Edifecs EDI Analyst Transaction Specialist

SAIC; Texas; Hybrid; USD 80,000 - 120,000; Full time

Job summary

SAIC is seeking a Principal SW Engineer (Edifecs EDI Analyst Transaction Specialist) to own EDI workflows, validate partner requirements, and ensure accurate transaction processing. This is a 100% remote role supporting healthcare-related EDI operations.

The candidate will interpret and troubleshoot complex 270/271, 276/277, 278, 820, 834, 835, 837, and related transactions, analyze SNIP rules, document mappings, and collaborate with multiple teams to drive resolution and data quality.

Qualifications

• Bachelor’s or master’s degree in computer science, engineering, or a related technical discipline or equivalent practical experience.
• Edifecs certification.

Responsibilities

• Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
• Analyze SNIP compliance, companion guides, and partner‑specific validation rules.
• Document mapping/logical requirements for new partners and integration changes.
• Partner with business stakeholders for issue resolution and operational impact assessments.
• Support audit/compliance reviews and maintain data quality guardrails.
• Collaborate with EDI Analysts, DevSecOps Engineers, cloud teams, and business teams.

Skills

EDI/X12 knowledge

Healthcare EDI

SQL querying

Problem solving

Stakeholder communication

Education

BSc or MSc in CS/Engineering

Edifecs certification

Tools

Edifecs XEngine

SpecBuilder maps

Edifecs Transaction Management

Job description

Description

The SW Engineer Principal (Edifecs EDI Analyst Transaction Specialist) owns functional EDI workflows, partner requirements, and data validation rules. This role ensures accurate transaction processing and supports business operations. This is a 100% Remote role.

Job Description

• Interpret and troubleshoot transaction sets: 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
• Analyze SNIP compliance, companion guides, and partner‑specific validation rules.
• Document mapping/logical requirements for new partners and integration changes.
• Partner with business stakeholders for issue resolution and operational impact assessments.
• Support audit/compliance reviews and maintain data quality guardrails.
• Collaborate with EDI Analysts, DevSecOps Engineers, cloud teams, and business teams.

Qualifications

Education

• Bachelor’s or master’s degree in computer science, engineering, or a related technical disciplinerequired; equivalent practical experience considered.
• Edifecs certification.

Experience

• Minimum 8 years of Edifecs product experience in EDI, healthcare, or enterprise application operations.
• Minimum 8 years EDI/HIPAA experience.
• Strong understanding of payer/provider workflows.
• Ability to interpret loops/segments/element‑level errors.
• Familiarity with Edifecs Transaction Management or equivalent tools.
• Excellent communication and stakeholder engagement skills.

Requirements

Core Technical

• Strong Proficiency in X12 / HIPAA EDI Transactions structure, rules, and field-level details of the full 270/271, 276/277, 278, 820, 834, 835, 837, 999/277CA.
• Strong understanding of EDI X12 Loop/segment/element interpretation, SNIP validations (Levels 1–7), companion guide interpretation, and error analysis at segment or element level.
• Experience with interpreting Edifecs XEngine validation resultsm, understand processing rules and transaction profiles.
• Experience working with SpecBuilder maps and implementation guides.
• Able to identify issues sourced from Edifecs routes, profiles, or rulesets.
• Able to interpret Edifecs logs and error codes (functional layer, not platform admin level).
• Proficient with identifying root causes of transaction errors, resolving mapping mismatches, troubleshooting rejections from payers or state systems, and reviewing parsed EDI structures stored in SQL databases.
• Able to understand inbound/outbound workflow architecture
• Work with integration specialists on AS2, SFTP, HTTPS flows.
• Validate data sent to/received from non-X12 partners.
• Identify issues introduced by middleware layers or APIs.
• Query SQL for transaction details.
• Validate payloads, timestamps, statuses, and error flags.
• Reconcile mismatches between raw EDI and stored data.

Process & Soft Skills

• Strong ability to communicate technical architecture decisions and trade-offs to non-technical stakeholders.
• Experience gathering and translating business reporting requirements into technical data models.
• Comfortable driving ambiguous architecture decisions to resolution with limited direction.
• Experience with agile methodologies (Scrum, Kanban) and JIRA.
• Strong documentation habits with creating transaction flow documentation, error trend reports, escalations, and updating SOPs and partner reference guides.

Nice to Have

• Knowledge of HIPAA compliance requirements in cloud data architecture
• Experience with healthcare payer/PBM systems, clearinghouses, or pharmacy operations.
• AWS certification is a bonus.

Clearance Requirement:US Citizenship required with the ability to obtain and maintain Public Trust clearance.

Target salary range: $80,001 - $120,000. The estimate displayed represents the typical salary range for this position based on experience and other factors.