EDI Workflow Architect

3 days ago

Mangalore, Karnataka, India beBeeEDISpecialist Full time ₹ 20,00,000 - ₹ 25,00,000

Job Title: Electronic Data Interchange Specialist

We are seeking a skilled EDI professional to join our team. The successful candidate will be responsible for designing and managing EDIFECS workflows, building HIPAA-compliant X12 transactions, and integrating EDI solutions with FACETS core modules.

Key Responsibilities:

  • Design and manage EDIFECS workflows (SpecBuilder, TPF, XEngine, Route Manager)
  • Build and 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

Requirements:

  • 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.), and FACETS core modules
  • Intermediate SQL, strong troubleshooting, and 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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