Electronic Health Data Integration Professional

6 days ago

Tiruchi, Tamil Nadu, India beBeeHealthcare Full time ₹ 15,00,000 - ₹ 25,00,000

We are seeking an experienced Electronic Data Interchange Specialist with a deep understanding of EDIFECS and FACETS systems to join our IT team. The ideal candidate will have expertise in designing and managing EDIFECS workflows, building and validating HIPAA-compliant X12 transactions, and integrating EDI solutions with FACETS modules.

The successful candidate will possess excellent problem-solving skills, strong communication abilities, and the ability to work effectively in a team environment. If you are a motivated and detail-oriented individual with a passion for healthcare integration, we encourage you to apply.

Key Responsibilities:

  • Design and manage EDIFECS workflows (Spec Builder, 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 (Spec Builder, XEngine, Route Manager, TPF), X12 transactions, FACETS core modules
  • Intermediate SQL, strong troubleshooting & payer workflow knowledge
  • Data formats: Flat files, XML, JSON, X12

Preferred Skills:

  • Experience with Mirth, Mule Soft, or Boomi
  • Knowledge of Medicare/Medicaid rules
  • Exposure to FACETS APIs, Web Services
  • Familiarity with Agile, HIPAA, SOC 2 frameworks

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