EDI Workflow Designer

5 days ago


Delhi, Delhi, India beBeeSpecialist Full time ₹ 9,00,000 - ₹ 12,00,000
Healthcare Integration Specialist

We are seeking a skilled Healthcare Integration Specialist to join our team. This individual will be responsible for designing and managing EDI workflows, building and validating HIPAA-compliant X12 transactions, and integrating EDI solutions with healthcare systems.

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 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

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, and FACETS core modules
  • Intermediate SQL, strong troubleshooting, and payer workflow knowledge
  • Data formats: Flat files, XML, JSON, X12

Benefits:

Join a mission-driven IT team where your integration expertise powers better healthcare outcomes.


Others:

Experience with Mirth, MuleSoft, or Boomi is a plus. Knowledge of Medicare/Medicaid rules and exposure to FACETS APIs, Web Services is also beneficial.


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