Edifecs Jobs

1 - 16 of 16 Jobs

Edifecs DeveloperJob Title - Edifecs Developer

Infinite Computer Solutions (ICS)Company Name - Infinite Computer Solutions (ICS)

•

Remote

Full-time

Role: Edifecs Developer Location: REMOTE Duration: Long-term/Fulltime/Permanent Edifecs Product ExpertiseStrong hands-on experience with Edifecs XEngine, Transaction Manager, SpecBuilder, and EAM.Ability to develop, configure, and optimize workflows for healthcare EDI transactions (e.g., 837, 834, 835, 270/271, 276/277, 278).EDI & Healthcare Domain KnowledgeDeep understanding of HIPAA-compliant EDI transactions and implementation guidelines.Experience working with Medicare, Medicaid, and commerc

Edifecs ConsultantJob Title - Edifecs Consultant

AQUA Information Systems, Inc.Company Name - AQUA Information Systems, Inc.

•

Remote

Contract, Third Party

Role: Edifecs Consultant Job Description: Understanding of Edifecs application including EAM & Transaction Management Responsibilities: Perform daily health checks of Edifecs server and processing. Monitor daily processes for any failures, with the ability to identify, assess, and resolve issues effectively. Review project artifacts to confirm alignment with project requirements, scope, and timelines. Identify product enhancements as needed. Create and manage project and proposal plans, includin

BA with edifecsJob Title - BA with edifecs

DCM Infotech LimitedCompany Name - DCM Infotech Limited

•

Remote

Contract

Contract duration 6 Job Details: 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 Shoul

Sr. EDI Developer (with EDIFECS Exp) & Health Care Plan Exp.Job Title - Sr. EDI Developer (with EDIFECS Exp) & Health Care Plan Exp.

Cystems LogicCompany Name - Cystems Logic

•

Full-time, Contract

Hi Good Morning, Sr. EDI Developer (with EDIFECS Exp. ) Location: Remote Duration: Long Term Contract Must have Health Care Plan Exp. Essential Functions Analyzes business requirements EDIFECS and creates EDI mapping specifications. Analyzes and interprets EDI data to identify trends, patterns, and issues. Monitors EDI transactions and troubleshooting errors. Creates and maintains detailed documentation for all reporting processes and procedures. Configures EDI software and mapping tools to

Edifecs Lead Software Engineer - Must have EDI experience (Remote)Job Title - Edifecs Lead Software Engineer - Must have EDI experience (Remote)

Magellan Health ServicesCompany Name - Magellan Health Services

•

Remote or Frisco, Texas, USA

Full-time

This is a fully remote position for an Edifecs Lead Software Engineer (EDI).4+ years related experience including a minimum of 2+ years designing, building and deploying Edifecs software.Experience working with technical teams to develop and test EDI processes.Ability to work independently and as part of a team.Critical thinker.Demonstrated problem solving techniques.Strong verbal and written communication skills. This position services as an expert technical and industry resource to management,

Edifecs Senior Software Engineer (EDI) - RemoteJob Title - Edifecs Senior Software Engineer (EDI) - Remote

Magellan Health ServicesCompany Name - Magellan Health Services

•

Remote or Frisco, Texas, USA

Full-time

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 278, 837 I/P, 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 systems integration, ap

Sr Claims Systems Data Analyst - QNXTJob Title - Sr Claims Systems Data Analyst - QNXT

Molina HealthcareCompany Name - Molina Healthcare

•

Remote or Long Beach, California, USA

Full-time

Job Description JOB DESCRIPTION Job Summary Responsible for accurate and timely review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on claims to identify billing issues that will impact claims processing and payment. Monitor ne

Software Engineering Advisors- HybridJob Title - Software Engineering Advisors- Hybrid

CignaCompany Name - 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

Encounters System AnalystJob Title - Encounters System Analyst

System OneCompany Name - System One

•

Dayton, Ohio, USA

Contract

Job Title: Encounters System Analyst Location: Remote Type: Contract Contractor Work Model: Remote Title: Encounters System Analyst ALTA is supporting an 8-month contract opportunity working 100% remote. ALTA IT Services is a wholly owned subsidiary of System One, a leading provider of specialized workforce solutions and integrated services. ALTA is an established leader in IT Staffing and Services, for both government and commercial enterprises across the United States, specializing in Progra

Encounters System AnalystJob Title - Encounters System Analyst

ALTA IT ServicesCompany Name - ALTA IT Services

•

Dayton, Ohio, USA

Full-time

Software Engineering Advisors- HybridJob Title - Software Engineering Advisors- Hybrid

CignaCompany Name - Cigna

•

Remote or Newton, Massachusetts, USA

Full-time

The job profile for this position is Software Engineering Advisor, which is a Band 4 Contributor Career Track Role with Cigna-Evernorth Services Inc. Responsibilities- Configure products to process various file formats to streamline the exchange of digital healthcare information. Design and develop a complex delivery solution for Enterprise Gateway EDI transaction platform. Design, code, develop, install, configure, monitor, and support a wide range of healthcare services and products. Inte

Director - Leader of Technical Application Support Operations teamJob Title - Director - Leader of Technical Application Support Operations team

Magellan Health ServicesCompany Name - 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

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

Magellan Health ServicesCompany Name - 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

Survey Data AnalystJob Title - Survey Data Analyst

TriWest Healthcare AllianceCompany Name - TriWest Healthcare Alliance

•

Phoenix, Arizona, USA

Full-time

We offer remote work opportunities in the following locations ONLY : AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI, WY Our Department of Defense contract requires ship and a favorably adjudicated DOD background investigation for this position. Veterans, Reservists, Guardsmen and military family members are encouraged to apply! Job Summary Analyzes data by combining multiple data sources and researching various system

Software Engineering Operations Manager - Fully remoteJob Title - Software Engineering Operations Manager - Fully remote

Magellan Health ServicesCompany Name - 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

Edifacts ConsultantJob Title - Edifacts Consultant

iTek People, Inc.Company Name - iTek People, Inc.

•

Remote

Third Party, Contract

Role: EDIFECS Consultant Location: Remote Experience: 10+ Job Description: 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. Top 3 responsibilities you would expect the Subcon to shoulder and execute Should have Good hands o