Senior EDI Edifecs systems Analyst with Healthcare domain

About Infinite:

Infinite is a global leader in digital engineering and IT services, with over 20 years of experience driving digital transformation. We partner with leading Fortune 1000 companies to deliver innovative, scalable technology solutions that accelerate business outcomes.

With deep expertise in telecommunications, healthcare, banking, and finance, Infinite helps organizations optimize and modernize their technology landscapes to achieve long-term growth and efficiency.

Required Technical Expertise

• Extensive hands-on experience with Healthcare EDI (X12N) standards, including deep understanding of transaction structures, segment loops, code sets, and compliance rules that govern HIPAA-mandated EDI exchanges.
• Indepth knowledge of HIPAA/EDI X12 5010 transactions, including but not limited to:
  270/271, 276/277, 277CA, 820, 834, 835, 837 (I/P/D), and 999.
• Proven ability to interpret, validate, and troubleshoot EDI files end-to-end including envelope structures, ISA/GS segments, ST/SE loops, and companion guide variations.
• Expert-level understanding of EDI concepts, practices, and workflows within the healthcare ecosystem (enrollment, eligibility, claims, remittance, prior authorization, premium billing, etc.).
• Hands-on troubleshooting experience with EDI file processing flows, including identifying translation errors, mapping issues, partner-specific formatting discrepancies, and system integration failures.
• Experience with the Edifecs platform, including:
• SpecBuilder (creating and maintaining implementation guides)
• Edifecs Mapper (map development and debugging)
• XEngine / XEServer (validation, translation, and processing rules)
• TPM (trading partner configuration)
• Ability to debug processing logs, analyze error codes, and tune validation rules.
• Proficiency in SQL for data validation, root-cause analysis, and troubleshooting upstream/downstream system issues.
• Exposure with QNXT preferred, including understanding of core modules such as claims, enrollment, provider, and benefits configuration.
• Familiarity with integration patterns such as SFTP, API-based data exchange, batch processing, and ETL workflows.