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EDI Workflow Architect
2 weeks ago
We seek a skilled EDI expert to design and manage EDIFECS workflows, build HIPAA-compliant X12 transactions, and integrate EDI solutions with FACETS modules.
Key Responsibilities:- Develop and maintain EDIFECS workflows using SpecBuilder, TPF, XEngine, and Route Manager
- Create and validate HIPAA-compliant X12 transactions for 834, 837, 835, 270/271, and 276/277
- Integrate EDI solutions with FACETS core modules, including Claims, Enrollment, Billing, and 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 degree in Computer Science or related field
- 5+ years of experience in healthcare EDI and integration
- Expertise in EDIFECS, X12 transactions, and FACETS core modules
- Intermediate SQL skills and strong troubleshooting knowledge
- Familiarity with data formats, including Flat files, XML, JSON, and X12
- Experience with Mirth, MuleSoft, or Boomi
- Knowledge of Medicare/Medicaid rules
- Exposure to FACETS APIs and Web Services
- Familiarity with Agile, HIPAA, and SOC 2 frameworks