EDI Solutions Developer

1 week ago

Kurnool, Andhra Pradesh, India beBeeEdi Full time ₹ 8,00,000 - ₹ 12,00,000

Electronic Data Interchange Specialist

We are looking for an experienced EDI professional to design and manage workflows, build HIPAA-compliant X12 transactions, and integrate EDI solutions with various modules.

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 core 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.

Required Skills & Qualifications:

  • 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.

Preferred Skills:

  • 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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