Senior Software Developer (EDI)
Core
Design, validate, and troubleshoot Electronic Data Interchange (EDI) workflows for healthcare payer/provider transactions, ensuring SNIP compliance and accurate data processing.
Role type
Senior Software Developer (EDI)
Builds
EDI transaction processing pipelines and validation rules for healthcare claims and eligibility data
Domain
Healthcare / Electronic Data Interchange (EDI)
Required skills
EDI X.12 Loop/segment/element interpretation, Edifecs Transaction Management, AWS cloud environments, SQL, HIPAA compliance, AS2/SFTP/HTTPS flows, root cause analysis of transaction errors, workflow architecture design, Agile methodologies (Scrum/Kanban), JIRA, technical documentation
Preferred skills
Edifecs XEngine validation, SpecBuilder maps, healthcare payer/PBM systems knowledge, AWS certification
Technologies
AWS, Edifecs, SQL, AS2, SFTP, HTTPS, JIRA, SpecBuilder
Responsibilities
Own functional EDI workflows and data validation rules; Interpret and troubleshoot transaction sets (270/271, 276/277, 837, etc.); Analyze Strategic National Implementation Process (SNIP) compliance; Document mapping/logical requirements for new partners; Partner with business stakeholders for issue resolution; Collaborate with DevSecOps and Cloud teams; Validate data flows and reconcile mismatches between raw EDI and stored data; Query SQL for transaction details; Identify issues from middleware layers or APIs.
Seniority
Senior, hands-on IC
