Lead Healthcare EDI Analyst

#Hiring🚨Hi Everyone!!!!!I have #contractjobs opportunities for the below mentioned roles.Please share profiles at / -402

Tittle: Lead Healthcare EDI Analyst

Duration: 12-month contract-to-hire

Location: REMOTE

Exp : 15+Visa: and

Required QualificationsBachelors degree in Computer Science, Engineering, or a related field12–15 years of experience in healthcare EDI/integration engineering, with deep, hands-on expertise in the Edifecs product suite (e.g., SpecBuilder, XEngine, Transaction/EDI Gateway, Encounter Management)Strong, hands-on expertise in J2EE for customizing and extending Edifecs and related integration componentsStrong, hands-on experience with MongoDB, PostgreSQL, and Oracle databases supporting EDI/integration platformsDeep working knowledge of core HIPAA X12 EDI transactions: 270/271 (eligibility), 834 (enrollment), 835/837 (remittance advice/claims), 275 (claim attachment), and 276/277 (claim status inquiry/response)Direct experience working for or with a health plan/payer organization on core administration systems (e.g., Facets, QNXT, HealthRules)Proven experience leading Edifecs implementations end-to-end, from requirements through go-live, in a health plan/payer core administration environmentExperience directly managing client relationships and leading distributed onshore/offshore technical teamsStrong understanding of healthcare compliance and regulatory requirements affecting EDI transactions (HIPAA, CAQH CORE operating rules)Excellent verbal and written communication skills, including experience presenting to client executives and compliance stakeholdersAI Knowledge amp; AI-Assisted Development (Required)Practical, daily use of AI coding/assistant tools to accelerate Edifecs map/transformation development, J2EE customization, and technical documentationAble to critically review and validate AI-generated maps, code, and configurations for correctness and regulatory compliance before deploymentAble to define and enforce standards for responsible AI tool usage across the team, including strict prohibitions on entering PHI, member data, or other sensitive information into prompts or external AI toolsAble to identify opportunities where AI-driven automation can improve EDI mapping, testing, or documentation efficiency, and lead adoption across onshore/offshore teamsComfortable evaluating and championing AI-assisted approaches as part of broader platform modernization initiativesPreferred QualificationsCAQH CORE certification or hands-on operating-rule compliance experienceExperience integrating Edifecs with mainframe or cloud-based core administration platformsRelevant certifications: Edifecs product certifications, Oracle or PostgreSQL DBA certifications