Role - EDI Specialist Location - Seattle, WA 12+

Months Summary:

Seeking a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, Provider, and Payment functions. The role requires expertise in

HIPAA X12

transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments. Responsibilities Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrolment, Billing, Provider, and Payment functions. Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation, and file transmission issues. Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments. Perform RCA, incident resolution, and transaction performance improvements. Support trading partner onboarding, certification, testing, and production releases. Work with business users, vendors, and external trading partners to resolve operational issues. Required Skills Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations

XML/XSD, JSON

Required Experience Healthcare Payer Domain 5+ Years EDI Support (L2/L3) 5+ Years

HIPAA X12

Transactions 5+ Years Facets 3+ Years Edifecs Suite 3+ Years TriZetto HIPAA Gateway 3+ Years Trading Partner Management 3+ Years 834 Enrollment Transactions Must Have 837 Claims Transactions (P/I/D) Must Have 835 Claims Payment Must Have 270/271 Eligibility Must Have 276/277 Claim Status Must Have 278 Prior Authorization Must Have 820 Premium Payment Must Have

TA1 / 999 / 277CA

Acknowledgements Must Have SQL Server or Oracle Must Have Unix/Linux Must Have SFTP & Batch Processing Must Have

XML/XSD & JSON

Must Have In compliance with the salary transparency law, the expected pay range for this role is $60/hr Actual compensation depends on experience and interview evaluation.