‍

Key Responsibilities:

• Build, configure, and maintainEdifecs trading partner configurations, transaction maps, and validation rulesfor X12 transactions (270/271, 834, 835/837, 275, 276/277)

• Develop and customizeJ2EE-based components to extend Edifecs functionality and support integrationwith the core administration platform

• Implement and maintain datamodels and queries across MongoDB, PostgreSQL, and Oracle databases supportingEDI processing

• Execute unit, integration, andend-to-end testing of Edifecs configurations and EDI transaction flows

• Provide day-to-day productionsupport for EDI transaction processing, including troubleshooting, debugging,and resolving transaction failures and rejections

• Support onboarding of newtrading partners, including testing and certification of EDI transactionexchanges

• Document Edifecsconfigurations, mapping specifications, and support runbooks

• Collaborate with the onsitelead and client stakeholders on requirements clarification and designvalidation

• Participate incode/configuration reviews and follow established Edifecs and EDI developmentstandards

• Support broader platformmodernization initiatives by providing EDI/Edifecs subject matter expertise asneeded

‍

Required Qualifications:

• Bachelor's degree in ComputerScience, Engineering, or a related field

• 8–12 years of experience inhealthcare EDI/integration engineering, with strong, hands-on experience in theEdifecs product suite (e.g., SpecBuilder, XEngine, Transaction/EDI Gateway)

• Strong, hands-on experiencewith J2EE for customizing and extending Edifecs and related integrationcomponents

• Strong, hands-on experiencewith MongoDB, PostgreSQL, and Oracle databases supporting EDI/integrationplatforms

• Strong working knowledge ofcore HIPAA X12 EDI transactions: 270/271, 834, 835/837, 275, and 276/277

• Experience building, testing,and supporting production EDI transaction flows in a health plan/payerenvironment

• Strong debugging andproduction-support skills for high-volume EDI transaction processing

• Good written and verbalcommunication skills for collaborating with onsite leads and clientstakeholders

‍

AI Knowledge & AI-Assisted Development (Required):

• Daily, practical use of AIcoding/assistant tools to accelerate Edifecs map/transformation development,J2EE code, and test-case creation

• Able to critically review andvalidate AI-generated code, maps, and configurations for correctness beforedeployment

• Understanding of secure andcompliant AI tool usage, including never entering PHI, member data, or othersensitive information into prompts or external AI tools

• Able to identify whereAI-driven automation can improve day-to-day EDI development, testing, orsupport efficiency

‍

Preferred Qualifications:

• Experience with healthplan/payer core administration systems (e.g., Facets, QNXT, HealthRules)

• Exposure to CAQH CORE operatingrules

• Experience with mainframe orcloud-based integration patterns supporting EDI processing

• Relevant certifications:Edifecs product certifications

‍