EDI Jobs in Dallas, TX

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Technical Business Analyst (Claims/HRP)- W2

PamTen Inc

Remote

Contract

Project Description: This position is responsible for understanding stakeholder needs and business issues to be addressed in the Enrollment Applications. Collaborate with the Product owner to assess configuration, EDI Eligibility transactions data mapping, Open Enrollment process, Exchange (Affordable Care Act) processes. Understand Eligibility and Premium billing functions. Assess requirements associated with new input and output Eligibility feeds, define UAT scope/testing needs and validate re

EDIFECS BA

DCM Infotech Limited

Remote

Full-time

Must Have Skills EDIFECS Encounters EDI Nice to have skills Healthcare SSIS Detailed Job Description Should have Good hands on experience in EDIFECS and EDI and Encounters knowledge. Should have min 5 Years of work experience in EDIFECS product. Should know 837 Claims processing. Should be able to work in SSIS packages. Minimum years of experience 8-10 years Certifications Needed :No Top 3 responsibilities you would expect the Subcon to shoulder and execute Should have Good hands on experience i

EDIFECS and FACETS Developer

Enterprise Minds

Remote

Contract

We are looking for EDIFECS and FACETS Developer. Development & IntegrationDesign, develop, and maintain solutions using EDIFECS components (e.g., XEngine, SpecBuilder, RouteBuilder, Transaction Manager).Build and support interfaces between EDIFECS and FACETS, ensuring compliance with HIPAA and ANSI X12 standards.Develop mapping, transformations, and rules for EDI files including 834 (enrollment), 837 (claims), 835 (remittance), 270/271 (eligibility), etc.Customize and configure FACETS batch jobs

Transition Project Coordinator ONLY W2

Aziro Technologies LLC

Remote

Full-time

We are looking for Transition Project Coordinator Position. Below is the Job Description, please have a look and if you are available for this position, please get back to me along with your updated resume in word format with contact number. Job Title: Transition Project Coordinator Job location: Remote Duration: Long term Contract Industry: Healthcare/Hospital Job Summary: The Payer Enrollment Transition Coordinator is responsible for the accurate and timely enrollment and maintenance of all ho

Oracle Technical Consultant| Procure-to-Pay (P2P) | Remote | (#UM) (#CH) (#ANB)

Pioneer Corporate Services Inc

Remote

Contract, Third Party

Job Title: Oracle Cloud Procure-to-Pay (P2P) ConsultantLocation: RemotePosition Type: ContractMultiple Implementations Experience for Procure to Pay process with in-depth knowledge of Purchasing and AP modules in Oracle CloudStrong technical knowledge in EDI Transactions of Oracle APExperience with Approval workflow, Supplier Lifecycle Management processesOracle Expenses experience is a definite plus.Strong technical background and working knowledge in PL/SQL, Rest API, ODI , BICC Sync ServicesS

Solutions Architect

Gainwell Technologies LLC

Dallas, Texas, USA

Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary Gainwell is a leader in providing technology and business solutions to health and human services clients. Our solutions are ent

.NET Architect / Tech Lead with Facets

Talent Groups

Remote

Third Party, Contract

Applicants must have hands-on experience with "TriZetto Facets" modules to be considered for this role Lead architecture, design, and development of enterprise applications using .NET (C#, ASP.NET, Web API, MVC, .NET Core).Collaborate with cross-functional teams to integrate Facets modules with custom .NET-based applications and services.Drive system modernization and digital transformation initiatives in healthcare payer systems.Required Skills: 12+ years of experience in software development w

Director - Leader of Technical Application Support Operations team

Magellan Health Services

Frisco, Texas, USA

Full-time

- SME on building and creating maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic. - Understand current maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 837, 834, 835, 820 transactions. - Understand and decompose the design and implementation of current Edifecs solution. - Experience with AWS and strong understanding of AWS components like FSx, file processing and Queues - Excellent understanding of

Business Analyst -Enrollment Eligibility-Healthplan Administration-Fully Remote !!

Elite Technical

Remote

Full-time

Our direct client is seeking a Business Analyst Bachelors degree is required. BA Certifications and or PMP is a plus. 4+ years of BA experience in onboarding new self-funded clients or implement product in Multi-employer Trust or Health Plan Administration. 4+ years of Eligibility and Enrollments, Administration of Plans, Benefits, claims, accumulators, Provider Finder. Must have experience with have experience with the -hours intake- process AND eligibility calculations. Experience with SFTP,

Integrations Systems Analyst - Logistic Background Must

Ztek Consulting

Remote

Full-time

Job Title: Integration Systems Analyst Location: Remote Employment Type: ContractIndustry: Freight Forwarding / Logistics / Supply Chain Technology About the RoleWe are seeking an experienced Integrations Systems Analyst / Solutions Advisor to join our global freight forwarding technology team. This is a critical individual contributor role focused on designing, specifying, testing, and deploying complex system integrations across Air, Ocean, and Customs Brokerage operations. As the bridge bet

Lead Software Engineer (Must have Stored Procedures and SQL exp.)

Magellan Health Services

Remote or Keller, Texas, USA

Full-time

EDIFECS experience (SpecBuilder, TM, etc)EDI and 837 experience (SNIP edits, file mapping)RPG DeveloperNo Snaplogic neededMust have Stored Procedures and SQL exp. This position services as an expert technical and industry resource to management, clients and development staff in new uses of information technology in all phases of major system and subsystem development. Provides consultation on internal and industry IT technical and business domain process capabilities including leadership in the

Software Engineering Operations Manager - Fully remote

Magellan Health Services

Remote or Frisco, Texas, USA

Full-time

Technical Proficient Skills: Create/update maps, guidelines and profiles using Edifecs tools such as EDIFECS SpecBuilder, Map Builder, EAM as per functional logic.Create maps and guidelines (xml, DFF, PFF) for Healthcare EDI transactions like 837, 834, 835, 820 transactions.Responsible for design, development, and implementation of Edifecs solution.Excellent understanding of technical and business challenges relating to EDI product upgrades. Able to configure the Edifecs tools, and understand sy

Senior Business Analyst (Warehouse Management System)

The Jupiter Group

Remote

Full-time

Overview:We re looking for a hands-on Technical Lead who can own the enterprise architecture and integration of business applications, with an emphasis on systems powering logistics, transportation, and supply chain operations. This is not a classic development or people management job we need a strategic technical mind who can direct architectural decisions, lead a small team, and guide integration across critical systems. What You ll Do:Lead and set the architectural vision for a team of 3 sys

Senior Business Analyst

Kforce Technology Staffing

Remote or Columbus, Ohio, USA

Contract

RESPONSIBILITIES: Kforce has a client in Columbus, OH that is seeking a Senior Business Analyst. This role serves as a pivotal bridge between business operations stakeholders and Agile software development teams, requiring a pseudo-technical understanding of how software applications support operational processes. You will leverage your expertise to align business needs with technical solutions, fostering strong stakeholder relationships, and driving process improvements. Collaborating across te

Software Engineering Advisors- Hybrid

Cigna

Remote or Chattanooga, Tennessee, USA

Full-time

The job profile for this position is Software Engineering Advisor, which is a Band 4 Senior Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Support the development and delivery of complex solutions for the Enterprise Gateway EDI transaction platform.Work closely with solution architects to design and develop healthcare EDI processing solutions and general healthcare payer transaction processing systems. Design, develop, and test applications.Create unit and int

SAP Solution Architect & Sr. SAP Basis Lead

Konane Solutions

Remote or Columbus, Ohio, USA

Full-time

This is a senior technical leadership role responsible for delivering and continuously improving SAP solutions that support key platforms such as Work Asset Management (WAM), Finance, and HR. The role blends architecture, hands-on development, and cross-team collaboration. Key Responsibilities: Lead SAP S/4HANA and ECC implementations, including BASIS, ABAP, and GRC.Architect and optimize SAP integrations across modules like FI/CO, MM, PM, and HR/HCM.Drive performance tuning, data archiving, and

SAP O2C Business Systems Analyst

Sharpedge Solutions

Remote

Contract

Title: SAP O2C Business Systems Analyst Location: Remote Responsibilities: Generate, extract and manage data from SAP, including but not limited to invoices, purchase orders, and financial reports. Support several business-critical applications (Examples: Trade Promotion Management, SharePoint, Etc.) and related integrations Troubleshoot and resolve general bugs and issues within the SAP and corresponding legacy applications. Collaborate with various departments to ensure data accuracy and inte

Software Engineer - Digital Site Development

Costco Wholesale Corporation

Dallas, Texas, USA

Full-time

Costco IT is responsible for the technical future of Costco Wholesale, the third largest retailer in the world with wholesale operations in fourteen countries. Despite our size and explosive international expansion, we continue to provide a family, employee centric atmosphere in which our employees thrive and succeed. This is an environment unlike anything in the high-tech world and the secret of Costco's success is its culture. The value Costco puts on its employees is well documented in artic

Remote Syteline Systems Analyst

Software Guidance & Assistance

Remote or Oshkosh, Wisconsin, USA

Contract

Software Guidance & Assistance, Inc., (SGA), is searching for a Sr. Systems Analyst for a remote consulting opportunity with one of our premier manufacturing clients. Position Summary: The Syteline 7 Technical Business Analyst serves as a key liaison between business units and IT, focusing on the Infor Syteline ERP system. This role is responsible for analyzing business processes, identifying system improvements, and implementing technical solutions to enhance operational efficiency. Key Respons

Camel K Developer

Kforce Technology Staffing

Remote or St. Louis, Missouri, USA

Contract

RESPONSIBILITIES: Kforce has a client in Saint Louis, MO that is seeking a Camel K Developer. Responsibilities * Analyze and migrate existing ETL workflows and transformations from MuleSoft to Apache Camel K * Develop and maintain integration routes using Camel K on Kubernetes or OpenShift * Refactor and optimize legacy Java codebases for performance and maintainability * Collaborate with QA and business teams to define requirements, build test cases, and ensure UAT sign-off * Document integrat