Senior EDI Developer; Healthcare Payer | Facets Ecosystem

Senior EDI Developer (Healthcare Payer | Facets Ecosystem)

Location :
Seattle, WA

Experience:

8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/Tri Zetto HIPAA Gateway

Summary:

Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem.

The role requires hands-on expertise in Edifecs/Tri Zetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains.

Responsibilities

Design, develop, and optimize EDI solutions using Edifecs, Tri Zetto HIPAA Gateway, Biz Talk, or equivalent platforms.

Develop EDI mappings, validations, routing logic, and trading partner integrations.

Implement and support HIPAA X12 transactions across Claims, Membership, Enrolment, Provider, and Payment domains.

Perform EDI map optimization and support high-volume transaction processing.

Support trading partner onboarding, testing, certification, and production deployments. Collaborate with Facets and business teams to deliver EDI enhancements and integrations.

Required Skills

Edifecs Suite (XEngine, Spec Builder, Trading Partner Management, Validation & Compliance) 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 development 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 Mule Soft, Boomi Groovy, JavaScript, Power Shell, Shell Scripting Blues experience