Edifecs Engineer

We are seeking an experienced Edifecs Engineer to design, develop, and support healthcare EDI solutions across payer, provider, and clearinghouse environments. The role involves working on HIPAA-compliant X12 transactions, EDI mappings, integrations, and production support using Edifecs tools. The ideal candidate should have strong hands-on experience in healthcare EDI implementation, troubleshooting, and Agile delivery environments.

Primary Responsibilities

• Design, develop, and maintain Edifecs-based EDI solutions for healthcare transactions.
• Build and support EDI mappings, workflows, and X12 transactions using Edifecs tools.
• Develop HIPAA-compliant EDI transactions ensuring accuracy, reliability, and compliance.
• Handle healthcare EDI transactions such as 837 (Claims), 835 (Remittance), 834 (Enrollment), 270/271 (Eligibility), and 997/999 (Acknowledgements).
• Perform EDI mapping development and data transformation between internal systems and trading partners.
• Support EDI implementations including configuration, customization, deployment, and production support.
• Analyze and resolve EDI transaction errors, failures, and rejections through root cause analysis.
• Support EDI migrations, upgrades, and trading partner onboarding activities.
• Execute unit testing, integration testing, regression testing, and UAT support.
• Collaborate with business analysts, QA teams, SMEs, and integration teams to gather and implement requirements.
• Participate in Agile ceremonies including sprint planning, estimation, and status reporting.
• Maintain technical documentation including mapping specifications and integration workflows.
• Provide production support and ensure timely resolution of EDI-related incidents.

Required Skills & Experience

• Strong experience in Edifecs EDI tools and healthcare implementations.
• Hands-on expertise in X12 EDI standards and HIPAA compliance.
• Experience with healthcare transactions (837, 835, 834, 270/271, 997/999).
• Strong knowledge of EDI mapping, transformations, and workflows.
• Experience in troubleshooting EDI issues and production support.
• Familiarity with EDI testing methodologies (SIT, UAT, regression).
• Experience working in Agile/Scrum environments.
• Strong analytical, debugging, and problem-solving skills.
• Ability to work with cross-functional teams and stakeholders.

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