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 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 RequiredEDI Mapping & Validation Required SQL Server or Oracle Required Unix/Linux Required