Senior EDI Developer — Facets Claims Expert

BrickRed Systems LLC; Seattle (WA); On-site; USD 120,000 - 180,000; Full time

Job summary

BrickRed Systems in Seattle provides an exciting Senior EDI Developer role focusing on healthcare payer integrations with Facets Claims. You will design, develop, test, and support high‑volume EDI workflows across Claims, Enrollment, Provider and Payment, leveraging Edifecs and TriZetto HIPAA Gateway.

The role emphasizes EDI mapping, transaction validation, partner onboarding, batch processing, SFTP, and UNIX scripting, with HIPAA compliance and production support at its core.

Qualifications

• 5+ years in healthcare payer domains and EDI development.
• Hands-on experience with Edifecs Suite (XEngine, SpecBuilder, TPM, Validation).
• 3+ years with TriZetto HIPAA Gateway and Facets Claims exposure.
• Strong knowledge of HIPAA X12, mapping, validation, and troubleshooting.
• Experience with trading partner integrations, SQL/Oracle, and batch processing.
• Unix/Linux command-line proficiency, SFTP, and API integrations.
• Ability to create design docs, test cases, and implementation guides.
• Excellent analytical, troubleshooting, and communication skills.

Responsibilities

• Design, develop, enhance, and maintain healthcare EDI solutions.
• Develop, configure, and optimize EDI maps, validation rules, and workflows.
• Implement HIPAA X12 transactions across Claims, Enrollment, Provider, and Payment.
• Work with Facets Claims integrations and downstream interfaces.
• Develop and maintain trading partner integrations from onboarding to production.
• Implement EDI validation, error handling, and reconciliation processes.
• Support high volumes and optimize performance and reliability.
• Troubleshoot production issues and perform root cause analysis.
• Use SQL Server or Oracle to validate data and support reconciliation.
• Create batch processes, SFTP integrations, and Unix/Linux scripts.
• Support API-based data exchange and collaboration with Facets teams.

Skills

Healthcare payer domain

EDI development

Edifecs suite

TriZetto HIPAA Gateway

Facets Claims

HIPAA X12 transactions

Trading partner integrations

EDI mapping and validation

SQL/Oracle

Unix/Linux

SFTP and batch processing

API integrations

Technical documentation

Troubleshooting

Tools

Edifecs

TriZetto HIPAA Gateway

BizTalk Server

HL7/FHIR

MuleSoft or Boomi

Job description

BrickRed Systems in Seattle provides an exciting Senior EDI Developer role focusing on healthcare payer integrations with Facets Claims. You will design, develop, test, and support high‑volume EDI workflows across Claims, Enrollment, Provider and Payment, leveraging Edifecs and TriZetto HIPAA Gateway.

The role emphasizes EDI mapping, transaction validation, partner onboarding, batch processing, SFTP, and UNIX scripting, with HIPAA compliance and production support at its core.