Role: Senior EDI Support (Production Support) Specialist (Healthcare Payer - Facets Ecosystem)
Location: Seattle, WA (Onsite from Day 1)
Job Type: Contract
Experience:
8+ years in IT, 5+ years in healthcare payer and EDI, 3+ years with Edifecs or TriZetto HIPAA Gateway
ROLE OVERVIEW:
We are looking for a Senior EDI Support Specialist with strong healthcare payer experience to provide L2/L3 support for enterprise EDI platforms serving Claims, Membership, Enrollment, Provider, and Payment functions. The role requires expertise in HIPAA X12 transaction support, production monitoring, incident resolution, trading partner management, and Edifecs/TriZetto HIPAA Gateway environments.
KEY RESPONSIBILITIES:
-
Provide L2/L3 support for EDI platforms supporting Claims, Membership, Enrollment, Billing, Provider, and Payment functions.
-
Monitor, troubleshoot, and resolve EDI transaction failures, rejects, reconciliation issues, and file transmission problems.
-
Support Edifecs, TriZetto HIPAA Gateway, BizTalk, and Facets-integrated environments.
-
Perform root cause analysis, incident resolution, and transaction performance improvements.
-
Support trading partner onboarding, certification, testing, and production releases.
REQUIRED SKILLS:
-
Edifecs Suite, TriZetto HIPAA Gateway, and BizTalk Server
-
Facets
-
SQL Server / Oracle
-
Unix/Linux
-
SFTP, batch processing, and API integrations
-
XML/XSD and JSON
REQUIRED EXPERIENCE:
Hands-on support, troubleshooting, and optimization of the following transactions:
-
834 (Enrollment)
-
837 (Professional, Institutional, Dental)
-
835 (Remittance)
-
270/271 (Eligibility)
-
276/277 (Claim Status)
-
278 (Authorization)
-
820 (Premium Payment)
-
TA1, 999, and 277CA acknowledgements
