EDI Production Support

Our client, a Health Insurance company, is looking for a EDI Production Support for their Columbia, MD/Hybrid location.

Responsibilities:

Production Monitoring & Support

• Monitor applications using tools like Dynatrace and Jenkins for system health and performance
• Provide Tier 1/L1 support for production applications and tenant systems.

Incident Management & Issue Resolution

• Perform end-to-end incident lifecycle management including triage, analysis, resolution, and closure
• Conduct root cause analysis (RCA) and identify recurring incident patterns
• Document incidents, escalations, and resolutions in tracking tools (e.g., ServiceNow, SharePoint, Salesforce)
• Collaborate with development, QA, and infrastructure teams for issue resolution

Data Analysis & EDI Processing

• Analyze and process EDI 837/835 healthcare claims and XML files
• Investigate claim errors (e.g., 999 rejections) and ensure data integrity
• Write and execute complex SQL queries across multi-database (Oracle) environments

Documentation & Continuous Improvement

• Develop and maintain SOPs, runbooks, and system documentation
• Document monitoring design, workflows, and support processes
• Contribute to continuous improvement initiatives and operational efficiency

Requirements:

• We are seeking an experienced Process Engineer, Sr. - IT Production Support with 7+ years of experience to support mission-critical production systems within a federal claims processing environment. This role is responsible for ensuring stability, performance, and continuous improvement of applications supporting claims vouchering, adjudication, and EDI processing.
• The ideal candidate will combine mainframe expertise, application support, data analysis, and incident management skills to support both legacy and modern platforms while delivering high-quality service to internal teams and external plan vendors.
• Bachelor's degree in computer science, IT, or related field (or equivalent experience)
• 5-7+ years of experience in IT production support or operations
• Proficiency in SQL and Oracle databases
• Experience with incident management processes and tools
• Knowledge of Claims Adjudication processes (Healthcare domain)
• Experience with EDI transaction standards and healthcare claims systems
• Exposure to object-oriented programming languages
• Experience working with Blue Cross Blue Shield (BCBS) or similar plans

Work Environment

• Fast-paced, production-critical IT environment
• Require on-call support or extended hours during production incidents.

Call notes:

• Group claim processing
• Monitoring Dynatrace, Jenkins
• Incident management
• Experienced in monitoring side of things
• Dynatrace or Jenkins or any other tools, can be trained
• 5-7 years expirience
• Claims background
• Mandatory
• Dynatrace
• Operations mindset
• Database SQL query general knowledge
• 837 knowledge
• EDI transactions
• Batches files in on Jenkins platform
• Mainframe not required for this role, EDI production support will do

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities