Remote Edifecs EDI Developer for HIPAA Transactions

Tucker-Reeves Associates, LLC; United States; On-site; USD 120,000 - 150,000; Full time

Job summary

Tucker-Rose Associates is seeking an Edifecs Developer to support a Program with the US Department of Veterans Affairs. We are partnered with Booz Allen and will allow remote work. All work must be performed in the United States.

MUST HAVE EXPERIENCE WITH EDIFECS PLATFORM. Design, develop, and maintain Edifecs based EDI solutions supporting healthcare transactions in payer, provider, and clearinghouse environments.

Qualifications

• Bachelor's degree in computer science, electronics engineering or other engineering or technical discipline required, or 8 years of additional relevant experience may be substituted for education
• 5 years' experience with EDI X12 healthcare transactions (837, 835, 277CA, 278, 270/271)
• Hands-on experience with EDIFECS, including: Spec Builder, Transaction Manager (TM), XEServer, xes-manager
• Experience building profiles, routes, and trading partner relationships
• Experience connecting to endpoints such as HTTP/S, SFTP, file systems, and databases
• Functional knowledge of healthcare transactions and workflows
• Experience with scripting (Groovy, Java, or similar)
• Experience working in Agile environments (Jira, etc.)
• Experience with automated testing tools
• Ability to obtain and maintain a Public Trust or Suitability/Fitness determination based on client requirements

Responsibilities

• Design, develop, and maintain Edifecs based EDI solutions supporting healthcare transactions in payer, provider, and clearinghouse environments.
• Build EDI mappings, transactions, and workflows using Edifecs tools and frameworks.
• Develop, configure, and support HIPAA compliant X12 EDI transactions, ensuring accuracy, reliability, and regulatory adherence.
• Work hands on with Edifecs implementations, including configuration, customization, deployment, and ongoing support.
• Perform EDI mapping development and enhancements, ensuring correct transformation between internal systems and external trading partners.
• Support multiple healthcare EDI transaction types (e.g., claims, eligibility, remittance, enrollment, acknowledgements).
• Ensure strict compliance with HIPAA, healthcare regulatory standards, and data privacy requirements.
• Participate in testing activities, including unit testing, integration testing, regression testing, and UAT support.
• Support EDI migrations, upgrades, trading partner onboarding, and platform transitions.
• Analyze EDI errors, transaction rejections, and data issues; perform root cause analysis
• Collaborate with business analysts, healthcare SMEs, and integration teams to understand transaction requirements.
• Maintain documentation for mappings, transaction flows, and integration specifications.
• Work in an Agile delivery model, executing assigned stories and integration tasks.

Skills

EDI

Healthcare domain knowledge

Scripting (Groovy/Java)

Agile / Jira

Analytical thinking

Education

Bachelor's Degree in Computer Science or related field

Tools

Edifecs Platform

Spec Builder

Transaction Manager (TM)

XEServer

xes-manager

Job description

Tucker-Rose Associates is seeking an Edifecs Developer to support a Program with the US Department of Veterans Affairs. We are partnered with Booz Allen and will allow remote work. All work must be performed in the United States.

MUST HAVE EXPERIENCE WITH EDIFECS PLATFORM. Design, develop, and maintain Edifecs based EDI solutions supporting healthcare transactions in payer, provider, and clearinghouse environments.