Senior Healthcare EDI Developer

Job Description

Job Description

Pay Range: $55.00hr - $60.00hr

Job Overview:

Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem. The candidate will possess expertise in Edifecs and TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrollment, Provider, and Payment domains.

Mandatory Skills:

• Healthcare Payer Domain (5+ years).
• EDI Development (5+ years).
• Edifecs Suite including XEngine, SpecBuilder, TPM, Validation & Compliance (3+ years).
• TriZetto HIPAA Gateway (3+ years).
• Facets experience.
• Strong hands-on experience with HIPAA X12 Transactions.
• Trading Partner Integrations.
• EDI Mapping & Validation.
• SQL Server or Oracle.
• Unix/Linux.
• SFTP & Batch Processing.
• API Integrations.

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, Enrollment, 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.
• SFTP, Batch Processing, API Integrations.
• XML/XSD, JSON.

Required Experience:

• Hands-on development and optimization of 834 and 837 (Professional/Institutional/Dental) transactions.
• Hands-on development and optimization of 835, 270/271, 276/277, 278, and 820 transactions.
• Experience with TA1, 999, and 277CA acknowledgements.

Nice to Have:

• HL7/FHIR.
• MuleSoft, Boomi.
• Groovy, JavaScript, PowerShell, Shell Scripting.
• Payer and health plan domain experience.

Benefits:

Our Benefits Include:

• Medical, Dental, and Vision Insurance
• 401(k) Retirement Plan
• Health Savings Account (HSA)
• Disability Insurance (Short-Term and Long-Term)
• Life and AD&D Insurance
• Paid Sick Leave (where required by applicable state or local law)
• Supplemental Insurance Plans
• Identity Theft Protection
• Pet Insurance
• Employee Wellness Programs
• Employee Assistance Program (EAP)
• Career Growth and Professional Development Opportunities

Disclaimer : Benefits eligibility, accrual rates, and usage limits may vary based on employment status, length of service, and work location. Paid Sick Leave is provided in strict accordance with applicable state and municipal mandates. Cynet Systems Inc. reserves the right to modify, amend, or terminate any benefit plans at any time in accordance with applicable laws.

About Cynet Systems

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading technology staffing and workforce solutions company serving Fortune 500 companies, government agencies, and enterprise organizations across the United States and Canada. We deliver agile, scalable talent solutions across IT, engineering, life sciences, clinical, and professional staffing, powered by a high-performing recruitment engine operating across North America and Asia.

As a nationally and locally certified Minority Business Enterprise (MBE), Cynet Systems is committed to helping organizations build high-performing teams while empowering professionals to grow rewarding careers. Our organization is certified to ISO 9001, ISO 14001, ISO 27001, and SOC 2 Type II standards, reflecting our commitment to quality, security, operational excellence, and customer success.