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Healthcare EDI Consultant

Information Resource Group, Inc.

Nashville, Tennessee • Today

Easy Apply

Contract, Third Party

Depends on Experience

Senior EDI Support Specialist / EDI / Healthcare Payer | Facets Ecosystem

UNICOM TECHNOLOGIES INC

Remote • Today

Easy Apply

Full-time, Part-time, Third Party, Contract

USD 55-60

Dayforce Consultant EDI & File Feed Integrations

Info Origin Inc.

Remote • 8d ago

Easy Apply

Contract

$65 - $70

SAP SD / EDI Functional Consultant

Econosoft

Remote • 7d ago

Easy Apply

Contract

Depends on Experience

Epic BI Consultant (Healthcare Migration Cerner to Epic)

Factspan Inc

Remote • 5d ago

Easy Apply

Full-time

Depends on Experience

Oracle Cloud Financials Lead Consultant (Commercial/Healthcare)

Sierra-Cedar, LLC

Remote • 6d ago

Full-time

Depends on Experience

Healthcare Consultant - II_Actuarial SME

People Force Consulting Inc

Remote • Today

Easy Apply

Contract, Third Party

EDI Specialist Engineer with AI Automation

Coretek Labs

Remote • 4d ago

Contract, Third Party

$55 - $60

Senior EDI Developer / EDI developer

UNICOM TECHNOLOGIES INC

Remote • Today

Easy Apply

Full-time, Part-time, Third Party, Contract

USD 70-75

EDI Compliance Analyst

iSphere

Remote • 18d ago

Easy Apply

Third Party, Contract

Depends on Experience

EDI Manager (Canton, OH)

SCMInnovators LLC

Remote • Today

Easy Apply

Contract

50 - 65

Oracle EDI Technical Developer

KnackHook, LLC

Remote • 4d ago

Easy Apply

Contract

60 - 65

Epic Certified Clinical Data Model Consultant

Accenture LLP

Nashville, Tennessee • Today

Full-time

USD 70,350.00 per year

EDI Analyst

Vernus Technologies

Remote • 28d ago

Easy Apply

Full-time, Third Party

Depends on Experience

Oracle EDI Lead Developer

StarTechs Inc.

Remote • 5d ago

Easy Apply

Contract, Third Party

Depends on Experience

EDI Integration Developer

Shakti Solutions

Remote • 8d ago

Easy Apply

Contract

Depends on Experience

EDI Data Integration Engineer

Shakti Solutions

Remote • 8d ago

Easy Apply

Contract

Depends on Experience

EDI Integration Developer

Talentrix AI INC

Remote • 8d ago

Easy Apply

Contract

EHR Healthcare System Analyst

HonorVet Technologies

Remote • 5d ago

Easy Apply

Contract, Third Party

$50 - $55

Epic Tapestry Consultant

Codeforce 360

Remote • 5d ago

Easy Apply

Contract, Third Party

$73 - $78

HEDIS Analyst/Consultant

E-Solutions, Inc.

Remote • 19d ago

Easy Apply

Contract, Third Party

Depends on Experience

EHR Integration & Healthcare Interoperability Specialist

HonorVet Technologies

Remote • Today

Easy Apply

Contract, Third Party

$50 - $52

Delivery Lead / Program Manager

SoftPath Technologies LLC

Remote • Today

Easy Apply

Full-time, Third Party

Depends on Experience

Principal Data Architect & Advisor

HPTech Inc.

Remote • Today

Easy Apply

Contract

70 - 75

Healthcare Tech Senior Associate Payer Services Epic Tapestry Configuration

Huron

Remote or Chicago, Illinois • Today

Full-time

USD 115,000.00 - 145,000.00 per year

Clinical Data Audit Consultant

Centene Corporation

Remote or California • Today

Full-time

USD 33.71 - 60.67 per hour

Healthcare Data Engineer

Medasource

Remote • Today

Contract

$65.00 - $85.00

Healthcare Data Engineer

HR Pundits

Remote • Today

Easy Apply

Full-time

ETL Developer with Healthcare

Empower Professionals

Remote • 8d ago

Easy Apply

Contract, Third Party

Depends on Experience

Lead Clinical Data Engineer

Yale University

Remote or Connecticut • Today

Full-time

USD 90,000.00 - 165,750.00 per year

Job Details

Skills

PAS 53 and PAS 45
ETL workflows

Summary

Role: Healthcare EDI Consultant

Duration: Nashville, TN

Duration: 15 Months Contract with possibility of extensions

IRG Clients seeking an experienced NCPDP Healthcare EDI Consultant to support the design, development, implementation, and maintenance of healthcare data integration solutions, with a primary focus on NCPDP (National Council for Prescription Drug Programs) electronic data interchange (EDI) standards. The consultant will play a key role in implementing the PAS 53 post-adjudication standard within an existing EDI system, while also supporting PAS 45 transactions and related healthcare data exchange requirements.

The ideal candidate will have strong expertise in NCPDP EDI transactions, healthcare data integration, and the Software Development Life Cycle (SDLC). This role requires close collaboration with business stakeholders, technical teams, and project partners to translate business requirements into scalable, reliable, and compliant integration solutions.

Key Responsibilities

Lead the technical design, development, testing, and implementation of healthcare EDI integration solutions.
Support the full Software Development Life Cycle (SDLC) for implementing the NCPDP PAS 53 standard within the existing EDI system.
Work extensively with NCPDP post-adjudication transactions, particularly PAS 53 and PAS 45.
Design, develop, and maintain data integration and ETL solutions to support healthcare data exchange requirements.
Analyze business and technical requirements and translate them into effective integration designs and technical specifications.
Collaborate with cross-functional teams, including business stakeholders, developers, testers, and implementation teams, to ensure successful project delivery.
Develop, enhance, and optimize EDI workflows, data mappings, transformation logic, and integration processes.
Conduct code reviews and provide technical guidance to development teams, promoting coding standards and best practices.
Perform troubleshooting, root cause analysis, and issue resolution for EDI transactions and data integration processes.
Validate data accuracy, completeness, and consistency across healthcare data exchanges.
Ensure integration solutions adhere to applicable NCPDP standards, healthcare data requirements, and organizational data governance practices.
Support system testing, integration testing, user acceptance testing (UAT), deployment, and post-implementation activities.
Assist with production releases, monitor integration performance, and resolve implementation-related issues.
Prepare and maintain technical documentation, including design specifications, data mappings, test scenarios, and implementation procedures.

Required Qualifications

Demonstrated expertise in NCPDP EDI standards and healthcare data exchange.
Strong hands-on experience with NCPDP post-adjudication transactions, particularly PAS 53 and PAS 45.
Experience supporting EDI implementation projects throughout the SDLC, including requirements analysis, design, development, testing, deployment, and maintenance.
Experience developing and maintaining data integration solutions and ETL workflows.
Ability to translate business requirements into technical designs and implementation solutions.
Strong analytical, troubleshooting, and problem-solving skills.
Excellent communication and collaboration skills when working with business and technical teams.

Preferred Qualifications

Experience implementing or enhancing NCPDP standards within existing healthcare EDI systems.
Experience leading technical design and development activities for complex integration projects.
Familiarity with healthcare data quality, data governance, and compliance requirements.
Experience with integration testing, production support, and deployment activities.
Experience providing technical leadership, conducting code reviews, and guiding development teams.

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

Dice Id: 10113386
Position Id: 29584-677-1792531272
Posted 4 hours ago

Fitment

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Contact the job poster

Susmita Sahu

Lead Recruiter @ Information Resource Group, Inc.

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Job Details

Skills

PAS 53 and PAS 45
ETL workflows

Summary

Role: Healthcare EDI Consultant

Duration: Nashville, TN

Duration: 15 Months Contract with possibility of extensions

Key Responsibilities

Lead the technical design, development, testing, and implementation of healthcare EDI integration solutions.
Support the full Software Development Life Cycle (SDLC) for implementing the NCPDP PAS 53 standard within the existing EDI system.
Work extensively with NCPDP post-adjudication transactions, particularly PAS 53 and PAS 45.
Design, develop, and maintain data integration and ETL solutions to support healthcare data exchange requirements.
Analyze business and technical requirements and translate them into effective integration designs and technical specifications.
Collaborate with cross-functional teams, including business stakeholders, developers, testers, and implementation teams, to ensure successful project delivery.
Develop, enhance, and optimize EDI workflows, data mappings, transformation logic, and integration processes.
Conduct code reviews and provide technical guidance to development teams, promoting coding standards and best practices.
Perform troubleshooting, root cause analysis, and issue resolution for EDI transactions and data integration processes.
Validate data accuracy, completeness, and consistency across healthcare data exchanges.
Ensure integration solutions adhere to applicable NCPDP standards, healthcare data requirements, and organizational data governance practices.
Support system testing, integration testing, user acceptance testing (UAT), deployment, and post-implementation activities.
Assist with production releases, monitor integration performance, and resolve implementation-related issues.
Prepare and maintain technical documentation, including design specifications, data mappings, test scenarios, and implementation procedures.

Required Qualifications

Demonstrated expertise in NCPDP EDI standards and healthcare data exchange.
Strong hands-on experience with NCPDP post-adjudication transactions, particularly PAS 53 and PAS 45.
Experience supporting EDI implementation projects throughout the SDLC, including requirements analysis, design, development, testing, deployment, and maintenance.
Experience developing and maintaining data integration solutions and ETL workflows.
Ability to translate business requirements into technical designs and implementation solutions.
Strong analytical, troubleshooting, and problem-solving skills.
Excellent communication and collaboration skills when working with business and technical teams.

Preferred Qualifications

Experience implementing or enhancing NCPDP standards within existing healthcare EDI systems.
Experience leading technical design and development activities for complex integration projects.
Familiarity with healthcare data quality, data governance, and compliance requirements.
Experience with integration testing, production support, and deployment activities.
Experience providing technical leadership, conducting code reviews, and guiding development teams.

Dice Id: 10113386
Position Id: 29584-677-1792531272
Posted 4 hours ago

Fitment