.

The Other Objective Of This Position Is To Focus On End-to-end Solution For The High Profile And Complex System Integrations, Project Management, Business Analysis Pertaining To

all scheme integrations
cardholder files,
switch-out,
claim files,
switchback/batch
SOL
NAPPI
all software vendor integrations
hospitals - public and private sector,
doctors,
pharmacies
inter switch
HealthNet ST and web services (communication protocols)
Product development in line with the company product strategy. This includes:
System design quality
Ensure optimal /flexible system integration design through required business, system and technical analysis
Management including technical manager/project manager across companies and departments within the various companies in a matrix organisation to ensure efficient and effective delivery of an integrated solution from an end-to-end perspective including:
Required project planning, outcomes delivery management and documentation management (including appropriate resource management /conflict resolution to ensure required outcomes in line with specified milestones are met). Ensure a project management approach is applied for all end-to-end deliveries
Attend all internal /external project/implementation meetings as assigned by the GM: Switch Integration
Drive projects to completion, upon agreement with software clients regarding the relevant project - Management of technical resources across companies and reports in matrix organization
Resource management/conflict management
Tracking and reporting on all project deliverables.
Risk reporting and action plan.
Keep decision logs for all different vendor integrations and update decision logs.
Manage all incidents after pilot accreditation.
Log all findings during the integration on the relevant MK standardized documents and communicate to the GM: Switch Integration
Compile/Enhance HealthNet specifications and all relevant accreditation documents
Management of the technical integration end to end including:
System integration resource management to timelines and specification involving technical resources from both companies
Appropriate Comms solution design and implementation
Testing and accreditation including management of testing requirements /environment management
Present analysis of all assigned projects to the GM: Switch Integration or Project team for approval
Compile all required documentation (business, system and technical specifications) for the internal and external clients and get sign-off
Minute external client meetings
Manage the flow of technical information between MediKredit and the software vendors once accreditation has taken place
Implementation of the technical solution including on site management when going live, where required, as well as ensuring required monitoring processes are in place including required technical incident management and resolution
Review existing processes for operational efficiency and quality as part of continues improvement cycle
Implement flexible system designs for future enhancements.
Implement cost effective comm's solutions
Addressing all technical issues with the external customers immediately and negotiate turnaround times
Manage the training requirements of Integration Quality employees on all aspects of technical end to end integration delivery for all markets/products as part of the capacity building process, which includes on-site training where required.
Implement targeted mentoring of IQ employees in high profile clients and complex system integrations
Implement a training framework and training across all products and markets
Create a learning culture through cross skilling
To act as a back-up for the GM: Switch Integration/employees on a project/product basis where required.
Sub Project management on different internal projects not related to integrations
Analysis on different internal projects
Manage and run with or contribute to special projects are they are assigned including:
Business Case:
Business Analysis
Systems Analysis
Quality Control:
Change Control:
Training:
User / Product Support:
Admin
Addressing all technical issues with the external customers immediately and negotiate turnaround times
Attend all internal and external meetings with customers and action all technical incidents/issues

Responsibilities

INTERNAL RELATIONSHIPS (Who will he/she communicate with at the office in order to be able to meet his/her objectives?)

IT staff
Project Management and Business Analysis
Data Admin
Operations
Business Development and Sales
Relationship Managers
Business Operational Specialists
System Quality Assurance (SQA) Department

EXTERNAL RELATIONSHIPS (Who will he/she communicate with outside of the office in order to meet his/her objectives?)

Other MediKredit clients i.e., Medical Schemes and Medical Scheme Administrators, Software vendors (Companies who owns software that is used in pharmacies, doctors and hospitals)
Health industry forums
High Profile customers as assigned

EDUCATIONAL REQUIREMENTS (What are the minimum educational requirements for this position?)

Knowledge of Healthcare Industry
Tertiary education - Degree or Diploma in Information Technology

BACKGROUND EXPERIENCE (What experience is required to manage this function successfully?)

Experience in analysing a business need and extracting the requirements into a business requirement specification.
Familiarity with defining business requirements for software development.
Background experience in the health care market is an essential requirement for this position.
Strong communication skills - documentation, facilitation.
5+ years' experience in the Healthcare Industry
Information Technology experience

Desired Skills

systems integration
Business Analysis
Project Management
Product Development
Documentation
HealthNet
business case
Quality Control
product support
User support

Desired Work Experience

5 to 10 years Investments, Insurance & Assurance

Desired Qualification Level

Degree

About The Employer

Universal Healthcare is a fully independent company, which is owner-managed by an entrepreneurial team with a passion for excellence and the strategic vision to deliver sustainable, leading-edge healthcare solutions.

Touching the lives of 10 million people, both locally and internationally, Universal Healthcare is South Africa's fastest growing healthcare brand and an organization known for delivering world-class service.

Our full suite of integrated services fulfills the needs of major medical schemes, health plans and a growing list of blue chip corporate healthcare clients. Universal Healthcare's end-to-end client-focused service offering provides sound value within the highly complex and dynamic healthcare environment.

As a fully accredited, full-service third party administrator and managed care organisation with a proven track record, we are established leaders in the provision of evidence-based, integrated healthcare solutions aligned to international best practice.

Employer & Job Benefits