Role - Senior EDI Developer (Healthcare Payer | Facets Ecosystem)(23872-1)
Location – Seattle, WA (5D Onsite)
Duration- 6-12+ Months Contract
Must to Have Skills
Healthcare Payer Domain 5+ Years
EDI Development 5+ Years
Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years
TriZetto HIPAA Gateway 3+ Years
Facets Required
HIPAA X12 Transactions Strong Hands-on Experience
Trading Partner Integrations Required
EDI Mapping & Validation Required
SQL Server or Oracle Required
Unix/Linux Required
SFTP & Batch Processing Required
API Integrations Required
Domain Experience (If any ) – Good to have healthcare experience
Note:We need only candidate experience with Facets - Claims. Please validate the candidate. There is high chance on fake and tailored resume from the employer. Please validate properly. Claims, Membership, Enrolment, Billing, Provider, and Payment.
Experience:
8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway
Summary: Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains.
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, Enrolment, 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.
Required Skills
Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance) TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON
Required Experience
Hands-on development and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements
Nice to Have
HL7/FHIR MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues experience