Senior Healthcare EDI Developer

Cynet Systems • Seattle, WA

15h

About The Position

Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The candidate will possess expertise in Edifecs and TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrollment, Provider, and Payment domains.

Requirements

• Healthcare Payer Domain (5+ years)
• EDI Development (5+ years)
• Edifecs Suite including XEngine, SpecBuilder, TPM, Validation & Compliance (3+ years)
• TriZetto HIPAA Gateway (3+ years)
• Facets experience
• Strong hands-on experience with HIPAA X12 Transactions
• Trading Partner Integrations
• EDI Mapping & Validation
• SQL Server or Oracle
• Unix/Linux
• SFTP & Batch Processing
• API Integrations
• Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance)
• TriZetto HIPAA Gateway, BizTalk Server
• Facets
• SQL Server/Oracle
• SFTP, Batch Processing, API Integrations
• XML/XSD, JSON
• Hands-on development and optimization of 834 and 837 (Professional/Institutional/Dental) transactions
• Hands-on development and optimization of 835, 270/271, 276/277, 278, and 820 transactions
• Experience with TA1, 999, and 277CA acknowledgements

Nice To Haves

• HL7/FHIR
• MuleSoft, Boomi
• Groovy, JavaScript, PowerShell, Shell Scripting
• Payer and health plan domain experience

Responsibilities

• Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms.
• Develop EDI mappings, validations, routing logic, and trading partner integrations.
• Implement and support HIPAA X12 transactions across Claims, Membership, Enrollment, Provider, and Payment domains.
• Perform EDI map optimization and support high-volume transaction processing.
• Support trading partner onboarding, testing, certification, and production deployments.
• Collaborate with Facets and business teams to deliver EDI enhancements and integrations.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: No Education Listed