Senior EDI Developer (Healthcare Payer | Facets Ecosystem)

Role - Senior EDI Developer (Healthcare Payer | Facets Ecosystem)(23872-1)

Location – Seattle, WA (5D Onsite)

Duration- 6-12+ Months Contract

Must to Have 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

Note

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.

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