Edifecs Developer

CitiusTech Inc; United States; On-site; USD 90,000 - 150,000; Full time

Job summary

CitiusTech is seeking an Edifecs Developer to design, build, and support EDI solutions for US healthcare claims processing. You will work with HIPAA X12 837 transactions using Edifecs XEngine, Specbuilder, and Transaction Management to validate, transform, and route data between clearinghouses and internal systems.

The role requires hands-on Edifecs experience, knowledge of payer workflows, and proficiency in SQL and XML/XSD/XSLT.

Qualifications

• Hands-on experience with Edifecs Smart Trading Platform.
• Strong understanding of US healthcare claims workflows (837, 999/TA1, 835, 276/277).
• Proficiency in SQL and XML/XSD/XSLT for data analysis and transformations.

Responsibilities

• Design, develop, and maintain EDI solutions using Edifecs for inbound and outbound 837P/837I/837D.
• Create and maintain trading partner profiles and companion guides.
• Translate 5010 guidelines into technical designs.
• Support validation, transformation, and routing between partners and internal systems.

Skills

Strong analytical skills

Problem solving

Team collaboration

Education

Engineering Degree – BE/ME/BTech/MTech/BSc/MSc

Tools

Edifecs Smart Trading Platform (XEngine, Specbuilder, Transaction Management)

SQL (Oracle / SQL Server / PostgreSQL)

XML/XSD, XSLT

Flat-file / delimited formats

Job description

At CitiusTech, we constantly strive to solve the industry's greatest challenges

with technology, creativity, and agility. With over 8,500 healthcare technology professionals worldwide, CitiusTech powers healthcare digital innovation, business transformation, and industry-wide convergence for over 140 organizations through next-generation technologies, solutions, and products. We aim to accelerate the transition to a human-first, sustainable, and digital healthcare ecosystem with the world's leading Healthcare and life sciences organizations and our partners.

Here is an opportunity for you to make a difference and collaborate with global leaders to shape the future of healthcare and positively impact human lives.

Our vision

To inspire new possibilities for the health ecosystem with technology and human ingenuity.

What is in it for you?

As an Edifecs Developer you will design, build, and support EDI solutions for US healthcare claims processing. You will work mainly with HIPAA X12 837 (Professional, Institutional, and Dental) transactions, using the Edifecs platform to implement validation, transformation, and routing between clearinghouses, web applications and internal claims systems.

Responsibilities

• Design, develop, and maintain EDI solutions using Edifecs (XEngine, Specbuilder, Transaction Management, or equivalent) for inbound and outbound 837P, 837I, and 837D transactions.
• Build and configure HIPAA X12 validation rules, including SNIP levels 1-7, and implement custom payer‑specific business rules.
• Develop maps and transformations between X12 and internal formats (XML, JSON, flat files, database structures).
• Create and maintain trading partner profiles, companion guides, and partner‑specific configurations.
• Analyze 837 implementation guides (5010) and translate requirements into technical designs.
• Process and reconcile related transactions such as 999/TA1 acknowledgments, 277CA claim acknowledgments, 835 remittances, and 276/277 claim status.

Educational Qualifications

• Engineering Degree – BE/ME/BTech/MTech/BSc/MSc.

• Technical certification in multiple technologies is desirable.

Mandatory skills

• Hands‑on experience with Edifecs Smart Trading Platform (XEngine, Specbuilder, Transaction Management)
• Strong understanding of US healthcare claims workflows (submission, adjudication, rejections/denials, remittance) and terminology such as payer, provider, clearinghouse, ICD-10, CPT/HCPCS, and NPI.
• Proficiency in SQL (Oracle, SQL Server, or PostgreSQL) for data analysis and troubleshooting.
• Experience with XML/XSD, XSLT, and flat‑file and delimited‑file formats.
• Strong analytical, debugging, and problem‑solving skills.

Good to have

• Edifecs certification, HIPAA/EDI certification (e.g., X12 or AHIMA/HIMSS‑related), or relevant healthcare IT training.

Life at CitiusTech

We focus on building highly motivated engineering teams and thought leaders with an entrepreneurial mindset, centered on our core values of Passion, Respect, Openness, Unity, and Depth (PROUD) of knowledge. Our success lies in creating a fun, transparent, non-hierarchical, diverse work culture that focuses on continuous learning and work‑life balance.

Rated by our employees as the ‘Great Place to Work for’ according to the Great Place to Work survey.

• We offer you a comprehensive set of benefits to ensure that you have a long and rewarding career with us.

Our EVP

Be You Be Awesome is our EVP and it reflects our continuing efforts to create CitiusTech as a great place to work where our employees can thrive, both personally and professionally. It encompasses the unique benefits and opportunities we offer to support your growth, well‑being, and success throughout your journey with us and beyond. Together with our clients, we are solving some of the greatest healthcare challenges and positively impacting human lives. Welcome to the world of Faster Growth, Higher Learning, and Stronger Impact.