Must Have Technical/Functional Skill
- Design, develop, and maintain Edifecs based EDI solutions supporting healthcare transactions in payer, provider, and clearinghouse environments.
- Build and manage EDI mappings, transactions, and workflows using Edifecs tools and frameworks.
- Develop, configure, and support HIPAA compliant X12 EDI transactions, ensuring accuracy, reliability, and regulatory adherence.
- Work hands on with Edifecs implementations, including configuration, customization, deployment, and ongoing support.
- Perform EDI mapping development and enhancements, ensuring correct transformation between internal systems and external trading partners.
- Support multiple healthcare EDI transaction types (e.g., claims, eligibility, remittance, enrollment, acknowledgements).
- Ensure strict compliance with HIPAA, healthcare regulatory standards, and data privacy requirements.
- Participate in testing activities, including unit testing, integration testing, regression testing, and UAT support.
- Support EDI migrations, upgrades, trading partner onboarding, and platform transitions.
- Analyze EDI errors, transaction rejections, and data issues; perform root cause analysis and resolution.
- Collaborate with business analysts, healthcare SMEs, and integration teams to understand transaction requirements.
- Support production issues and defect fixes, ensuring timely resolution and minimal business impact.
- Maintain documentation for mappings, transaction flows, and integration specifications.
- Work effectively in an Agile delivery model, executing assigned stories and integration tasks.
- Ensure high delivery quality, accuracy, and reliability for healthcare data exchanges. Roles & Responsibilities
- Design and implement EDI mappings and workflows using Edifecs.
- Develop and support Edifecs implementations for healthcare data exchange.
- Configure and maintain X12 transactions, ensuring compliance with HIPAA standards.
- Support healthcare integrations between internal systems, trading partners, and clearinghouses.
- Perform EDI testing, validation, and troubleshooting across development and test environments.
- Assist in EDI migrations, upgrades, and onboarding of new trading partners.
- Analyze transaction failures and processing errors and work with stakeholders to resolve issues.
- Support regression cycles and release activities related to EDI deliverables.
- Collaborate with QA, business, and integration teams to ensure requirements are met.
- Participate in Agile ceremonies and provide estimates and status updates.
- Prepare and maintain technical documentation and mapping specifications.
- Provide operational and post deployment support for production EDI systems.
Salary Range $120,000-$140,000 Per year
TCS Employee Benefits Summary:
Discretionary Annual Incentive.
Comprehensive Medical Coverage:
Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
Family Support:
Maternal & Parental Leaves.
Insurance Options:
Auto & Home Insurance, Identity Theft Protection.
Convenience & Professional Growth:
Commuter Benefits & Certification & amp; Training Reimbursement.
Time Off:
Vacation, Time Off, Sick Leave & Holidays.
Legal & Financial Assistance:
Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing. #LI-SP1