Senior EDI Support Specialist; Healthcare Payer | Facets Ecosystem
Listed on 2026-11-01
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IT/Tech
IT Support, Technical Support, IT Specialist
Senior EDI Support Specialist (Healthcare Payer | Facets Ecosystem)
Location:
Remote
USC, GC, H4-EAD, Gc-EAd
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/Tri Zetto 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, Tri Zetto HIPAA Gateway, Biz Talk, 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, Tri Zetto HIPAA Gateway, Biz Talk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON
Required Experience
Hands-on support, troubleshooting, and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements
Nice to Have
Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.
$000,000 – $000,000 Salary range is not shown on the candidate portal
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