EDI Developer

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., * 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.

• Healthcare Payer Domain 5+ Years
• EDI Development 5+ Years
• Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years
• TriZetto HIPAA Gateway 3+ Years
• Facets Required
• HIPAA X12 Transactions Strong Hands-on Experience
• Trading Partner Integrations RequiredEDI Mapping & Validation Required
• SQL Server or Oracle Required
• Unix/Linux Required