
Healthcare EDI Integration Specialist
3 days ago
We are seeking an experienced EDI specialist to drive seamless data exchange across our payer operations.
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
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, FACETS core modules, and intermediate SQL
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
Healthcare Integration Expert Needed
This role requires a deep understanding of healthcare integration and EDI systems. If you're passionate about delivering high-quality solutions that impact patient care, we'd love to hear from you.
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