Senior EDI Support Specialist

UST; Washington; On-site; USD 72,000 - 108,000; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with employer matching

Paid time off

Job summary

UST is seeking a Senior EDI Support Specialist to provide L2/L3 support for enterprise EDI platforms across Claims, Membership, Enrolment, and Payment functions. The role requires expertise in HIPAA X12, production monitoring, incident resolution, and trading partner management within Edifecs/TriZetto HIPAA Gateway environments.

Location: Washington. Compensation ranges from $72,000 to $108,000, with full-time benefits including insurance, retirement plans, and time off.

Qualifications

• Hands-on support, troubleshooting, and optimization of EDI transactions (834, 837, 835, 270/271, 276/277, 278, 820 TA1, 999, 277CA).
• Experience with Edifecs/TriZetto HIPAA Gateway environments is preferred.
• Strong knowledge of HIPAA X12 messaging and healthcare payer operations.

Responsibilities

• Provide L2/L3 support for EDI platforms across Claims, Membership, Enrolment, Billing, Provider, and Payment.
• Monitor and resolve EDI failures, rejects, and file transmissions; support associated integrations.
• Perform root-cause analysis, incident resolution, and performance improvements.
• Assist with trading partner onboarding, certification, testing, and production releases.
• Collaborate with business users, vendors, and partners to resolve operational issues.

Skills

L2/L3 support

Production monitoring

Incident resolution

Trading partner management

HIPAA X12 knowledge

Tools

Edifecs Suite

TriZetto HIPAA Gateway

BizTalk Server

Facets

SQL Server/Oracle

Unix/Linux

SFTP

Batch Processing

API Integrations

XML/XSD

JSON

Job description

The Role

UST is searching for a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, 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.

Role Description

Senior EDI Support Specialist

UST is searching for a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms supporting Claims, Membership, Enrolment, 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.

What You’ll Do

• Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrolment, Billing, Provider, and Payment functions.
• Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation, and file transmission issues. Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments.
• Perform RCA, incident resolution, and transaction performance improvements.
• Support trading partner onboarding, certification, testing, and production releases.
• Work with business users, vendors, and external trading partners to resolve operational issues.

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

• Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON
• Required Experience
• Hands-on support, troubleshooting, 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 ServiceNow MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues and large-scale Facets payer environments
• Preferred: Strong healthcare payer domain knowledge with proven experience supporting large-scale EDI operations, trading partner management, and Facets-integrated ecosystems.

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

$72,000-$108,000

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.

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

FACETS, BizTalk, Linux, FHIR