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Remote

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Today

Project Scope This project involves enhancements and modifications to EDI healthcare transactions for the Client Medicaid system. The role focuses on making software coding changes to existing EDI transactions. Testing activities will include coordination and validation with external healthcare providers and trading partners. Daily Duties & Responsibilities Work collaboratively with the Translator Team to implement changes, enhancements, and technical recommendations based on design and technica

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Contract

$50 - $60

Edifecs System Analyst (Healthcare EDI – 834 & 837 Processing)

Remote

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20d ago

Position: Edifecs System Analyst(Healthcare EDI 834 & 837 Processing) Location: United States (Remote) Duration: Contract Industry: Healthcare Payor Payer Systems & EDI IntegrationJob Description:Configure and maintain Edifecs tools including Spec Builder, Map Builder, Transaction Manager, EAM, XEngine and related components.Design, develop, test, and deploy EDI maps, guidelines, and profiles for 834 (Enrollment/Benefits), 837 (Professional/Institutional/Dental) transactions and related HIPAA

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Depends on Experience

Remote Healthcare Senior Business Analyst with EDI and HEDIS exp.

Remote

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Yesterday

About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,scalabletechnologysolutionsthatacceleratebusinessoutcomes. Withdeepexpertiseintelecommunications,healthcare,banking,andfinance,Infinitehelpsorganizationsoptimizeandmodernizetheirtechnologylandscapestoachievelong-termgrowthandefficiency. Job Description: Gather and document business requirements, review and va

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Full-time

Depends on Experience

EDI Developer IBM Sterling ITX (Healthcare)

Remote

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Today

Must have over 10 years of solid experience in ITX. Must have solid EDI mapping skills with 837, 834, 835, 270, 271, 276,277, 999, 277CA. and their acknowledgements. Must have good experience development and design of maps as well as experience understanding maps and performing their translations. Must have good integration experience and working with ITXA Must have ITX Rest API experience. Experience debugging and mapping Healthcare Pack . Must have experience performing stack updates and upgra

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Full-time

Depends on Experience

Healthcare EDI Developer (Actian/Axiom) - REMOTE (W2 Only)

Remote

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Today

Job Description: Only W2 resumes are accepted This project includes changes for EDI healthcare transactions for the Medicaid System of SC. This position will make software coding changes to existing EDI healthcare transactions. Testing of changes will include testing with external healthcare providers and trading partners. Primary Responsibilities Work collaboratively with the translator Team to make changes, enhancements and recommendations for enhancements using technical and design specific

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Contract

Depends on Experience

Senior Integration Engineer / IBM Transformation Extender (ITX) Specialist Healthcare EDI

Hybrid in Reston, Virginia

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Today

Job Summary We are seeking a highly experienced Senior Integration Engineer with deep expertise in IBM Transformation Extender (ITX/ITXA) and Healthcare EDI integrations to design, build, and support enterprise-grade integration solutions. This role requires strong hands-on experience with EDI mapping, REST-based integrations, CI/CD pipelines, cloud technologies, and DevOps practices, along with the ability to mentor teams and communicate effectively across technical and business stakeholders.

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Remote Project Manager with Healthcare EDI X12

Somerville, Massachusetts

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14d ago

About Infinite: InfiniteisagloballeaderindigitalengineeringandITservices,withover20yearsofexperiencedrivingdigitaltransformation.WepartnerwithleadingFortune1000companiestodeliverinnovative,scalabletechnologysolutionsthatacceleratebusinessoutcomes. Withdeepexpertiseintelecommunications,healthcare,banking,andfinance,Infinitehelpsorganizationsoptimizeandmodernizetheirtechnologylandscapestoachievelong-termgrowthandefficiency. Job Descriptions : Manages high-risk program with multiple projectsSingle

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Full-time

Depends on Experience

EDI Lead / Lead EDI Analyst with extensive Healthcare experience

Remote

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Today

Job Title: EDI Lead Location: Remote contract for 6 months Job Summary The EDI Lead manages and responsible for the overall EDI/Interoperability process. The position is responsible for managing, planning, and guiding the daily EDI operations and ensuring the plan s Trading Partners, contracted networks, hospitals, government agencies and providers transactions (X12, HL7, NCPDP, Proprietary, FHIR) are in compliance with HIPAA, CMS, DHCS and DMHC mandates, regulations and policies. This position

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Depends on Experience

EDI & AS2 MFT Integration Engineer / AS2 EDI MFT Gateway Developer - Newnan, GA (Only Locals)

Hybrid in Stockton, Georgia

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Today

EDI & AS2 MFT Integration Engineer / AS2 EDI MFT Gateway Developer Newnan, GA (3 days a week in office) 6 months contract to hire AS2 EDI MFT Gateway Developer Designed built and supported secure file transfer and EDI integration solutions to enable automated data exchange between internal systems and external trading partners. Led implementation and ongoing management of AS2 based Managed File Transfer gateways to ensure reliable encrypted and auditable transmission of business-critical documen

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Contract

Depends on Experience

Sr. IBM ITX / EDI Developer

Reston, Virginia

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Today

KMM an ISO 9001:2015, CMMI Level 2 certified company provides high-quality IT consulting services and innovative solutions by using the most effective and modern technologies. We have a core group of Subject Matter Experts with certifications and immense experience in successfully delivering mission-critical solutions. We have extensive industry experience in the financial, insurance, Health IT, media, marketing, retail, and government markets. We have a proven track record in understanding clie

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ITX Developer

No location provided

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Today

Arthur Lawrence is looking for an ITX Developer one of our clients project based on Remote. Please find the job description below and send us your updated resume if interested: Must-Have Skills: Hands-on experience with IBM Transformation Extender (ITX/ITXA) and Healthcare X12 EDI transactions (270/271, 834, 820, 835, 837). Expertise in HIPAA packages, SNIP rules, and building custom edits in ITX. Proficient in XML, XSD, XSLT, WSDL, and SOAP. Nice to Have Skills: Experience with Java, RedHat,

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Contract

Product Manager

Hybrid in Novi, Michigan

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14d ago

Product Manager IT / Digital Healthcare Hybrid $125,000 - $145,000 + equity Seeking a Product Manager with 4+ years of end-to-end healthcare product lifecycle experience, from discovery and strategy through delivery and launch, focused on provider data, EDI enrollment, and payer enrollment solutions. Must ensure compliance with HIPAA, CAQH, and X12 standards while driving adoption in an Agile iterative environment. Must Haves / Mandatory 4+ years of healthcareproduct managementwith end-to-end

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Full-time

$135000

EDI Developer / Analyst

San Antonio, Texas

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Today

RESPONSIBILITIES: Kforce has a client that is seeking an EDI Developer/Analyst in San Antonio, TX. Summary: We are seeking an experienced EDI Developer to support and maintain electronic data interchange (EDI) processes. This role focuses on ensuring reliable data exchange between systems, monitoring file transfers, and supporting ongoing EDI operations. Responsibilities: * Monitor and support EDI file transfers to ensure successful data exchange * Troubleshoot failed or corrupted file transmi

Contract

$35 - $40 hourly

ESB (IIB & ITX) Developer (Healthcare Integration Specialist)

Lansing, Michigan

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2d ago

Key Responsibilities: Healthcare Integration & HL7 Experience in the support of data integrations, preferably in a healthcare setting, including FHIR, REST and SOAP APIs, and HL7 v2 interfaces.Experience with transformation of EDI healthcare transactions (837P/I, 834, 835,997) with compliance check. Troubleshoot message parsing, validation, and routing issues ensuring healthcare compliance and data integrity.IBM Integration & ITX Development Design, develop, and test WTX/ITX maps for EDI-to-JSO

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Contract

$80,000 - $90,000

Product Manager, TPA/Claims Processing

Remote

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Today

$120,000-130,000 DOE 100% remote in the US only, EST or CST states preferred Role SummaryA rapidly growing healthcare organization is seeking a Product Manager to own the strategy, roadmap, and delivery of its Claims Processing Platformthe core system supporting accuracy, speed, and regulatory compliance across Third-Party Administrator (TPA)/ Managed Services Organization (MSO) operations. This role serves as the critical link between business stakeholders and engineering, translating operati

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Full-time

$130000

Hybrid EDI Analyst

Alameda, California

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9d ago

The EDI Analyst will be responsible for managing the EDI system and transactions. It is a critical position to ensure the success of EDI usage and will be the primary point of contact to work with customers and resolve EDI issues. Experience: Monitor, troubleshoot, and resolve EDI issues and errors in a timely and efficient manner Act as liaison between teams such as IT, Logistics, Finance and Sales teams to resolve EDI issues Collaborate with internal and external stakeholders to increase EDI v

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Full-time

BASED ON EXPERIENCE

ITX Developer

Remote

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Today

Required Skills: IBM Transformation Extender, HIPPA Responsibilities: Expertise required in development using IBM ITX/ITXA.Experience in using IBM HIPAA healthcare.Experience required in Healthcare X12 EDI Transactions.

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Contract, Third Party

Depends on Experience

EDIFECS Developer

Richardson, Texas

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Yesterday

Role: EDIFECS Developer Job Details: Mandatory skills - Strong EDIFECS ( 9.3) Developer proficient in EDIFECS MAPs and understands core concepts of building EDIFECS Profilers and deploying them. 3 to 5 years experience in Edifecs Spec Builder, XE Manager, and XES Manager (XEngine/XEServer) with good knowledge of Groovy scripting and rule creation. Expertise in Transformations and good understanding of EDI transactions, specifically EDI 834 format, Segments and Loops. Healthcare domain unders

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Contract

Depends on Experience

Senior EDI B2B Consultant

Remote

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Today

Position : Senior EDI B2B Consultant Location : Reston Virginia Remote Direct Client Requirement Notes from Manager : Must have over 10 years of solid experience in ITX. Must have solid EDI mapping skills with 837, 834, 835, 270, 271, 276,277, 999, 277CA. and their acknowledgements. Must have good experience development and design of maps as well as experience understanding maps and performing their translations. Must have good integration experience and working with ITXA Must have ITX Rest AP

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Contract, Third Party

Depends on Experience

SQL Analyst with PBM domain

Remote

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2d ago

Job Title: SQL Analyst Location: Remote Key Skills and Experience SQLPBM Eligibility processing and validationManual data validationand reconciliationJob Description We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data validation, and issue analysis. The candidate will be responsible for manually validating eligibility files prior to ingestion and collaborating close

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Depends on Experience

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