EDI Specialist

Job Title: EDI Specialist Location: Remote Duration: 12 months + Job Description • We are seeking a skilled Integration Developer with strong Electronic Data Interchange (EDI) expertise and a solid understanding of healthcare domain standards to design, develop, and maintain integration solutions. • This role will focus on implementing, testing, and supporting EDI transactions, ensuring compliance with HIPAA and healthcare industry standards. Key Responsibilities • ∙Design, develop, and maintain integration solutions for healthcare data exchange using EDI standards (e.g., X12, HL7). • ∙Implement, configure, and support EDI transactions such as 837 (claims), 835 (remittance), 270/271 (eligibility), 276/277 (claim status). • ∙Work with healthcare partners, payers, and providers to troubleshoot and resolve integration issues. • ∙Develop mapping, translation, and transformation processes between internal systems and external partners. • ∙Ensure compliance with HIPAA, security protocols, and industry data exchange requirements. • ∙Collaborate with business analysts, QA teams, and project managers to gather requirements and deliver high-quality integration solutions. • ∙Monitor integration processes and proactively identify performance or data issues. • ∙Maintain detailed technical documentation and provide training or knowledge transfer to internal teams. Required Skills & Qualifications • ∙Bachelor’s degree in Computer Science, Information Technology, or related field (or equivalent experience). • ∙5+ years of experience in integration development, with a strong focus on EDI in the healthcare industry. • ∙Proficiency in healthcare EDI standards (HIPAA X12, HL7). • ∙Hands-on experience with integration tools (e.g., MuleSoft, Dell Boomi, Cloverleaf, IBM Sterling Integrator, BizTalk, or similar). • ∙Strong knowledge of healthcare processes including claims, eligibility, payments, and prior authorizations. • ∙Solid understanding of XML, JSON, SQL, REST, and SOAP-based web services. • ∙Strong troubleshooting and problem-solving skills. • ∙Excellent communication and collaboration abilities. Preferred Qualifications • ∙Experience with cloud-based integration platforms (e.g., Azure Logic Apps, AWS Step Functions, or GCP integrations). • ∙Knowledge of FHIR (Fast Healthcare Interoperability Resources) standards. • ∙Previous work with payer or provider systems. • ∙Familiarity with agile development methodologie