Edifecs Engineer

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.

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