Senior EDI Software Developer

Job: Senior EDI Software Developer

Location: Indianapolis, Indiana Hybrid: 3 days/week onsite 37.5hr/week Project Start: ASAP Project Duration: 3-6months with potential extension

Must Have: - BS Degree Computer Science (at least) - 5+ years of experience understanding EDI file formats (835, 837, 210)
- Knowledge of HIPAA regulations

Job Description

We are looking for a Senior EDI Software Developer to support and enhance claims processing and EDI transactions for IDOH s ACAPS system. This position will be On-site, and on a 3-6 month contract basis. With employees expected to work in office 5 days per week.

What You ll Do

• Review and update all documentation related to claims processing and EDI transactions

• Identify undocumented claims processing and EDI processes, and document them

• Act as a subject matter expert (SME) for the development team during the rewrite of IDOH s ACAPS system in .Net

• Act as liaison between the OTC team and the Children s program area for claims processing issues

• Collaborate with technical and functional staff on detailed business requirements, aligning business processes and technology with project goals, agency standards, federal, and state policies

• Write technical specifications based on conceptual design and stated business requirements

• Test new and existing systems for functionality and accuracy

• Ensure accurate and appropriate file exchanges with external trading partners and resolve EDI data transmission conflicts

• Provide helpdesk-level support for EDI claim transactions, including onboarding new healthcare providers and clearinghouses

• Work independently with minimal guidance and collaborate with ISDH external partners as needed

What You'll Need

Required:

• Bachelor s Degree in Computer Science or related fields with IT experience

• Database knowledge

• 5+ years of experience understanding EDI file formats (835, 837, 210)

• Knowledge of HIPAA regulations

• Ability to solve complex troubleshooting issues

• Excellent verbal and written communication skills

Preferred:

• Health industry experience

• Knowledge of IBM Websphere (WTX)

• Database/SQL experience