Data Engineer, EDI

Personify Health, Inc.; United States; Hybrid; USD 60,000 - 70,000; Full time

Benefits offered by this job

Unlimited PTO

Competitive benefits

Mental health support

Retirement planning

Professional development

Wellness programs

Job summary

Personify Health, Inc. is seeking an EDI Tester to validate HIPAA X12 transactions (837, 835, 834, 270/271, 276/277) and troubleshoot mapping issues. You will work with trading partners, payers, and internal teams to ensure accurate eligibility, claims, and remittance data moves across systems.

The role involves leading UAT/SIT testing, building test data, and maintaining documentation while ensuring production issues are resolved quickly to keep claims paid and benefits timely.

Qualifications

• 3+ years of experience with healthcare EDI transactions and HIPAA 4010/5010 standards
• Bachelor's degree in Information Systems, Business, Life Sciences, or equivalent experience; Master's degree a plus
• Hands-on experience testing and troubleshooting X12 transaction sets (837, 835, 834, 270/271, 276/277)
• Experience working with EDI trading partners, payers, or vendors on connectivity and transaction issues
• Experience writing test plans, test cases, and technical/Companion Guide documentation

Responsibilities

• Test and troubleshoot core EDI transactions: validate HIPAA X12 837/835/834/270-271/276-277 sets
• Diagnose transaction-level errors and work with dev teams to fix mappings
• Resolve live production issues to keep data flowing without disruption
• Build and maintain test documentation and Companion Guides
• Lead UAT, SIT, and end-to-end testing for onboarding and upgrades
• Develop test data (mock 837I/837P) for realistic inputs
• Coordinate with trading partners, clients, and internal teams
• Log incidents and manage work in JIRA and Confluence
• Validate ICD-9/ICD-10 and HCPCS coding during tests
• Participate in Agile/Scrum ceremonies and pipelines

Skills

EDI testing

HIPAA 4010/5010 knowledge

SQL

JIRA & Confluence

Communication

Education

Bachelor's degree in Information Systems, Healthcare, or related field

Tools

Edifecs

ClarEDI

SFTP/EDI tooling

JIRA

Confluence

Job description

Overview

Who We Are

Because health is personal. That's why Personify Health created the first and only personalized health platform—bringing health plan administration, holistic wellbeing solutions, and comprehensive care navigation together in one place. We serve employers, health plans, and health systems with data-driven solutions that reduce costs while actually improving health outcomes. Together, our team is on a mission to empower people to lead healthier lives.

This role can sit On-Site in Tempe, AZ or Remote

Learn even more about the work that drives us at personifyhealth.com.

Responsibilities

Ready to make sure every claim, every eligibility check, every dollar moves exactly where it's supposed to?

Why This Role Matters

Healthcare runs on data moving correctly between systems — and when an EDI transaction breaks, a claim doesn't get paid, a member's eligibility doesn't update, or a provider doesn't get reimbursed on time. This role sits at the center of that flow, testing and troubleshooting the X12 transactions that keep claims, eligibility, and remittance data accurate across every trading partner, payer, and vendor Personify Health works with. The work is technical, but the stakes are human: a mapping error you catch before go-live is a member who gets their benefits on time and a client who trusts the system works. You're the person trading partners and internal teams turn to when something's off, and the one who makes sure it doesn't happen again. Get this right, and healthcare data moves the way it's supposed to — accurately, compliantly, and fast.

What You'll Actually Do

• Test and troubleshoot core EDI transactions: Validate HIPAA X12 transaction sets — 837 (I/P/D), 835, 834, 270/271, and 276/277 — to confirm claims, eligibility, and remittance data moves correctly between systems.
• Diagnose transaction-level errors: Dig into loops, segments, elements, and qualifiers to pinpoint exactly where a transaction broke, then partner with development teams to fix the mapping or programming issue.
• Resolve live production issues: Investigate and close out trading partner and vendor transaction problems as they surface in production, keeping data flowing without disruption.
• Build and maintain test documentation: Create test plans, test cases, and Companion Guide documentation that keep every EDI transaction set audit-ready and consistent.
• Run full-cycle testing: Lead UAT, SIT, and end-to-end testing for new vendor onboarding, system enhancements, and HIPAA version upgrades (4010/5010).
• Develop test data: Build and maintain mock 837I/837P claim data so testing cycles have realistic, reliable inputs to work against.
• Connect the dots between teams: Act as the go-between for trading partners, clients, and internal technical and non-technical teams — gathering requirements and closing the loop on issue resolution.
• Track and manage work: Log incidents and enhancement requests in JIRA and maintain project documentation in Confluence, so nothing falls through the cracks.
• Validate medical coding accuracy: Check ICD-9/ICD-10 and HCPCS coding as part of claims and EDI testing to catch errors before they hit production.
• Participate in Agile delivery: Show up in sprint planning and sprint review, keeping testing work aligned with the broader development roadmap.

Qualifications

What You Bring to Our Team

Education & Experience:

• 3+ years of experience with healthcare EDI transactions and HIPAA 4010/5010 standards
• Bachelor's degree in Information Systems, Business, Life Sciences, or equivalent experience; Master's degree a plus
• Hands-on experience testing and troubleshooting X12 transaction sets (837, 835, 834, 270/271, 276/277)
• Experience working directly with EDI trading partners, payers, or vendors on connectivity and transaction issues
• Experience writing test plans, test cases, and technical/Companion Guide documentation

Technical Skills:

• Working knowledge of relational databases (SQL Server, Oracle, or similar)
• Familiarity with EDI testing/translation tools (e.g., Edifecs, ClarEDI, or similar)
• Understanding of claims, eligibility, enrollment, and remittance/adjudication processes
• Working knowledge of JIRA and Confluence
• Familiarity with Agile/Scrum ceremonies and workflows

Benefits

The Highlights:

• Competitive base salary and benefits effective day one
• Comprehensive medical and dental through our own health solutions (yes, we use what we build)
• Unlimited PTO—rest and recharge time is non-negotiable
• Mental health support, retirement planning, and financial protection
• Professional development with clear career progression and learning budgets
• Mission-driven culture where diverse perspectives drive real impact on people's health

Want the full picture?Visitpersonifyhealthbenefits.comto explore our complete benefits package, wellness programs, and other employee perks.

Compensation: This position offers a base salary range of $60,000 - $70,000 per year, depending on location, skills, and experience. You're eligible for our full benefits package starting day one.

Our Commitment:Personify Health is an equal opportunity employer committed to diversity, equity, inclusion, and belonging. We cultivate a work environment where differences are celebrated, and employees of all backgrounds are empowered to thrive—because diversity is core to who we are and critical to our work in health and wellbeing.

Stay Safe:Personify Health will never ask for payment or sensitive personal information like social security numbers during hiring. All official communication comes from verified company email addresses and or our secure applicant tracking system. Suspicious requests? Report them [e-mail]. View all legitimate openings atpersonifyhealth.com/careers.