EDI Technical SME (Remote Opportunity)

VetsEZ•Tampa, FL

1d•Remote

About The Position

The Technical EDI SME supports a federal government healthcare modernization project for the Department of Veterans Affairs. The role integrates the Fraud Waste and Abuse (FWA) tool with Community Care Development, Security, and Operations (CCDSO) products and other VA healthcare systems, including CCRS. The position assesses system readiness, analyzes healthcare transaction workflows, and defines and implements integration strategies using ANSI X12 and other EDI-based data exchanges. The role works in a collaborative Agile DevSecOps environment with business stakeholders, architects, developers, testing teams, external trading partners, and VA leadership to support reliable, secure, and compliant healthcare data exchange. The candidate must reside within the continental United States. U.S. citizenship is required, and selected candidates must pass a background check and be able to obtain and maintain a Government/Public Trust clearance, including fingerprinting when required.

Requirements

Bachelor’s degree in computer science, computer information systems, engineering, or a related technical discipline.
Eight or more years of healthcare integration experience.
Deep expertise in healthcare EDI standards and transaction workflows, including ANSI X12 transactions such as 835, 837, and 277CA, HIPAA requirements, and familiarity with EDIFACT or XML-based formats.
Strong understanding of integration architectures, EDI mapping and translation tools, APIs, SFTP/FTP, AS2, VANs, relational databases, and SQL.
Experience integrating VA healthcare systems, including systems such as CCRS, and delivering solutions from initial concept through production implementation.
Knowledge of version control systems and CI/CD pipelines, and prior experience supporting high-volume transaction environments.
Strong analytical, troubleshooting, and problem-solving skills, including experience resolving production integration failures, performing root-cause analysis, and prioritizing issues affecting data integrity and operational continuity.
Strong interpersonal, communication, collaboration, and technical leadership skills, with the ability to work independently and collaboratively in a fast-paced Agile DevSecOps environment.
Must reside within the continental United States.
U.S. citizenship is required.
Must successfully complete a background check and be able to obtain and maintain a Government/Public Trust clearance, including required fingerprinting when applicable.

Nice To Haves

Experience with scripting or programming languages such as Java, Python, C#, or similar technologies.
Experience integrating fraud, waste, and abuse tools with healthcare claims processing systems.
Familiarity with VA Community Care workflows, CCDSO products, and federal healthcare modernization initiatives.

Responsibilities

Assess internal and external system readiness, analyze healthcare claims workflows, and define integration strategies connecting the VA FWA tool with CCDSO products, CCRS, and other VA healthcare systems.
Build, configure, maintain, and enhance EDI maps, workflows, and integrations for transaction sets including 835, 837, and 277CA using mapping tools, translation software, and integration platforms.
Implement trading partner setups, communication protocols, and document formats; coordinate with external partners to validate connectivity, transaction formats, and compliance.
Monitor daily EDI operations, troubleshoot production integration failures, perform root-cause analysis, and provide technical support to resolve data discrepancies and minimize business disruption.
Collaborate with business analysts, architects, developers, QA teams, and stakeholders on requirements gathering, solution design, testing, and production implementation.
Maintain documentation for EDI processes, trading partner requirements, and system configurations.
Validate transaction data, implement error handling and quality checks, and support audits and compliance reviews to ensure data integrity and adherence to applicable HIPAA, ANSI X12, EDIFACT, and organizational requirements.
Take on additional tasks and responsibilities as needed to support team objectives and project success.