To thrive as a Mumps Programmer, you need a strong understanding of the MUMPS language (also known as M), experience with healthcare information systems, and often a background in computer science or related fields. Familiarity with EHR/EMR platforms such as VistA or Epic, as well as SQL and related database tools, is highly valued, and some roles may seek certifications in healthcare IT. Analytical thinking, problem-solving ability, and effective communication are standout soft skills for this position. These skills are essential for maintaining, optimizing, and securely managing mission-critical healthcare data systems.