Senior EDI Developer

Tasks

• Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms.
• Develop EDI mappings, validation rules, routing logic, and trading partner integrations.
• Implement and support HIPAA X12 transactions across Claims, Membership, Enrollment, Billing, Provider, and Payment domains.
• Optimize EDI maps and support high-volume transaction processing.
• Manage trading partner onboarding, testing, certification, and production deployments.
• Collaborate with Facets and business teams to deliver EDI enhancements and integrations.

Requirements

• 8+ Years IT Experience
• 5+ Years Healthcare Payer amp; EDI Experience
• 3+ Years Edifecs / TriZetto HIPAA Gateway
• Healthcare Payer Domain amp; EDI Development
• Facets Ecosystem – Hands-on Claims Experience Required
• Edifecs Suite: XEngine, SpecBuilder, Trading Partner Management (TPM), Validation amp; Compliance
• TriZetto HIPAA Gateway
• HIPAA X12 Transactions
• Trading Partner Integrations, EDI Mapping amp; Validation
• SQL Server / Oracle
• Unix / Linux, SFTP amp; Batch Processing
• API Integrations
• 834 – Benefit Enrollment amp; Maintenance
• 837P / 837I / 837D – Professional, Institutional amp; Dental Claims
• 835 – Healthcare Claim Payment / Remittance Advice
• 270 / 271 – Eligibility Inquiry amp; Response
• 276 / 277 – Claim Status Request amp; Response
• 278 – Healthcare Services Review
• 820 – Payment Order / Remittance Advice
• TA1 / 999 / 277CA – Acknowledgments amp; Claim Acknowledgment
• Nice-to-Have Skills: HL7 / FHIR, MuleSoft / Boomi, Groovy, JavaScript, PowerShell amp; Shell Scripting, Blues experience
• Verified hands-on Facets Claims experience
• Strong Healthcare Payer EDI expertise

Schedule

• Onsite

Location

• Seattle, WA