EDI SME

i4DM

82d

About The Position

Our employees thrive in a culture that's fast-paced and ego-free, where innovation and collaboration are encouraged at every turn. We are an organization that provides federal agencies instant access to experienced and talented professionals who understand their unique challenges and know the most efficient ways to address them. We are continually investing in resources and talent, so we stay prepared with specialized teams in the place who are experts in creating tailored technologies. Our solutions empower Federal organizations to grow, modernize, and succeed in a rapidly evolving landscape. We welcome diverse perspectives and seek individuals who are passionate about technology and creative problem-solving. If you enjoy learning, growing, and tackling real-world challenges, you'll thrive here. Veterans and military spouses are strongly encouraged to apply and bring their unique experience to our team.

Requirements

• Extensive experience as an EDI SME in a complex enterprise environment.
• Strong knowledge of EDI standards and the healthcare domain.
• Deep understanding of HIPAA-compliant EDI transactions, including: 837 (Claims), 834 (Enrollment), 835 (Payments), 270/271 (Eligibility), 276/277 (Claim Status), 278 (Referral/Authorization).
• Proven experience as an EDI Business Analyst, facilitating coordination between business and development teams.
• Familiarity with government and payer processes in healthcare.
• Proficiency in SQL, XML, XSLT, JavaScript, and Groovy for data transformation and validation.
• Hands-on experience with Agile project execution and contributing to continuous improvement initiatives.
• Strong knowledge of EDI standards (X12, EDIFACT) and mapping tools.
• Excellent analytical, problem-solving, communication, and documentation skills.
• Bachelor’s degree and 6+ years of directly related experience, or Master’s degree and 4+ years of directly related experience. Equivalent years of experience may be accepted in lieu of a degree for certain roles. Certifications may also be accepted in lieu of a degree for specific technical positions.

Nice To Haves

• Experience with AWS-based solutions and cloud architecture.
• Familiarity with CI/CD pipelines, Terraform, and containerized deployments using tools like Docker and Kubernetes.
• Strong ability to prioritize and execute tasks independently and within collaborative team environments.
• Prior experience managing custom trading partner agreements and relationships in cloud environments.
• Previous experience working in a government or public sector setting.

Responsibilities

• Collaborate with business stakeholders by participating in requirements elaboration with business subject matter experts, offering insights to ensure technical and functional feasibility.
• Translate data and business requirements into standardized X12 formats for both inbound and outbound transactions.
• Review and validate unit and integration test cases; coordinate with QA teams to ensure accuracy and reliability of implemented solutions.
• Triage and troubleshoot transmission issues in collaboration with the development team.
• Support post-implementation activities, including applying updates and patches to the Edifecs system to maintain operations and compliance with evolving standards.
• Act as a liaison between clients and internal technical teams to ensure seamless communication and effective issue resolution.
• Provide technical leadership and mentorship to integration developers and analysts.
• Continuously evaluate and improve EDI processes, tools, and frameworks to support evolving business needs.
• Work independently with minimal supervision while managing multiple priorities and deadlines.

What This Job Offers

• Education Level: Bachelor's degree
• Number of Employees: 11-50 employees