About the Role :

We are looking for an experienced Edifecs Developer with hands-on knowledge of Healthcare EDI and familiarity with Java, SQL, API integrations, Microsoft Azure, and Azure AI.

The role involves developing and supporting healthcare EDI solutions, configuring trading partners, managing HIPAA X12 transactions, and troubleshooting integrations.

Responsibilities :

- Develop, maintain, and support healthcare EDI solutions using the Edifecs Healthcare Suite.

- Create and modify maps, guidelines, and profiles using SpecBuilder, MapBuilder, and EAM.

- Work with HIPAA X12 transactions, including 270/271, 278, 820, 834, 835, and 837 (Institutional, Professional, and Dental).

- Configure trading partners, validation rules, severity files, and engine settings.

- Monitor and troubleshoot EDI transmissions using Edifecs Transaction Manager.

- Develop and support integrations using Java, SQL, APIs, and Groovy scripting.

- Work with Microsoft Azure, Azure DevOps, and Azure AI services as required.

- Use AI-assisted tools such as GitHub Copilot, Claude, or ChatGPT for development, analysis, troubleshooting, and productivity improvement.

- Collaborate with technical and business teams to resolve issues and ensure reliable EDI processing.

Requirements :

- 4 - 8 years of relevant experience in Edifecs development and healthcare EDI.

- Hands-on experience with Edifecs tools such as SpecBuilder, MapBuilder, EAM, or Transaction Manager.

- Understanding of HIPAA X12 healthcare transactions and EDI processing.

- Knowledge of Java, SQL, and API integrations.

- Exposure to Microsoft Azure and Azure AI services.

- Practical experience using AI-assisted development tools.

- Strong debugging, troubleshooting, analytical, and communication skills.

- Experience in the US healthcare payer domain is preferred.

- Familiarity with Azure DevOps, CI/CD, Git/GitHub, and Groovy scripting is an advantage.

- Understanding of claims, enrollment, eligibility, remittance, and authorization workflows is preferred.