Senior EDI Developer
Healthcare Payer | Facets Ecosystem
Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway
Duration: Towards the end of year with possible extension.
REMOTE ROLE
NOTE: Must have facets with claims experience and also on Claims, Membership, Enrolment, Billing, Provider, and Payment.
Summary
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, Enrolment, Provider and Payment domains.
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, Enrolment, 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 Skills
- Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance)
- TriZetto HIPAA Gateway
- BizTalk Server
- Facets
- SQL Server/Oracle
- Unix/Linux
- SFTP, Batch Processing, API Integrations
- XML/XSD, JSON
Required Experience
Hands-on development and optimization of:
- 834
- 837 (Professional/Institutional/Dental)
- 835
- 270/271
- 276/277
- 278
- 820
- TA1
- 999
- 277CA acknowledgements
Nice to Have
- HL7/FHIR
- MuleSoft, Boomi
- Groovy, JavaScript, PowerShell, Shell Scripting
- Blues experience
Job Description
Expectations from this role
Independently develops error free code with high quality validation of applications, guides other developers and assists Lead 1 Software Engineering
- Understand and provide input to the application/feature/component designs; developing the same in accordance with user stories/requirements.
- Code, debug, test, document and communicate product/component/features at development stages.
- Select appropriate technical options for development such as reusing, improving or reconfiguration of existing components.
- Optimize efficiency, cost and quality by identifying opportunities for automation/process improvements and agile delivery models.
- Identify the problem patterns and improve the technical design of the application/system.
- Proactively identify issues/defects/flaws in module/requirement implementation.
- Assists Lead 1 Software Engineering on Technical design. Review activities and begin demonstrating Lead 1 capabilities in making technical decisions.
Education/Experience Requirements
- Graduate in Engineering or MCA/Equivalent with 3 years of Software Engineering experience.
- Graduate in Science/Commerce or BCA/Equivalent with 4 years of Software Engineering experience.