Key Responsibilities
- Design, develop, and maintain enterprise-grade applications using C#, .NET Framework/.NET Core/.NET 6+.
- Develop and support healthcare EDI transaction processing solutions.
- Implement, validate, and troubleshoot EDI X12 transactions including:
- 837 (Claims)
- 835 (Remittance Advice)
- 834 (Enrollment)
- 270/271 (Eligibility)
- 276/277 (Claim Status)
- Build and maintain APIs, integration services, and backend processing systems.
- Develop EDI mapping, transformation, validation, and error-handling workflows.
- Ensure compliance with HIPAA regulations and PHI data protection requirements.
- Collaborate with business analysts, healthcare clients, and implementation teams to gather requirements.
- Monitor production integrations and resolve EDI-related issues.
- Optimize system performance and scalability.
- Participate in code reviews, testing, deployment, and production support activities.
- Create technical documentation and support operational procedures.
Required Qualifications: Technical Skills
- 10+ years of software development experience.
- Strong expertise in:
- C#
- .NET Framework
- .NET Core / .NET 6+
- Web API
- RESTful Services
- SQL Server
- Deep understanding of healthcare EDI standards.
- Hands-on experience with:
- X12 EDI transactions (837, 835, 834, 270/271, 276/277)
- EDI validation and processing
- EDI mapping and transformation
- Strong SQL development and database optimization skills.
- Experience troubleshooting production EDI transactions and claim processing issues.
- Familiarity with secure coding practices and healthcare compliance requirements.
Healthcare Domain Experience
- Strong knowledge of:
- HIPAA regulations
- Protected Health Information (PHI)
- Healthcare claims lifecycle
- Eligibility and enrollment processes
- Revenue cycle management concepts