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Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem)
Why This Role Stands Out
This role offers a significant opportunity to deepen your expertise within a leading healthcare payer's critical EDI ecosystem, providing essential production support and driving system improvements. If you possess extensive experience in healthcare EDI, particularly with Edifecs or TriZetto HIPAA Gateway, you'll thrive in this impactful position. Apply today to contribute your skills to a dynamic environment and advance your career.
Quick Overview
Seniority
Mid Senior
Work mode
On Site
Location
Seattle, WA, United States
Posted
4 days ago
Root Cause Analysis
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
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