Senior EDI Developer - Healthcare Payer | Facets Ecosystem

Envision Technology Solutions; Seattle (WA); On-site; USD 96,000 - 152,000; Part time

Job summary

Envision Technology Solutions in Seattle, WA is seeking a Senior EDI Developer with extensive Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on work with Edifecs/TriZetto HIPAA Gateway, EDI mappings, trading partner integrations, and high-volume processing across multiple domains.

The ideal candidate has 8+ years IT with 5+ years in Healthcare Payer & EDI and 3+ years in Edifecs/TriZetto HIPAA Gateway.

Qualifications

• Hands-on design, development, and optimization of HIPAA X12 EDI integrations.
• Experience with Edifecs/TriZetto HIPAA Gateway and related tooling.
• Proficient in EDI mapping, trading partner integrations, and high-volume processing.

Responsibilities

• Design, develop, and optimize EDI solutions across Claims, Membership, Enrolment, Provider and Payment domains.
• Implement EDI maps, validations, routing logic, and partner onboarding.
• Support HIPAA X12 transactions and production deployments.
• Collaborate with Facets and business teams to deliver EDI enhancements.

Skills

Edifecs Suite

TriZetto HIPAA Gateway

BizTalk Server

Facets

SQL Server

Oracle

Unix/Linux

SFTP

Batch Processing

API Integrations

XML/XSD

JSON

Tools

Edifecs Suite

TriZetto HIPAA Gateway

BizTalk Server

Facets

SQL Server

Oracle

Unix/Linux

SFTP

Batch Processing

API Integrations

XML/XSD

JSON

Job description

Tittle: Senior EDI Developer - Healthcare Payer | Facets Ecosystem

Location: Seattle, WA (Onsite)

Job Type: 12+ Months Contract

Job Description

• 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, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains.

Experience

• 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway

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 production deployments.
• Collaborate with Facets and business teams to deliver EDI enhancements and integrations.

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