Senior Edifecs EDI Lead — Remote

Triveni IT; United States; Teletrabalho; USD 140 000 - 190 000; Tempo integral

Resumo da oferta

Triveni IT seeks an experienced Lead Edifecs Analyst to direct healthcare EDI integration initiatives on a large-scale health plan core administration platform. The role requires deep Edifecs expertise, HIPAA X12 proficiency, and strong collaboration with payer systems.

You will lead end-to-end Edifecs implementations, act as the primary technical liaison, and drive design, configuration, and validation of maps and workflows across onshore and offshore teams.

Qualificações

• Bachelor's degree in Computer Science, Engineering, or a related discipline.
• 12–15 years of experience in healthcare EDI, integration engineering, or related healthcare technology environments.
• Extensive, current, hands-on experience with the Edifecs product suite, including SpecBuilder, XEngine, EDI Gateway, and Encounter Management.
• Strong hands-on J2EE development and customization experience.
• Practical experience with MongoDB, PostgreSQL, and Oracle databases.
• Deep knowledge of HIPAA X12 transactions: 270/271, 834, 835/837, 275, and 276/277.
• Direct experience working with health plans, healthcare payers, or payer core administration platforms such as Facets, QNXT, or HealthRules.
• Demonstrated experience leading end-to-end Edifecs implementations in a payer environment.
• Proven client-facing leadership, requirements analysis, solution design, and offshore team management experience.
• Strong knowledge of HIPAA compliance, CAQH CORE operating rules, and healthcare EDI standards.
• Practical experience using AI coding assistants for development, mapping, testing, or documentation, with the ability to validate AI-generated outputs for technical accuracy and regulatory compliance.
• Excellent communication, stakeholder management, and technical presentation skills.

Responsabilidades

• Lead end-to-end Edifecs implementations from requirements through go-live.
• Serve as the primary technical liaison for client stakeholders.
• Design, configure, review, and validate Edifecs maps, transformations, and workflows.
• Lead implementation and processing of HIPAA X12 transactions (270/271, 834, 835, 837, 275, 276/277).
• Customize and extend integration components using J2EE and related technologies.
• Work with MongoDB, PostgreSQL, and Oracle databases.
• Integrate Edifecs with payer core platforms such as Facets, QNXT, HealthRules.
• Ensure compliance with HIPAA requirements and CAQH CORE rules.
• Lead and coordinate onshore/offshore teams; maintain quality and standards.
• Troubleshoot complex EDI processing issues and production incidents.
• Utilize AI-assisted tools while validating all outputs.

Conhecimentos

Edifecs

J2EE

HIPAA X12

Client leadership

Stakeholder management

AI-assisted development

Formação académica

Bachelor's degree in CS/Engineering

Ferramentas

SpecBuilder

XEngine

EDI Gateway

Encounter Management

MongoDB

PostgreSQL

Oracle

Descrição da oferta de emprego

Triveni IT seeks an experienced Lead Edifecs Analyst to direct healthcare EDI integration initiatives on a large-scale health plan core administration platform. The role requires deep Edifecs expertise, HIPAA X12 proficiency, and strong collaboration with payer systems.

You will lead end-to-end Edifecs implementations, act as the primary technical liaison, and drive design, configuration, and validation of maps and workflows across onshore and offshore teams.