Roles & Responsibilities

• Gather requirements, install, configure, and oversee the implementation of Edifecs solutions.
• Collaborate with internal business and technical teams for EDI system integration.
• Design, build, and test payer EDI systems and components.
• Work with an established and dynamic development team, including external vendors and remote team members.
• Manage and migrate EDI technologies, focusing on healthcare payer and provider solutions.
• Utilize Edifecs tools for migration and EDI transaction management.

Relevant Experience

• 7-10 years of hands-on Edifecs/EDI development experience.
• Demonstrated experience in Agile development, application design, software development, and testing.
• Experience in healthcare payer or provider EDI solutions, including upgrades or migration.
• Extensive experience with EDI X12 transactions such as 276/277 (claims status), 834 (member enrollment), 835 (claims payment), and 837 (electronic claims).
• Proficient in EDI mapping, analysis, and troubleshooting.
• Experience using Edifecs tools: SpecBuilder, MapBuilder, XEngine, XEngine Server, Trading Partner Management, and EAM (Application Manager).
• Strong understanding of HIPAA requirements and X12 EDI standards.
• Experience in Edifecs version 8.4 or higher.
• Proficient in Unix/Linux and Java for EDI system development.
• Ability to relate industry knowledge to customer needs and effectively address concerns.
• Knowledge of healthcare regulations and EDI migration processes.
• Familiarity with Agile methodology and iterative development processes.

Required Technical/Functional Skills

• Edifecs platform and EDI transaction expertise.
• Strong understanding of healthcare-related EDI transactions (HIPAA X12).
• Java programming for EDI systems development.

Posted By