Senior EDI Developer
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 / IBM ITX 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 / IBM ITX 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/ IBM ITX -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
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Senior
