Senior EDI Developer / EDI developer

Job Description:

Senior EDI Developer (Healthcare Payer | Facets Ecosystem) Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Summary: Seeking 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, Enrolment, Provider and Payment domains. 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, Enrolment, Provider, and Payment domains. Perform EDI map optimization 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, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON Required Experience Hands-on development and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements Nice to Have HL7/FHIR MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues experience.

Expectations from this role:

Independently develops error free code with high quality validation of applications, guides other developers and assists Lead 1 - Software Engineering

1. Understand and provide input to the application/feature/component designs; developing the same in accordance with user stories/requirements.

2. Code, debug, test, document and communicate product/component/features at development stages.

3. Select appropriate technical options for development such as reusing, improving or reconfiguration of existing components.

4. Optimize efficiency, cost and quality by identifying opportunities for automation/process improvements and agile delivery models

5. Identify the problem patterns and improve the technical design of the application/system

6. Proactively identify issues/defects/flaws in module/requirement implementation

7. Assists Lead 1 - Software Engineering on Technical design. Review activities and begin demonstrating Lead 1 capabilities in making technical decisions

Typical performance measures:

1. Adherence to engineering process and standards (coding standards)

2. Adherence to schedule / timelines

3. Adhere to SLAs where applicable

4. Number of defects post delivery

5. Number of non-compliance issues

6. Reduction of reoccurrence of known defects

7. Quick turnaround of production bugs

8. Meet the defined productivity standards for project

9. Number of reusable components created

10. Completion of applicable technical/domain certifications

11. Completion of all mandatory training requirements

    Performance Areas:

Code:

Develop code independently for the above

Configure:

Implement and monitor configuration process

Test:

Create and review unit test cases, scenarios and execution

Domain relevance:

Develop features and components with good understanding of the business problem being addressed for the client

Manage Project:

Manage module level activities

Manage Defects:

Perform defect RCA and mitigation

Estimate:

Estimate time, effort, resource dependence for one's own work and others' work, including modules

Document:

Create documentation for own work as well as perform peer review of documentation of others' work

Manage knowledge:

Consume and contribute to project related documents, share point, libraries and client universities

Status Reporting:

Report status of tasks assigned

Comply with project related reporting standards/process

Release:

Execute release process

Design:

LLD for multiple components

Skill Examples:

1. Explain and communicate the design / development to the customer

2. Perform and evaluate test results against product specifications

3. Develop user interfaces, business software components and embedded software components

   5 Manage and guarantee high levels of cohesion and quality

   6 Use data models

4. Estimate effort, and resources required for developing / debugging features / components

5. Perform and evaluate test in the customer or target environment

6. Team Player

7. Good written and verbal communication abilities

8. Proactively ask for help and offer help

   Knowledge Examples:

9. Appropriate software programs / modules

10. Technical designing

11. Programming languages

12. DBMS

13. Operating Systems and software platforms

14. Integrated development environment (IDE)

15. Agile methods

16. Knowledge of customer domain and sub domain where problem is solved

    Education/Experience Requirements

    Graduate in Engineering or MCA/Equivalent with 3 years of Software Engineering experience

    Graduate in Science/Commerce or BCA/Equivalent with 4 years of Software Engineering experience