Healthcare EDI Developer (NCPDP F6 Implementation) - Fully Remote!!

Role: Professional Developer (NCPDP F6 Implementation Project)

Location: Remote – USA

Duration: 3+ months (possibility of extension)

Key Responsibilities

·        Lead and participate in the full software development lifecycle (SDLC) for the NCPDP F6 implementation, including analysis, design, coding, testing, deployment, and production support.

·        Collaborate with business analysts, system architects, quality assurance teams, and technical stakeholders to translate functional requirements into scalable technical solutions.

·        Design, develop, and maintain complex application code to ensure accurate and efficient processing of pharmacy claim transactions compliant with NCPDP F6 standards.

·        Lead modifications to existing application modules to accommodate updated NCPDP field definitions, segment structures, transaction rules, and state-specific business requirements.

·        Partner with EDI, Medicaid, and pharmacy domain experts to validate F6 transaction mappings, layouts, data transformations, and integration points with backend systems.

·        Develop and maintain detailed technical documentation, including solution designs, data mappings, interface specifications, code documentation, and system design artifacts.

·        Provide technical guidance, conduct code reviews, and support less-experienced developers in applying development standards and project best practices.

·        Lead technical support for unit testing, integration testing, user acceptance testing (UAT), defect resolution, deployment, and production stabilization activities.

Required Skills & Qualifications

·        Bachelor’s degree in Computer Science, Information Systems, or related field (or equivalent work experience).

·        5+ years of progressive software development experience, preferably within Medicaid, healthcare, or pharmacy benefit systems.

·        Strong hands-on knowledge of NCPDP standards, including D.0 and F6 transaction structures and processing requirements.

·        Advanced proficiency in one or more programming languages such as Java, C#, or COBOL, depending on the project environment.

·        Demonstrated experience with EDI processing, pharmacy claims, and Medicaid Management Information Systems (MMIS).

·        Strong experience with SQL, XML, data transformation tools, system interfaces, and troubleshooting complex data-processing issues.

·        Excellent analytical, technical design, debugging, documentation, collaboration, and communication skills.

Preferred Qualifications

Prior experience supporting Medicaid or pharmacy projects in a senior or lead development capacity.

Knowledge of HIPAA, CMS, and state Medicaid compliance standards.

Experience working within Agile or Waterfall development methodologies and leading technical deliverables through the SDLC.

Experience with mainframe environments, API-based integration frameworks, performance optimization, or modernization initiatives.