Senior EDI Support Specialist
Listed on 2026-10-18
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IT/Tech
IT Support
Position:
Senior EDI Support Specialist with Healthcare Payer, Facets
Location:
Seattle, WA (Day 1 On-Site)
Long Term
Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/Tri Zetto HIPAA Gateway
Mandatory Skills
Healthcare Payer Domain 5+ Years
EDI Development 5+ Years
Edifecs Suite (XEngine, Spec Builder, TPM, Validation & Compliance) 3+ Years
Tri Zetto HIPAA Gateway 3+ Years
Facets Required
HIPAA X12 Transactions Strong Hands-on Experience
Trading Partner Integrations Required
EDI Mapping & Validation Required
SQL Server or Oracle Required
Unix/Linux Required
SFTP & Batch Processing Required
API Integrations Required
834 Enrollment Transactions
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
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
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
HL7/FHIR Service Now Mule Soft, Boomi Groovy, JavaScript, Power Shell, Shell Scripting Blues and large-scale Facets payer environments
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.
Preferred: Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.
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