Senior EDI Developer
Core
Design, develop, implement, and maintain healthcare EDI solutions supporting HIPAA transactions to ensure compliant data exchange within an integrated healthcare system.
Role type
Senior EDI Developer
Builds
HIPAA-compliant EDI transactions (270/271, 276/277, 278, 820, 834, 835, 837, 999) and integration workflows for healthcare payer environments.
Domain
Healthcare / Health Insurance / EDI
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
C#/.NET development, SQL Server (T-SQL, SSMS), SSIS, Visual Studio, BizTalk Server, XML/XSLT programming, ANSI X12 standards, HL7 formatted EDI transactions, data mapping, system impact analysis, unit test planning, change management, disaster recovery support.
Preferred skills
QNXT system experience, ASP.NET development, SharePoint applications, claims and enrollment processing systems, complex EDI transformations.
Technologies
C#, .NET, SQL Server, SSIS, Visual Studio, BizTalk Server, XML, XSLT, T-SQL, SSMS, QNXT, ASP.NET, SharePoint, ANSI X12, HL7
Responsibilities
Write T-SQL and SSIS packages to support vendor interfaces; analyze business and system requirements to develop specifications; design and execute unit test plans for application upgrades; perform data mapping and development of ANSI HIPAA EDI files; act as a subject matter expert on systems and processes; coordinate with hosted vendors for SDLC objectives; provide data analysis support for core modules (Member Enrollment, Claims, Provider Relations, Finance); track and resolve problem tickets; manage change and revision for system interoperability; participate in disaster recovery and production support; assist in requirements gathering and translate needs into development specifications.
Seniority
Senior, hands-on IC