Senior EDI Developer (Healthcare Payer | Facets Ecosystem)
\nLocation : Seattle, WA
\n \nExperience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway
\n \nSummary:
\nSeeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem.
\nThe 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.
\n \nResponsibilities
\nDesign, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms.
\nDevelop EDI mappings, validations, routing logic, and trading partner integrations.
\nImplement and support HIPAA X12 transactions across Claims, Membership, Enrolment, Provider, and Payment domains.
\nPerform EDI map optimization and support high-volume transaction processing.
\nSupport trading partner onboarding, testing, certification, and production deployments. Collaborate with Facets and business teams to deliver EDI enhancements and integrations.
\n \nRequired Skills
\nEdifecs 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
\n \nRequired Experience
\nHands-on development and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements
\n \nNice to Have
\nHL7/FHIR MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues experience
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