Edifecs EDI Engineer - HIPAA Transactions & XEngine

Tegria Company; United States; Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Health and dental plans

Vision benefits

Retirement savings plans

Pre-tax savings (HSA/FSA)

Remote work opportunities

Generous paid time off

Job summary

Tegria is looking for an Edifecs developer to design, implement, and maintain healthcare EDI interfaces and HIPAA transaction processing. You will configure Edifecs modules, translate business requirements into scalable technical solutions, and support testing and documentation.

Ideal candidates have 3+ years of Edifecs experience in a payer environment, strong knowledge of XEngine, SpecBuilder, and STPM, and a solid grasp of HIPAA transactions.

Qualifications

• Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or related field.
• 3+ years of Edifecs development experience in a healthcare payer environment.
• Strong experience with Edifecs XEngine, SpecBuilder, Translator, and STPM.
• Knowledge of HIPAA EDI transactions (834, 835, 837, 270/271, 276/277, 278).
• Experience with XML, X12 EDI, SQL, Java, and Web Services.
• Familiarity with healthcare claims, enrollment, provider, and eligibility processes.
• Experience troubleshooting production support issues and implementing fixes.
• Strong analytical, problem-solving, and communication skills.

Responsibilities

• Design, develop, configure, and maintain Edifecs applications and healthcare EDI interfaces.
• Develop and support HIPAA transaction processing including 834, 835, 837, 270/271, 276/277, and 278 transactions.
• Configure and maintain Edifecs modules such as XEngine, SpecBuilder, Transaction Management, and STPM.
• Analyze business requirements and translate them into technical solutions.
• Create mapping specifications and validation rules for inbound and outbound healthcare transactions.
• Troubleshoot production issues, perform root cause analysis, and resolve data integration problems.
• Collaborate with business analysts, product owners, vendors, and operations teams to improve EDI workflows.
• Support testing activities including unit, integration, regression, and user acceptance testing.
• Ensure compliance with HIPAA regulations and healthcare industry standards.
• Develop technical documentation, design documents, and support procedures.

Skills

Edifecs development

HIPAA EDI transactions

Healthcare payer domain

Analytical thinking

Communication skills

Education

Bachelor's degree in Computer Science or related field

Tools

Edifecs XEngine

SpecBuilder

Translator

STPM

Transaction Management

X12 EDI

HIPAA Transactions

XML/XSLT

SQL

Java

REST/SOAP APIs

Job description

Tegria is looking for an Edifecs developer to design, implement, and maintain healthcare EDI interfaces and HIPAA transaction processing. You will configure Edifecs modules, translate business requirements into scalable technical solutions, and support testing and documentation.

Ideal candidates have 3+ years of Edifecs experience in a payer environment, strong knowledge of XEngine, SpecBuilder, and STPM, and a solid grasp of HIPAA transactions.