
Healthcare EDI Integration Specialist
7 days ago
We are seeking an experienced EDI Specialist with in-depth knowledge of EDIFECS and FACETS systems.
Key Responsibilities:- 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
- Experience with Mirth, MuleSoft, or Boomi
- Knowledge of Medicare/Medicaid rules
- Exposure to FACETS APIs, Web Services
- Familiarity with Agile, HIPAA, SOC 2 frameworks
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