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Role Overview We are looking for an experienced Edifecs Developer to design, develop, and support healthcare EDI solutions. The ideal candidate will have strong hands-on experience with Edifecs tools and a solid understanding of healthcare EDI transactions and compliance standards. Key Responsibilities - Design, develop, and maintain EDI mappings using Edifecs SpecBuilder and MapBuilder - Work on healthcare EDI transactions such as 837 (P/I/D), 835, 270/271, 276/277, 277CA, 834, 820, PACDR - Develop and manage Guidelines, Profiles, and Protocols - Configure and support Edifecs EAM / XEngine for batch and real-time processing - Perform EDI validation, error handling, and troubleshooting - Work closely with business analysts and healthcare SMEs to understand requirements - Support production issues, root cause analysis, and defect fixes - Ensure compliance with HIPAA, X12 5010, and other regulatory standards - Participate in testing, deployment, and post-production support activities - Document technical designs and operational procedures Required Skills Qualifications - 7+ years of hands-on experience with Edifecs tools - Strong knowledge of healthcare EDI standards (X12, HIPAA) - Experience with SpecBuilder, MapBuilder, XEngine - Hands-on experience in EDI validations, acknowledgments (999, 277CA) - Experience with batch processing and real-time EDI flows - Good understanding of healthcare domain concepts (claims, eligibility, payments) - Strong analytical and problem-solving skills - Good communication and stakeholder interaction skills Positive to Have - Experience with Edifecs EAM, Encounter Management - Exposure to cloud deployments (AWS/Azure) - Knowledge of SQL and database tracking - Experience with production support and on-call rotations - Understanding of payer/provider workflows Education - Bachelordegree in Computer Science, Information Technology, or a related field Role Overview We are looking for an experienced Edifecs Developer to design, develop, and support healthcare EDI solutions. The ideal candidate will have strong hands-on experience with Edifecs tools and a solid understanding of healthcare EDI transactions and compliance standards. Key Responsibilities - Design, develop, and maintain EDI mappings using Edifecs SpecBuilder and MapBuilder - Work on healthcare EDI transactions such as 837 (P/I/D), 835, 270/271, 276/277, 277CA, 834, 820, PACDR - Develop and manage Guidelines, Profiles, and Protocols - Configure and support Edifecs EAM / XEngine for batch and real-time processing - Perform EDI validation, error handling, and troubleshooting - Work closely with business analysts and healthcare SMEs to understand requirements - Support production issues, root cause analysis, and defect fixes - Ensure compliance with HIPAA, X12 5010, and other regulatory standards - Participate in testing, deployment, and post-production support activities - Document technical designs and operational procedures Required Skills Qualifications - 7+ years of hands-on experience with Edifecs tools - Strong knowledge of healthcare EDI standards (X12, HIPAA) - Experience with SpecBuilder, MapBuilder, XEngine - Hands-on experience in EDI validations, acknowledgments (999, 277CA) - Experience with batch processing and real-time EDI flows - Good understanding of healthcare domain concepts (claims, eligibility, payments) - Strong analytical and problem-solving skills - Good communication and stakeholder interaction skills Positive to Have - Experience with Edifecs EAM, Encounter Management - Exposure to cloud deployments (AWS/Azure) - Knowledge of SQL and database tracking - Experience with production support and on-call rotations - Understanding of payer/provider workflows Education - Bachelordegree in Computer Science, Information Technology, or a related field
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