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 -