Electronic Data Interchange Specialist

Job Tile: IBM Transformation Extender (ITX) Specialist/Electronic Data Interchange Specialist Location: Remote Duration: 6-7 Months on w2 Payrate: $68.18/hr on w2 Job Description: As an ITX Specialist you will be responsible for the end-to-end design of scalable, maintainable, and high-performance integration solutions supporting healthcare payer operations. The ideal candidate has significant domain expertise in healthcare EDI standards (X12, HIPAA, HL7) and a passion for delivering future-ready architectures that meet enterprise interoperability and compliance needs. Responsibilities: • Lead the scalable design and implementation of IBM ITX-based integration solutions across healthcare payer systems. • Architect and optimize transformation maps and data flows for high-volume healthcare EDI transactions such as 837, 835, 834, 270/271, 276/277, 278, 820, and NCPDP. • Ensure solution architectures are modular, extensible, and aligned with enterprise integration patterns and scalability goals. • Act as the SME for the ITX Pack for Healthcare Payer, offering best practices on compliance, transformation rules, and partner onboarding. • Collaborate across business and technical teams to translate complex integration needs into resilient and scalable ITX solutions. • Develop architectural and interface documentation supporting deployment, maintenance, and knowledge transfer. • Guide and mentor teams on solution design patterns, performance tuning, and reuse strategies. • Work with DevOps and release management teams to integrate ITX solutions into CI/CD pipelines and scalable infrastructure. • Conduct impact analysis and proactive performance testing to ensure long-term scalability and reliability. Experience/Preferred Skills Required: • Bachelor’s degree in Computer Science, Information Systems, or related field (Master’s preferred). • 10+ years of experience in EDI/integration development, with at least 7 years of hands-on IBM ITX expertise in healthcare payer environments. • Proven experience in designing scalable data transformation solutions using IBM ITX with complex type trees and mapping. • Strong command of HIPAA X12 transaction sets and healthcare business processes (837, 835, 834, 270/271, 276/277, 278, 820, and NCPDP). • Demonstrated ability to lead enterprise-wide, scalable architecture initiatives and performance-tuned deployments. • Familiarity with enterprise integration platforms such as IBM B2Bi, Sterling Integrator, or equivalent. • Ensure compliance with CAQH CORE Operating Rules for Eligibility & Benefits (270/271), Claim Status (276/277), and Payment & Remittance (835). • Conduct gap analysis and remediation planning for CORE rule adoption. • Monitor and interpret updates to CAQH CORE rules and translate them into • actionable system or process changes. • Competence in scripting for automation (e.g., Shell, JavaScript, Python) and working with cloud or containerized environments. • Excellent communication skills, with the ability to present architecture decisions to both technical and business stakeholders.