Senior EDI Developer

UST

Washington

On-site

USD 68,000 - 102,000

Full time

8 hours ago
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Benefits offered by this job

Vacation & paid time off
Medical, dental & vision insurance
401(k) with employer matching

Job summary

UST is seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, and high-volume processing across Claims, Membership, Enrolment, Provider, and Payment domains.

You will design, develop, and optimize EDI solutions, implement and support HIPAA X12 transactions, and collaborate with trading partners and Facets

Qualifications

  • 8+ years IT experience.
  • 5+ years Healthcare Payer & EDI experience.
  • 3+ years Edifecs/TriZetto HIPAA Gateway experience.
  • Hands-on development of HIPAA X12 transactions.

Responsibilities

  • Design, develop, and optimize EDI solutions using Edifecs/TriZetto HIPAA Gateway, BizTalk, or equivalent platforms.
  • Develop EDI mappings, validations, routing logic, and trading partner integrations.
  • Implement and support HIPAA X12 transactions across claims, membership, enrolment, provider, and payment domains.
  • Perform EDI map optimization and support high-volume transaction processing.
  • Support trading partner onboarding, testing, certification, and deployments.
  • Collaborate with Facets and business teams to deliver EDI enhancements and integrations.

Skills

EDI
FACETS
BizTalk
FHIR

Job description

The Role

UST is searching for a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands‑on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high‑volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains.

Role Description
Senior EDI Developer
The Role

UST is searching for a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands‑on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high‑volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains.

What You’ll Do
  • Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms
  • Develop EDI mappings, validations, routing logic, and trading partner integrations
  • Implement and support HIPAA X12 transactions across Claims, Membership, Enrolment, Provider, and Payment domains
  • Perform EDI map optimization and support high‑volume transaction processing
  • Support trading partner onboarding, testing, certification, and production deployments
  • Collaborate with Facets and business teams to deliver EDI enhancements and integrations

This position description identifies the responsibilities and tasks typically associated with the performance of the position. Other relevant essential functions may be required.

What You Need
  • Experience
  • 8+ Years IT
  • 5+ Years Healthcare Payer & EDI
  • 3+ Years Edifecs/TriZetto HIPAA Gateway
  • Required Skills:
  • Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance)
  • TriZetto HIPAA Gateway
  • BizTalk Server
  • Facets
  • SQL Server/Oracle
  • Unix/Linux
  • SFTP, Batch Processing, API Integrations
  • XML/XSD, JSON
  • Required Experience:
  • Hands‑on development and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements
  • Nice to Have:
  • HL7/FHIR
  • MuleSoft, Boomi
  • Groovy, JavaScript, PowerShell, Shell Scripting
  • Blues experience
Location & Compensation

Compensation can differ depending on factors including but not limited to the specific office location, role, skill set, education, and level of experience. UST provides a reasonable range of compensation for roles that may be hired in various U.S. markets as set forth below.

Role Location: Washington

Compensation Range: $68,000-$102,000

Who We Are

Since 1999, UST has worked side by side with the world’s best companies to make a powerful impact through transformation. Headquartered in the United States, UST is powered by technology, driven by AI, inspired by people, and led by our purpose, we partner with our clients from design to operation. Our AI‑driven digital solutions, proprietary platforms, engineering, R&D, products, and innovation ecosystem turn core challenges into impactful, disruptive business outcomes. With deep industry knowledge and a future‑ready mindset, we infuse expertise, innovation, and agility into our clients’ organizations—delivering measurable value and positive lasting change for them, their customers, and communities around the world. Together, with 30,000+ employees in 30+ countries, we build for boundless impact—touching billions of lives in the process. Visit us at .

Benefits
  • Full‑time, regular employees accrue a minimum of 10 days of paid vacation per year, receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year), 10 paid holidays, and are eligible for paid bereavement leave and jury duty. They are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance, as well as the following Company‑paid Employee Only benefits: basic life insurance, accidental death and disability insurance, and short‑ and long‑term disability benefits. Regular employees may purchase additional voluntary short‑term disability benefits, and participate in a Health Savings Account (HSA) as well as a Flexible Spending Account (FSA) for healthcare, dependent child care, and/or commuting expenses as allowable under IRS guidelines. Benefits offerings vary in Puerto Rico.
  • Part‑time employees receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) Retirement Plan with employer matching.
  • Full‑time temporary employees receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year) and are eligible to participate in the Company’s 401(k) program with employer matching. They and their dependents residing in the US are eligible for medical, dental, and vision insurance.
  • Part‑time temporary employees receive 6 days of paid sick leave each year (pro‑rated for new hires throughout the year).
  • All US employees who work in a state or locality with more generous paid sick leave benefits than specified here will receive the benefit of those sick leave laws.
As part of our recruitment process, UST may use AI or automated tools to support activities such as application screening, scheduling, or interview assistance. All hiring decisions are made by our recruitment team. Where applicable law requires it, further notice will be provided separately.
Equal Employment Opportunity Statement

UST is an Equal Opportunity Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other applicable characteristics protected by law. We will consider qualified applicants with arrest or conviction records in accordance with state and local laws and “fair chance” ordinances.

UST reserves the right to periodically redefine your roles and responsibilities based on the requirements of the organization and/or your performance.

#UST

#CB

Skills

EDI, FACETS, BizTalk, FHIR

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