Software Developer Jobs

About The Position

Requirements

• At least 8 years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
• At least 8 years of EDI/HIPAA experience.
• Strong understanding of payer/provider workflows.
• Ability to interpret EDI loops, segments, and element-level errors.
• Familiarity with Edifecs Transaction Management or equivalent tools.
• Strong experience in AWS cloud environments.
• Excellent communication and stakeholder-engagement skills.
• Strong understanding of EDI X.12 loop, segment, and element interpretation; SNIP validation Levels 1–7; companion-guide interpretation; and segment- or element-level error analysis.
• Experience interpreting Edifecs XEngine validation results and understanding processing rules and transaction profiles.
• Experience working with SpecBuilder maps and implementation guides.
• Ability to identify issues caused by Edifecs routes, profiles, or rulesets.
• Ability to interpret Edifecs logs and error codes at the functional layer; platform administration is not required.
• Proficiency identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting payer or state-system rejections, and reviewing parsed EDI structures stored in SQL databases.
• Ability to understand inbound and outbound workflow architecture.
• Strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders.
• Comfort driving ambiguous architecture decisions to resolution with limited direction.
• Experience with Agile methodologies, including Scrum and Kanban, and JIRA.
• Strong documentation habits.
• Bachelor’s degree in Computer Science, Engineering, or a related technical discipline, or equivalent practical experience.
• U.S. citizenship is required.
• Must possess or qualify for a Public Trust (MBI).

Nice To Haves

• Professional Edifecs certification.
• Deep hands-on Edifecs experience with EDI X.12 transaction standards and key workflows, including medical claims (837, 834, 835, 276/277), 270/271, 278, 820, and 999/277CA.
• Knowledge of HIPAA compliance requirements in cloud data architecture.
• Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations.
• AWS certification.

Responsibilities

• Own functional EDI workflows, partner requirements, and data validation rules.
• Ensure accurate transaction processing and support business operations.
• Interpret and troubleshoot transaction sets, including 270/271, 276/277, 278, 820, 834, 835, 837, and 999/277CA.
• Analyze SNIP compliance, companion guides, and partner-specific validation rules.
• Document mapping and logical requirements for new partners and integration changes.
• Partner with business stakeholders to resolve issues and assess operational impact.
• Support audit and compliance reviews and maintain data-quality guardrails.
• Collaborate with EDI Analysts, DevSecOps Engineers, Cloud teams, and business teams.
• Work with integration specialists on AS2, SFTP, and HTTPS flows.
• Validate data sent to and received from non-X.12 partners.
• Identify issues introduced by middleware layers or APIs.
• Query SQL for transaction details.
• Validate payloads, timestamps, statuses, and error flags.
• Reconcile mismatches between raw EDI and stored data.
• Gather and translate business reporting requirements into technical data models.
• Communicate technical architecture decisions and trade-offs to non-technical stakeholders.
• Create transaction-flow documentation and error-trend reports, handle escalations, and update SOPs and partner reference guides.