Healthcare Integration Expert
5 days ago
We are seeking an experienced EDI Specialist to join our team and help drive seamless data exchange across our payer operations.
As a key member of our IT team, you will be responsible for designing and managing EDIFECS workflows, building and validating HIPAA-compliant X12 transactions, and integrating EDI solutions with FACETS modules.
">- Design and manage EDIFECS workflows (SpecBuilder, TPF, XEngine, Route Manager)
- Build & validate HIPAA-compliant X12 transactions (834, 837, 835, 270/271, 276/277)
- Integrate EDI solutions with FACETS modules (Claims, Enrollment, Billing, Provider)
- Support EDI interface development, partner onboarding, and transaction monitoring
- Perform data extraction, transformation, and reconciliation
- Collaborate with QA, Business Analysts, and Dev teams for successful deployments
- Maintain technical documentation and support Agile delivery processes
- Bachelor's in Computer Science or related field
- 5+ years in healthcare EDI & integration
- Expertise in:
- EDIFECS (SpecBuilder, XEngine, Route Manager, TPF)
- X12 transactions (834, 837, 835 etc.)
- FACETS core modules
- Intermediate SQL, strong troubleshooting & payer workflow knowledge
- Data formats: Flat files, XML, JSON, X12
Join a mission-driven IT team where your integration expertise powers better healthcare outcomes.
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