edifecs Jobs

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Edifecs Developer

Infinite Computer Solutions (ICS)

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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
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Posted 23 days ago

Edifecs Consultant

AQUA Information Systems, Inc.

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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
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Posted 17 days ago

BA with edifecs

DCM Infotech Limited

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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
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Posted 1 day ago

Edifecs Business Analyst - Remote - W2 Only

Analytics Solutions

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Remote

Contract

Job Title: Edifecs Business Analyst Location: Remote Duration: Long Term Contract Job Description: AnEdifecsBA role typically sits at the intersection of healthcare data (claims, encounters, prior authorization), EDI standards, testing, document/spec creation, and stakeholder collaboration. Senior positions require deeper domain knowledge, leadership, and testingexpertise. Requirements & Qualifications Healthcare domainexpertise: EDI standards (HL7, HIPAA, FHIR), claims, encounters, prior aut
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Posted 1 day ago | Updated 1 day ago

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

Cystems Logic

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US

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
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Posted 18 days ago | Updated 1 day ago

Edifecs Senior Software Engineer (EDI) - Remote

Magellan Health Services

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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
Posted 23 days ago | Updated 7 hours ago

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

Magellan Health Services

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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,
Posted 36 days ago | Updated 7 hours ago

Software Engineering Advisors- Hybrid

Cigna

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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
Posted 30 days ago | Updated 7 hours ago

Encounters System Analyst

System One

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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
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Posted 2 days ago | Updated 5 hours ago

Encounters System Analyst

ALTA IT Services

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Dayton, Ohio, USA

Full-time

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 Program
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Posted 2 days ago | Updated 4 hours ago

Software Engineering Advisors- Hybrid

Cigna

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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
Posted 36 days ago | Updated 7 hours ago

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

Magellan Health Services

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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
Posted 36 days ago | Updated 7 hours ago

Survey Data Analyst

TriWest Healthcare Alliance

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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
Posted 9 days ago | Updated 4 hours ago

Software Engineering Operations Manager - Fully remote

Magellan Health Services

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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