Senior EDI Developer at IN

Position: Senior EDI Developer

Job Description: Seeking an EDI expert to maintain and advance health insurance claims processing systems (ACAPS). The role involves supporting claims lifecycle from intake to adjudication and partner exchanges, collaborating with PMs, developers, and business analysts, and serving as a SME for .NET based system rewrites. You'll ensure accurate EDI transactions, troubleshoot data flows, and provide support to providers and clearinghouses.

Key Responsibilities:

• Review and document EDI claims processing and transactions; identify gaps and document improvements
• Serve as SME for ACAPS system modernization in .NET
• Ensure reliable file exchanges with external partners; resolve EDI transmission conflicts
• Test and validate new/existing systems; write technical specs from business requirements
• Provide helpdesk support for EDI claim transactions and provider onboarding

Top Skills and Requirements:

• EDI formats: 835, 837, 210 (5+ years)
• Database/SQL experience (5+ years)
• Understanding of HIPAA regulations
• Strong troubleshooting and problem-solving abilities
• Excellent verbal and written communication
• Health industry experience and IBM WebSphere (WTX) knowledge are highly desirable

To Apply: Please send your resume to with the exact subject line: "Resume Submission"

Note: Local candidates preferred. Onsite requirement: 3 days/week in Indianapolis; 2 days remote. If you're ready to impact health information exchange programs, apply now.