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Edifecs Developer Healthcare EDI
Edifecs Developer Healthcare EDI open to new opportunities
Led development and production support for high-volume HIPAA X12 healthcare transaction processing using Edifecs SpecBuilder, MapBuilder, XEngine, EAM, and Trading Partner Management.. Designed and enhanced 837 Professional/Institutional/Dental, 835, 277CA, 999, and 276/277 workflows, including payer-specific validation, business rules, routing, transformation, batching/debatching, and exception handling.. Partnered with product owners, business analysts, QA, infrastructure, database, operations, and external trading partners to deliver new payer requirements and production fixes.. Performed root-cause analysis for production incidents, transaction failures, mapping discrepancies, and QNXT/QConnect interface issues; implemented permanent corrective solutions.. Used SQL for data validation, reconciliation, performance tuning, production support, and corrective data fixes; monitored batch execution, queues, exceptions, and SLA health.. Supported QNXT/QConnect integrations, including timeout and message-processing failures, queue backlogs, synchronization issues, and post-release validation.. Used Copilot agents orchestration for faster development and testing of the Qnxt and Qconnect with frontend react js.. Created/recreated 277CA acknowledgements and Molina claim IDs after production corrections to preserve end-to-end claim traceability.. Configured Autosys scheduling and coordinated end-to-end transaction recovery to prevent claim loss and restore downstream processing.. Developed QNXT scenarios using C# and supported legacy-code remediation for missing 834 processing scenarios.. Participated in sprint planning, backlog refinement, code reviews, Agile ceremonies, releases, and end-to-end SDLC activities.. Configured new trading partners and agreements in BizTalk for 837 processing, monitored BizTalk database instances/errors, and supported QConnect integration.