Role: Senior EDI Support Specialist (Healthcare Payer | Facets Ecosystem) (23873-1)
Duration: 6-12+ Months Contract
Location: Location - Seattle, Washington-Onsite
Must-Have Skills
Healthcare Payer Domain 5+ Years
EDI Support (L2/L3) 5+ Years
HIPAA X12 Transactions 5+ Years
Facets 3+ Years
Edifecs Suite 3+ Years
TriZetto HIPAA Gateway 3+ Years
Trading Partner Management 3+ Years
834 Enrollment Transactions Must Have
837 Claims Transactions (P/I/D) Must Have
835 Claims Payment Must Have
270/271 Eligibility Must Have
276/277 Claim Status Must Have
278 Prior Authorization Must Have
820 Premium Payment Must Have
TA1 / 999 / 277CA Acknowledgements Must Have
SQL Server or Oracle Must Have
Unix/Linux Must Have
SFTP & Batch Processing Must Have
XML/XSD & JSON Must Have
| We need only candidate experience with Facets - Claims. Please validate the candidate. There is high chance on fake and tailored resume from the employer. Please validate properly. Claims, Membership, Enrolment, Billing, Provider, and Payment. |
Domain Experience (If any ) – Good to have healthcare experience
Experience:
8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway
Summary: Seeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, Provider, and Payment functions. The role requires expertise in HIPAA X12 transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments.
Responsibilities
Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrolment, Billing, Provider, and Payment functions.
Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation, and file transmission issues.
Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments.
Perform RCA, incident resolution, and transaction performance improvements. Support trading partner onboarding, certification, testing, and production releases.
Work with business users, vendors, and external trading partners to resolve operational issues.
Required Skills
Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON Required Experience Hands-on support, troubleshooting, and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements Nice to Have HL7/FHIR ServiceNow MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues and large-scale Facets payer environments
Preferred: Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.