Healthcare Integration Specialist

2 days ago

Vadodara, Gujarat, India beBeeEDI Full time ₹ 12,00,000 - ₹ 15,00,000

Healthcare Integration Expert

We are seeking a seasoned EDI professional to join our team. As an EDI Specialist, you will play a key role in driving seamless data exchange across 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 (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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