Senior EDI Support Specialist – Healthcare Payer (L2/L3)

UST; Seattle (WA); On-site; USD 72,000 - 108,000; Full time

Benefits offered by this job

Paid vacation

Sick leave

401(k) matching

Health insurance

Dental insurance

Vision insurance

HSA/FSA

Job summary

UST in Seattle seeks a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms covering Claims, Membership, Enrolment, Provider, and Payment functions.

You will monitor and troubleshoot EDI transactions, support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets environments, and perform RCA, incident resolution, and production improvements while collaborating with trading partners and vendors.

Qualifications

• 8+ years IT experience
• 5+ years Healthcare Payer & EDI experience
• 3+ years Edifecs/TriZetto HIPAA Gateway experience
• Hands-on support and optimization of EDI transaction processing (e.g., 834, 837, 835, 270/271, 276/277, 278, 820, TA1, 999, 277CA)

Responsibilities

• Provide L2/L3 support for EDI platforms used in 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 root-cause analysis, incident resolution, and transaction performance improvements.
• Support trading partner onboarding, certification, testing, and production releases.
• Collaborate with business users, vendors, and external trading partners to resolve operational issues.

Tools

Edifecs Suite

TriZetto HIPAA Gateway

BizTalk Server

Facets

SQL Server

Oracle

Unix/Linux

SFTP

Batch Processing

API Integrations

XML/XSD

JSON

HL7/FHIR

ServiceNow

MuleSoft

Boomi

Groovy

JavaScript

PowerShell

Shell Scripting

Job description

UST in Seattle seeks a Senior EDI Support Specialist with strong Healthcare Payer experience to provide L2/L3 support for enterprise EDI platforms covering Claims, Membership, Enrolment, Provider, and Payment functions.

You will monitor and troubleshoot EDI transactions, support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets environments, and perform RCA, incident resolution, and production improvements while collaborating with trading partners and vendors.