Senior EDI Developer

Compunnel

• $110K — $130K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 8+ years of IT experience.
  • 5+ years of Healthcare Payer and EDI experience.
  • 3+ years of hands-on experience with Edifecs/TriZetto HIPAA Gateway.
  • Strong proficiency in SQL Server and/or Oracle.
  • Experience with Unix/Linux environments.

Responsibilities

  • Design, develop, and optimize EDI solutions using Edifecs and TriZetto HIPAA Gateway.
  • Develop EDI mappings, validations, and routing logic.
  • Implement HIPAA X12 transactions across various healthcare domains.
  • Optimize EDI maps for high-volume transaction processing.
  • Support trading partner onboarding and production deployments.
  • Collaborate with Facets and business teams for EDI enhancements.

Benefits

  • Flexible working hours.
  • Comprehensive health benefits package.
  • Opportunities for professional development and training.
  • Collaborative work environment with cross-functional teams.
Full Job Description
Job Summary We are seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrollment, Provider, and Payment domains. Key Responsibilities • Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms. • Develop EDI mappings, validations, routing logic, and trading partner integrations. • Implement and support HIPAA X12 transactions across Claims, Membership, Enrollment, Provider, and Payment domains. • Perform EDI map optimization and support high-volume transaction processing. • Support trading partner onboarding, testing, certification, and production deployments. • Collaborate with Facets and business teams to deliver EDI enhancements and integrations. Required Qualifications • 8+ years of IT experience. • 5+ years of Healthcare Payer and EDI experience. • 3+ years of Edifecs/TriZetto HIPAA Gateway experience. • Hands-on experience with the Edifecs Suite, including XEngine, SpecBuilder, Trading Partner Management, and Validation & Compliance. • Experience with TriZetto HIPAA Gateway and BizTalk Server. • Experience working with Facets. • Strong experience with SQL Server and/or Oracle. • Experience with Unix/Linux environments. • Experience with SFTP, batch processing, and API integrations. • Experience with XML/XSD and JSON. • Hands-on development and optimization experience with 834, 837 Professional/Institutional/Dental, 835, 270/271, 276/277, 278, 820, TA1, 999, and 277CA transactions and acknowledgements. Preferred Qualifications • Experience with HL7/FHIR. • Experience with MuleSoft or Boomi. • Experience with Groovy, JavaScript, PowerShell, or Shell scripting. • Experience with Blues. Notes: Mandatory Skills Healthcare Payer Domain 5+ Years EDI Development 5+ Years Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years TriZetto HIPAA Gateway 3+ Years Facets Required HIPAA X12 Transactions Strong Hands-on Experience Trading Partner Integrations Required EDI Mapping & Validation Required SQL Server or Oracle Required Unix/Linux Required SFTP & Batch Processing Required API Integrations Required Domain Experience (If any ) - Good to have healthcare experience Must have Certifications - Location - Seattle, Washington-Onsite Onsite Requirement - Work model-Onsite Number of days onsite -

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