Senior EDI Developer

Summary

Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains.

Responsibilities

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

Required Skills

• Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance)
• TriZetto HIPAA Gateway
• BizTalk Server
• Facets
• SQL Server/Oracle
• Unix/Linux
• SFTP, Batch Processing, API Integrations
• XML/XSD, JSON

Required Experience: Hands-on development and optimization of:

• 834
• 837 (Professional/Institutional/Dental)
• 835
• 270/271
• 276/277
• 278
• 820
• TA1
• 999
• 277CA acknowledgements

Nice to Have

• HL7/FHIR
• MuleSoft, Boomi
• Groovy, JavaScript, PowerShell, Shell Scripting
• Blues experience

Expectations from this role

Independently develops error free code with high quality validation of applications, guides other developers and assists Lead 1 Software Engineering

• Understand and provide input to the application/feature/component designs; developing the same in accordance with user stories/requirements.
• Code, debug, test, document and communicate product/component/features at development stages.
• Select appropriate technical options for development such as reusing, improving or reconfiguration of existing components.
• Optimize efficiency, cost and quality by identifying opportunities for automation/process improvements and agile delivery models.
• Identify the problem patterns and improve the technical design of the application/system.
• Proactively identify issues/defects/flaws in module/requirement implementation.
• Assists Lead 1 Software Engineering on Technical design. Review activities and begin demonstrating Lead 1 capabilities in making technical decisions.

Education/Experience Requirements

• Graduate in Engineering or MCA/Equivalent with 3 years of Software Engineering experience.
• Graduate in Science/Commerce or BCA/Equivalent with 4 years of Software Engineering experience.