EDI Developer (Healthcare / NEMT)

MediDrive LLC; United States; Hybrid; USD 75,000 - 120,000; Full time

Benefits offered by this job

Remote-friendly environment

Containerized architecture

Senior ownership

Medicaid integrations

Job summary

MediDrive LLC in the United States seeks an experienced EDI Developer to design, build, and support healthcare EDI integrations across multiple transaction types. You will work with .NET/C#, EdiFabric, and HIPAA-compliant data handling to implement 834/837/835 workflows and end-to-end claims processing.

You will collaborate with product, operations, and external partners in a microservices-based architecture and contribute to logging, auditing, and reconciliation.

Qualifications

• 5+ years of healthcare EDI development experience.
• Strong proficiency in C# / .NET.
• Hands-on production experience with EdiFabric.
• Deep understanding of healthcare EDI standards and workflows: X12 structure, loops, segments, and qualifiers.

Responsibilities

• Design, implement, and maintain healthcare EDI pipelines using .NET and EdiFabric
• Parse, validate, generate, and troubleshoot EDI transactions (834, 837, 835, 270/271, 999, 277CA)
• Interpret and implement payer-specific companion guides
• Manage end-to-end claims workflows (intake, validation, submission, acknowledgments, remittance)
• Build and maintain logging, auditing, and reconciliation processes
• Collaborate with product, operations, and external partners
• Ensure HIPAA-compliant data handling and monitoring
• Contribute to and operate within a microservices-based architecture

Skills

DOTNET expertise

C# / .NET

EDI knowledge

Troubleshooting

HIPAA compliance

Tools

EdiFabric

Docker

Docker Compose

Kubernetes

GitHub

GitHub Actions

Protobuf / gRPC

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Technical US

5 days ago Requisition ID: 1001

Salary Range: $75,000.00 To $120,000.00 Annually

Job Description

The EDI Developer will be responsible for designing, building, maintaining, and supporting healthcare EDI integrations across multiple transaction types. This role requiresstrong .NET expertise, hands-on experience withEdiFabric, and a deep understanding ofhealthcare claims workflows, payer companion guides, and real-world EDI behavior.

Experience withNon-Emergency Medical Transportation (NEMT) is a significant advantage, as many integrations involve transportation-specific billing logic, modifiers, and state Medicaid requirements.

Key Responsibilities

• Design, implement, and maintain healthcare EDI pipelines using.NET and EdiFabric
• Parse, validate, generate, and troubleshoot EDI transactions, including:
  • 834– Eligibility / Enrollment
  • 837(P / I / D)– Healthcare Claims
  • 835– Remittance Advice
  • 270/271, 999, 277CA
• Interpret and implement payer-specific companion guides
• Manage end-to-end claims workflows:
  • Intake, validation, and submission
  • Acknowledgments (999, 277CA)
  • Remittance processing and posting (835)
  • Error handling, corrections, and resubmissions
• Build and maintain robust logging, auditing, and reconciliation processes
• Collaborate with product, operations, and external partners (health plans and transportation providers)
• Ensure HIPAA-compliantdata handling and monitoring
• Contribute to and operate within amicroservices-based architecture

Required Qualifications

• 5+ years of healthcare EDI development experience
• Strong proficiency in C# / .NET
• Hands-on production experience with EdiFabric
• Deep understanding of healthcare EDI standards and workflows:
  • X12 structure, loops, segments, and qualifiers
  • Claims lifecycle and remittance processing
• Strong troubleshooting skills for real-world EDI issues (payer rejections, inconsistencies, edge cases)
• Solid understanding ofHIPAA and secure data handling practices

Strongly Preferred / Nice to Have

• NEMT industry experience(major plus)
• Experience withMedicaid and managed care plans
• Hands-on experience with:
  • Docker
  • Docker Compose
  • Kubernetes
• Familiarity with:
  • GitHub
  • GitHub Actions(CI/CD pipelines)
• Exposure to microservices architectures
• Familiarity with Protobuf / gRPC
• Experience deploying and operating backend services in cloud environments

What We’re Looking For

We are not looking for a generic backend developer with light EDI exposure. This role requires someone who:

• Understands how healthcare claims actually flow end-to-end
• Can read and implement companion guides without hand-holding
• Has dealt with inconsistent payer behavior in production
• Is comfortable owning EDI workflows from ingestion through reconciliation

Why MediDrive

• Work on real, high-volume healthcare and Medicaid integrations
• Senior-level ownership and autonomy
• Modern, containerized architecture
• Remote-friendly environment

Opportunity to shape the EDI foundation of a growing NEMT platform