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.
Numbers & Facts
Location
Seattle, WA
Skills
Alliance/Partner Managementunmatched
Application Programming Interface (API)unmatched
Billingunmatched
Ecosystemsunmatched
Electronic Data Interchange (EDI)unmatched
Groovy Programming Languageunmatched
HIPAA (Health Insurance Portability and Accountability Act)unmatched
HL7 (Health Level 7)unmatched
Healthcareunmatched
Identify Issuesunmatched
JSONunmatched
JavaScriptunmatched
Linux Operating Systemunmatched
Microsoft BizTalk Serverunmatched
Microsoft SQL Serverunmatched
Onboardingunmatched
Oracle Databaseunmatched
Performance Managementunmatched
Problem Solving Skillsunmatched
Production Controlunmatched
Production Supportunmatched
Reconciliationunmatched
Secure/SSH File Transfer Protocol (SFTP)unmatched
ServiceNowunmatched
Unix Operating Systemsunmatched
Unix Shell Programmingunmatched
Windows PowerShellunmatched
XML (EXtensible Markup Language)unmatched
XSD (XML Schema Definition)unmatched
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