Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem)

Saransh Inc; Seattle (WA); On-site; USD 83,000 - 124,000; Full time

Job summary

Saransh Inc is seeking a Senior EDI Support Specialist to provide L2/L3 support for enterprise EDI platforms in a healthcare payer environment. The role focuses on HIPAA X12 transactions, production monitoring, incident resolution, and partner management.

Role requires 8+ years in IT, 5+ years in healthcare payer/EDI, and 3+ years with Edifecs or TriZetto HIPAA Gateway. Onsite in Seattle, WA with contract engagement from Day 1.

Qualifications

• 8+ years in IT with 5+ years in healthcare payer and EDI.
• 3+ years with Edifecs or TriZetto HIPAA Gateway exposure.
• Experience supporting HIPAA X12 transactions.
• Hands-on production support and incident resolution.

Responsibilities

• Provide L2/L3 support for EDI platforms across Claims, Membership, Enrollment, Billing, Provider, and Payment.
• Monitor, troubleshoot, and resolve EDI transaction failures and file transmissions.
• Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments.
• Perform root cause analysis and incident resolution.
• Assist trading partner onboarding, testing, and production releases.

Skills

L2/L3 support

Production monitoring

Incident resolution

Trading partner management

Root cause analysis

EDI transactions knowledge

Tools

Edifecs Suite

TriZetto HIPAA Gateway

BizTalk Server

Facets

SQL Server

Oracle

Unix/Linux

SFTP

XML/XSD

JSON

Job description

Role: Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem)

Location: Seattle, WA (Onsite from Day 1)

Job Type: Contract

Experience

8+ years in IT, 5+ years in healthcare payer and EDI, 3+ years with Edifecs or TriZetto HIPAA Gateway

Role Overview

We are looking for a Senior EDI Support Specialist with strong healthcare payer experience to provide L2/L3 support for enterprise EDI platforms serving Claims, Membership, Enrollment, Provider, and Payment functions. The role requires expertise in HIPAA X12 transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments.

Key Responsibilities

• Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrollment, Billing, Provider, and Payment functions.
• Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation issues, and file transmission problems.
• Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments.
• Perform root cause analysis, incident resolution, and transaction performance improvements.
• Support trading partner onboarding, certification, testing, and production releases.

Required Skills

• Edifecs Suite, TriZetto HIPAA Gateway, and BizTalk Server
• Facets
• SQL Server / Oracle
• Unix/Linux
• SFTP, batch processing, and API integrations
• XML/XSD and JSON

Required Experience

Hands-on support, troubleshooting, and optimization of the following transactions:

• 834 (Enrollment)
• 837 (Professional, Institutional, Dental)
• 835 (Remittance)
• 270/271 (Eligibility)
• 276/277 (Claim Status)
• 278 (Authorization)
• 820 (Premium Payment)
• TA1, 999, and 277CA acknowledgements