Senior Edifecs Developer

CGI Partner | Senior Consultant/Corporate US East BU at CGI

The best version of us starts with You! We CGI is looking for an experienced Edifecs professional to design, configure, and implement health plan enrollment and eligibility processes. Prior experience on the Edifecs Enrollment Management Solution (ENR) is preferred. The role requires a solid understanding of healthcare payer operations, strong analytical and troubleshooting skills, and the ability to translate business enrollment requirements into effective Edifecs-based implementations.

This position can be located in Hartford, CT, Raleigh, NC, Lafayette, LA, Austin TX or Dallas, TX in a Hybrid model.

• Analytical
  
  Skills:
  
  Ability to understand healthcare enrollment and EDI requirements, analyze complex data flows, and design simple, effective Edifecs-based solutions.
• Communication:
  Strong verbal and written communication skills to clearly convey technical concepts to peers, stakeholders, and management.
• Creativity:
  Innovative mindset to approach integration challenges, apply best practices, and leverage experience across domains to improve solutions.
• Customer‑Service Orientation:
  Consultant mentality with the ability to work directly with clients, address questions, and resolve issues effectively.
• Attention to Detail:
  Strong focus on accuracy, as EDI and enrollment applications require precise configuration and flawless data exchange.
• Problem‑Solving:
  Proven ability to troubleshoot issues, make sound decisions, and drive resolutions that keep projects moving forward.
• Teamwork:
  Ability to collaborate effectively within a distributed agile (SAFe) team including developers, analysts, QA, and architects.
• Technical Aptitude:
  Strong technical foundation with the ability to apply design patterns, learn new tools quickly, and continuously improve system design.

• Design, develop, configure, and support EDI solutions using the Edifecs platform (XEngine, Spec Builder, XEServer, TPM, etc.).
• Implement and support HIPAA X12 transaction sets including 834, 837, 835, 270/271, 276/277, and 278.
• Collaborate with business analysts, solution architects, and clients to gather and translate healthcare and EDI integration requirements.
• Configure, maintain, and support trading partner relationships to ensure accurate and timely data exchange.
• Analyze, troubleshoot, and resolve EDI transaction errors across development, test, and production environments.
• Perform EDI map development, validation, testing, and compliance checks using Edifecs tools.
• Ensure solutions comply with HIPAA, X12, and industry standards.
• Monitor EDI processes, provide Level 3 production support, and prioritize issues based on business impact.
• Integrate EDI solutions with downstream systems using REST/SOAP APIs, MQ, SFTP, and other middleware technologies.
• Create and maintain technical documentation including mappings, partner configurations, and system changes.
• Participate in production deployments, release planning, and post‑deployment support.
• Build and support real‑time monitoring, metrics, and alerts across applications.
• Contribute to Dev Ops and automation initiatives to improve deployment and operational efficiency.

At least 7+ years of relevant experience with strong hands‑on expertise in Edifecs and healthcare EDI solutions.

• Strong hands‑on experience with Edifecs tools including XEngine, Spec Builder, TPM, and XEServer.
• In‑depth knowledge of HIPAA EDI transactions (834, 837, 835, 270/271, 276/277, 278).
• Experience with EDI mapping, validation, testing, and compliance.
• Familiarity with integration technologies such as APIs, MQ, SFTP, and web services.
• Working knowledge of relational databases (MS SQL, Postgre
  
  SQL).
• Strong troubleshooting, production support, and performance tuning skills.

• Experience with Edifecs Enrollment Management Solution (ENR).
• Healthcare payer/provider domain experience.
• Understanding of enrollment, eligibility, claims, benefits, and billing workflows.
• Cloud deployment experience (AWS preferred).
• Familiarity with Dev Ops and CI/CD tools such as Git, Jenkins, and related automation frameworks.

Bachelor’s degree in…