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Senior EDI Developer (Healthcare Payer - Facets Ecosystem)

Info Dinamica IncSeattle, WA🇺🇸United StatesPosted Oct 15, 2026

Why This Role Stands Out

This on-site role offers a fantastic opportunity to leverage your extensive EDI and Facets expertise within a reputable healthcare payer environment, contributing to critical system integrations. You'll thrive here if you have a strong background in HIPAA X12 transactions and Edifecs/TriZetto HIPAA Gateway, making a significant impact on high-volume data processing. Don't miss out on this chance to enhance your career by applying today!

Quick Overview

Seniority
Mid Senior
Work mode
On Site
Location
Seattle, WA, United States
Posted
4 days ago
OracleSQLSQL ServerShellGroovyHIPAAJavaScriptPowerShell

Job Description

Role: Senior EDI Developer: 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
  • Need candidates with Facets - Claims experience
Role Overview:
  • We are looking for a Senior EDI Developer with strong healthcare payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem.
  • The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrollment, Provider, and Payment domains.
Key Responsibilities:
  • Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms.
  • Develop EDI mappings, validations, routing logic, and trading partner integrations.
  • Implement and support HIPAA X12 transactions across Claims, Membership, Enrollment, Provider, and Payment domains.
  • Optimize EDI maps and support high-volume transaction processing.
  • Support trading partner onboarding, testing, certification, and production deployments.
  • Collaborate with Facets and business teams to deliver EDI enhancements and integrations.
Required Skills:
  • Edifecs Suite: XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance
  • 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 development 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
Nice to Have:
  • HL7 / FHIR
  • MuleSoft or Boomi
  • Groovy, JavaScript, PowerShell, or shell scripting
  • Blues plan experience

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