Info Dinamica Inc
Info Dinamica Inc

Senior EDI Developer (Healthcare Payer - Facets Ecosystem)

Seattle, WA, US • Posted 2 hours ago • Updated 36 minutes ago
Contract W2
Contract Independent
Contract Corp To Corp
On-site
Fitment

Dice Job Match Score™

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Job Details

Skills

  • EDI
  • claims
  • FACETS
  • billing
  • Healthcare payer
  • Edifecs
  • TriZetto HIPAA Gateway
  • BizTalk Server

Summary

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
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
  • Dice Id: 91091604
  • Position Id: 2026-4945
  • Posted 2 hours ago
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