EDI Healthcare Integration Specialist

5 days ago

Agra, Uttar Pradesh, India beBeeHealthcareIntegration Full time ₹ 8,00,000 - ₹ 10,00,000

Are you a seasoned EDI professional with in-depth knowledge of EDIFECS and FACETS systems? We're seeking a healthcare integration specialist to join our team and facilitate seamless data exchange across payer operations.

Key Responsibilities

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

Join a dynamic IT team where your expertise drives better healthcare outcomes.

Apply now by sharing your CV.

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