Jobs · Information Technology · Washington

Senior EDI Developer (Healthcare Payer - Facets Ecosystem)

Saransh Inc · Seattle, WA · 1 wk ago
On-siteInformation TechnologyContract
Role: Senior EDI Developer: Healthcare Payer (Facets Ecosystem) Location: Seattle, WA (Onsite from Day 1) Job Type: Contract Experience 8+ years in IT, 5+ years in healthcare payer and EDI, 3+ years with Edifecs or TriZetto HIPAA GatewayNeed candidates with Facets - Claims experience Role Overview We are looking for 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/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrollment, Provider, and Payment domains. Key Responsibilities Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms. Develop EDI mappings, validations, routing logic, and trading partner integrations. Implement and support HIPAA X12 transactions across Claims, Membership, Enrollment, Provider, and Payment domains. Optimize EDI maps 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, SpecBuilder, Trading Partner Management, Validation & Compliance TriZetto HIPAA Gateway and BizTalk Server Facets SQL Server / Oracle Unix/Linux SFTP, batch processing, and API integrations XML/XSD and JSON Required Experience Hands-on development and optimization of the following transactions: 834 (Enrollment) 837 (Professional, Institutional, Dental) 835 (Remittance) 270/271 (Eligibility) 276/277 (Claim Status) 278 (Authorization) 820 (Premium Payment) TA1, 999, and 277CA acknowledgements Nice To Have HL7 / FHIR MuleSoft or Boomi Groovy, JavaScript, PowerShell, or shell scripting Blues plan experience

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