edifecs Jobs

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EDIFECS Developer , 100% Remote, $60/HR on C2C, Long Term Contract

FASTRA LLC

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Remote

Contract, Third Party

Job Description: We are seeking a skilled EDI Specialist with min. 10 years of experience in EDI, SQL, claims routing, and EDIFECS. The ideal candidate will have a strong background in ANSI X12 standards, including EDI 834 and 837, and will be responsible for designing, developing, and maintaining our EDI systems to ensure efficient and secure data exchange. Job Responsibilities: EDI System Management: Design, develop, and maintain EDI transaction maps. Ensure efficient and secure data exchange
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Posted 2 days ago | Updated 1 day 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 9 days ago | Updated 9 hours ago

Sr Claims Systems Data Analyst - QNXT

Molina Healthcare

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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
Posted 26 days ago | Updated 9 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 3 days ago | Updated 9 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 9 days ago | Updated 9 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 9 days ago | Updated 9 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