IT|Software Engineering - Group 1 - Developer III - Software Engineering

Mandatory Skills

Healthcare Payer Domain 5+ Years

EDI Development 5+ Years

Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years

TriZetto HIPAA Gateway 3+ Years

Facets Required

HIPAA X12 Transactions Strong Hands-on Experience

Trading Partner Integrations Required

EDI Mapping & Validation Required

SQL Server or Oracle Required

Unix/Linux Required

SFTP & Batch Processing Required

API Integrations Required

Domain Experience (If any ) – Good to have healthcare experience

Must have Certifications –

Prior UST experience –

If Yes – provide dates , details of account/project

Location - Seattle, Washington-Onsite

Onsite Requirement - Work model-Onsite

Number of days onsite -

We need only candidate experience with Facets - Claims. Please validate the candidate. There is high chance on fake and tailored resume from the employer. Please validate properly. Claims, Membership, Enrolment, Billing, Provider, and Payment.

Summary Information

Request Type

Standard

Geography

United States

Labor Category

Contingent Worker

Procurement Type

Contingent Labor

Tax Work Location

USA-Working from Home

Client Job Description

Senior EDI Developer (Healthcare Payer | Facets Ecosystem) Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Summary: Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains. Responsibilities Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms. Develop EDI mappings, validations, routing logic, and trading partner integrations. Implement and support HIPAA X12 transactions across Claims, Membership, Enrolment, Provider, and Payment domains. Perform EDI map optimization and support high-volume transaction processing. Support trading partner onboarding, testing, certification, and production deployments. Collaborate with Facets and business teams to deliver EDI enhancements and integrations. Required Skills Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance) TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON Required Experience Hands-on development and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements Nice to Have HL7/FHIR MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues experience

Status

Open

Has Assignments

No

Request Information

Request

IT|Software Engineering - Group 1 - Developer III - Software Engineering

Qty

1

Candidate Submission Limit Per Supplier

3

Candidate Submission Limit Per Request

0

Desired Start Date

10/5/2026

End Date

12/31/2026

Hrs/Wk

40.00

MSP Owner

Thangavelu, Saravanakumar

Client Job Description

Senior EDI Developer (Healthcare Payer | Facets Ecosystem) Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Summary: Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains. Responsibilities Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms. Develop EDI mappings, validations, routing logic, and trading partner integrations. Implement and support HIPAA X12 transactions across Claims, Membership, Enrolment, Provider, and Payment domains. Perform EDI map optimization and support high-volume transaction processing. Support trading partner onboarding, testing, certification, and production deployments. Collaborate with Facets and business teams to deliver EDI enhancements and integrations. Required Skills Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance) TriZetto HIPAA Gateway, BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP, Batch Processing, API Integrations XML/XSD, JSON Required Experience Hands-on development and optimization of: 834, 837 (Professional/Institutional/Dental), 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements Nice to Have HL7/FHIR MuleSoft, Boomi Groovy, JavaScript, PowerShell, Shell Scripting Blues experience

General Information

Job Description

Expectations from this role

Independently develops error free code with high quality validation of applications, guides other developers and assists Lead 1 – Software Engineering

• Understand and provide input to the application/feature/component designs; developing the same in accordance with user stories/requirements.
• Code, debug, test, document and communicate product/component/features at development stages.
• Select appropriate technical options for development such as reusing, improving or reconfiguration of existing components.
• Optimize efficiency, cost and quality by identifying opportunities for automation/process improvements and agile delivery models
• Identify the problem patterns and improve the technical design of the application/system
• Proactively identify issues/defects/flaws in module/requirement implementation
• Assists Lead 1 – Software Engineering on Technical design. Review activities and begin demonstrating Lead 1 capabilities in making technical decisions

Typical performance measures

• Adherence to engineering process and standards (coding standards)
• Adherence to schedule / timelines
• Adhere to SLAs where applicable
• Number of defects post delivery
• Number of non-compliance issues
• Reduction of reoccurrence of known defects
• Quick turnaround of production bugs
• Meet the defined productivity standards for project
• Number of reusable components created
• Completion of applicable technical/domain certifications
• Completion of all mandatory training requirements

Performance Areas

Code

Develop code independently for the above

Configure

Implement and monitor configuration process

Test

Create and review unit test cases, scenarios and execution

Domain relevance

Develop features and components with good understanding of the business problem being addressed for the client

Manage Project

Manage module level activities

Manage Defects

Perform defect RCA and mitigation

Estimate

Estimate time, effort, resource dependence for one's own work and others' work, including modules

Document

Create documentation for own work as well as perform peer review of documentation of others' work

Manage knowledge

Consume and contribute to project related documents, share point, libraries and client universities

Status Reporting

Report status of tasks assigned

Comply with project related reporting standards/process

Release

Execute release process

Design

LLD for multiple components

Skill Examples

• Explain and communicate the design / development to the customer
• Perform and evaluate test results against product specifications
• Develop user interfaces, business software components and embedded software components

5 Manage and guarantee high levels of cohesion and quality

6 Use data models

• Estimate effort, and resources required for developing / debugging features / components
• Perform and evaluate test in the customer or target environment
• Team Player
• Good written and verbal communication abilities
• Proactively ask for help and offer help

Knowledge Examples

• Appropriate software programs / modules
• Technical designing
• Programming languages
• DBMS
• Operating Systems and software platforms
• Integrated development environment (IDE)
• Agile methods
• Knowledge of customer domain and sub domain where problem is solved

Education/Experience Requirements

Graduate in Engineering or MCA/Equivalent with 3 years of Software Engineering experience

Graduate in Science/Commerce or BCA/Equivalent with 4 years of Software Engineering experience

Comments for Suppliers

Skills

Skills

Category

Name

Required

Importance

Experience

No items to display.

Additional Skills

BizTalk,EDI,FACETS,FHIR