Senior EDI Developer
Core
Design, develop, and maintain healthcare EDI solutions for payer environments, focusing on claims processing, membership, enrollment, and payment workflows.
Role type
Senior EDI Developer (Healthcare Payer)
Builds
HIPAA X12 transaction processing pipelines, trading partner interfaces, and claims reconciliation workflows.
Domain
Healthcare Payer / Health Insurance
Required skills
Edifecs suite (XEngine, SpecBuilder, TPM), TriZetto HIPAA Gateway, Facets Claims, HIPAA X12 transactions (834, 837P/I/D, 835, 270/271, 276/277, 278, 820, TA1, 999, 277CA), SQL Server, Oracle, Unix/Linux command-line, SFTP, batch processing, API integrations
Preferred skills
BizTalk Server, HL7/FHIR, MuleSoft, Boomi, Groovy, JavaScript, PowerShell, shell scripting, claims reconciliation, payment processing, automated validation frameworks
Technologies
Edifecs, TriZetto, Facets Claims, BizTalk Server, SQL Server, Oracle, Unix, Linux, SFTP, XML, JSON, XSD
Responsibilities
Develop and optimize EDI maps, validation rules, and routing logic; implement and support HIPAA X12 transactions across claims and enrollment domains; build and maintain trading partner integrations including onboarding and certification; troubleshoot production issues and implement corrective measures; develop batch processes and shell scripts for data exchange; prepare technical documentation and test cases.
Seniority
Senior, hands-on IC
