Senior EDI Developer

Conduent • Gates, NY

1d

About The Position

We are seeking a Senior EDI Developer to serve as a lead technical contributor supporting multi-state Medicaid implementations within a healthcare EDI environment. This role requires deep expertise in EDIFECS and related technologies including Linux, databases, reporting tools, and ETL platforms.
The Senior EDI Developer will design, configure, support, and enhance COTS-based healthcare solutions while ensuring compliance with industry standards such as CAQH CORE and CMMI practices. This role operates with minimal supervision and collaborates closely with cross-functional stakeholders to deliver secure, scalable, and high-quality EDI solutions.

Requirements

• 7+ years of total work experience
• Bachelor’s degree in computer science, Information Systems, Engineering, or a related field (or equivalent professional experience).
• Demonstrated experience with EDIFECS in a healthcare EDI environment.
• Strong knowledge of ANSI X12N 5010 transaction sets.
• Experience working with Linux, relational databases, reporting tools, and ETL platforms.
• Experience using Azure DevOps for configuration and version control.
• Working knowledge of CAQH CORE certification requirements.
• Familiarity with CMMI standard practices.
• Strong analytical, troubleshooting, and problem-solving skills.

Nice To Haves

• Experience supporting multi-state Medicaid implementations.
• Experience in healthcare clearinghouse environments.
• Experience supporting version upgrades and production releases.
• Familiarity with firewall rule configuration and validation.

Responsibilities

• Design, develop, configure, document, test, and debug new and existing EDI systems and applications.
• Support and maintain EDIFECS-based healthcare clearinghouse platforms.
• Perform CAQH CORE validation and compliance activities.
• Configure and validate firewall rules.
• Apply recurring ECL releases (quarterly and annual) across multiple environments.
• Translate business requirements into system definitions and technical solutions.
• Create detailed technical specifications based on conceptual designs and stated requirements.
• Participate in the full Software Development Life Cycle (SDLC) aligned with CMMI Level 3 practices.
• Analyze system configuration and end-to-end transactional mappings to identify and resolve issues.
• Maintain configuration and version control using Azure DevOps.
• Support and maintain ETL platforms across multiple Medicaid state implementations.
• Review and respond to critical and non-critical system alerts.
• Configure and map ANSI X12N 5010 transaction sets.
• Participate in CMMI audits and quality reviews.
• Ensure compliance with organizational policies, security standards, and regulatory requirements.

Benefits

• health insurance coverage
• voluntary dental and vision programs
• life and disability insurance
• a retirement savings plan
• paid holidays
• paid time off (PTO) or vacation and/or sick time

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level