Senior EDI Developer – Healthcare Payer / FACETS Ecosystem
Must Have Skills
Preferred Skills
Job Title
Senior EDI Developer – Healthcare Payer / FACETS Ecosystem
Experience
8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway
Multiple location : Bangalore , Trivandrum, Hyderabad, Chennai****
Job Summary
We are looking for an experienced Senior EDI Developer with strong Healthcare Payer expertise to design, develop, and optimize HIPAA X12 integrations within a FACETS-based ecosystem.
The role requires hands-on experience with Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrollment, Provider, and Payment domains.
Key Responsibilities
EDI Development & Integration
- Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk Server, 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.
Trading Partner Management
- Support trading partner onboarding, testing, certification, and production deployments.
- Develop and maintain trading partner integrations.
- Collaborate with FACETS and business teams to deliver EDI enhancements and integration solutions.
Mandatory Skills
Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance) | TriZetto HIPAA Gateway | BizTalk Server | FACETS | SQL Server/Oracle | Unix/Linux | SFTP | Batch Processing | API Integrations | XML/XSD | JSON
Required EDI Transaction Experience
834 | 837P | 837I | 837D | 835 | 270/271 | 276/277 | 278 | 820 | TA1 | 999 | 277CA
Preferred Skills
HL7/FHIR | MuleSoft | Boomi | Groovy | JavaScript | PowerShell | Shell Scripting | Blue Plans/BlueCard
Qualifications & Experience
- 8+ years of overall IT experience.
- 5+ years of Healthcare Payer and EDI experience.
- 3+ years of hands-on Edifecs/TriZetto HIPAA Gateway experience.
- Strong experience in EDI mapping, validation, routing, and trading partner integration.
- Experience working within a FACETS-based Healthcare Payer ecosystem.
- Strong analytical and problem-solving skills with excellent communication and collaboration abilities.
Key Skills
TriZetto HIPAA Gateway | Edifecs | FACETS | EDI/X12 | BizTalk | SQL | Healthcare Payer | 834 | 837 | 835 | 270/271 | 276/277 | SFTP | XML/XSD | API Integration
Screening questions
Asked of every applicant before they can apply.