IN-IDOH Senior EDI Developer

IN-IDOH Senior EDI Developer (804198)
State of Indiana
Title/Role: IN-IDOH Senior EDI Developer
Region Description:
State of Indiana
Req. Status: Open
No. of Openings: 1
Start Date: 06/29/2026
End Date: 11/30/2026
No New Submittals After: 06/10/2026
Max Submittals by Vendor: 1 Per Opening
Work Arrangement: Hybrid
Worksite Address:
Local candidates only
2 N. Meridian St. Indianapolis IN, 46204

Agency Interview Type: Phone and in-person

Short Description:
The Indiana Department of Health (IDOH) is seeking an EDI expert in order to maintain and advance its health insurance claims processing system, ACAPS.

Complete Description:
The EDI Expert is responsible for maintaining the life cycle of claims as they arrive from health providers at IDOH, are loaded into our database, are adjudicated based on state and national pricing standards, and as adjudication messages are generated and sent back to the originating provider. This position will work with the project manager, software developers, business analysts, and functional team members on the project activities.
Essential Duties / Responsibilities:
• Review update all documentation related to claims processing and EDI transactions
• Identify incompletely documented claims processing and EDI processes, and document them
• Work with development team as a SME as IDOH's ACAPS system is rewritten in .Net
• Act as liaison between OTC team and the Children's program area on claims processing issues
• Working with technical and functional staff on detailed business requirements, understanding business processes and technology, agency standards, federal and state policies to align with project's goals.
• Write technical specifications based on conceptual design and stated business requirements.
• Test new and existing systems
• Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts.
• Provide helpdesk level support for EDI claim transactions.
o Provide support to healthcare providers who interact with IDOH's CSHCS system
o Assist in onboarding new providers
o Assist in onboarding new clearinghouses
• Ability to work independently with less guidance and work with ISDH externals partners as needed.

Skill Required / Desired Amount of Experience
Bachelor's Degree in Computer Science or related fields with IT experience Required
Database knowledge Required 5 Years
Understanding EDI file formats (835, 837, 210) Required 5 Years
Knowledge of HIPAA regulations Required
Ability to solve complex troubleshooting issues Required
Excellent verbal and written communication skills Required
Health Industry experience Highly desired
Knowledge of IBM Websphere (WTX) Highly desired
Database/SQL experience Highly desired