Senior EDI Developer

Salary: $84,000 - 108,000 per year Requirements:

• We require 5+ years of experience in the healthcare payer domain and 5+ years of hands-on EDI development experience.
• We require 3+ years of experience with the Edifecs suite, including XEngine, SpecBuilder, Trading Partner Management (TPM), and Validation & Compliance, plus 3+ years of hands-on experience with TriZetto HIPAA Gateway.
• Hands-on experience with Facets Claims is mandatory; general healthcare, provider-side, or EDI experience without Facets Claims exposure does not meet this requirement.
• We require practical experience developing, mapping, validating, and troubleshooting HIPAA X12 transactions, including 834; 837P, 837I, and 837D; 835; 270 and 271; 276 and 277; 278; 820; and TA1, 999, and 277CA acknowledgements.
• We require experience with trading partner interfaces, EDI maps and validation rules, acknowledgements, and exception-handling workflows.
• We require working experience with SQL Server or Oracle, Unix/Linux command-line operations, SFTP, batch processing, and API integrations with downstream systems.
• We require the ability to prepare design documents, test cases, implementation guides, and support documentation.
• We seek strong analytical, troubleshooting, communication, and problem-solving skills.
• Preferred: experience with BizTalk Server; HL7/FHIR; MuleSoft or Boomi; Groovy, JavaScript, PowerShell, or shell scripting; BCBS or other payer environments; claims reconciliation, payment processing, enrollment interfaces, production EDI operations, or automated validation, monitoring, and error-handling frameworks.

• We design, develop, enhance, and maintain healthcare EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk Server, or equivalent platforms.
• We develop and optimize EDI maps, validation rules, routing logic, and transaction-processing workflows.
• We implement and support HIPAA X12 transactions across claims, membership, enrollment, provider, and payment domains.
• We support Facets Claims integrations, claims-related EDI processing, and downstream system interfaces.
• We build and maintain trading partner integrations, including onboarding, connectivity, testing, certification, and production deployment.
• We implement validation, error handling, acknowledgements, reconciliation, and exception management.
• We support high-volume EDI processing and improve performance, reliability, and efficiency.
• We troubleshoot production issues, identify root causes, and implement corrective and preventive measures.
• We use SQL Server or Oracle to validate data, investigate issues, and support reconciliation.
• We develop and maintain batch processes, SFTP integrations, and Unix/Linux shell scripts.
• We support API-based integrations and data exchange using XML, XSD, JSON, and related technologies.
• We collaborate with Facets teams, business analysts, QA, trading partners, and technical leads to deliver reliable integrations.
• We prepare technical documentation, low-level designs, test cases, deployment plans, and support materials.
• We participate in code reviews, testing, release management, and continuous improvement initiatives.
• We uphold HIPAA requirements, development standards, quality controls, and project SLAs.

• API
• Groovy
• HL7
• Support
• JSON
• JavaScript
• Linux
• Marketing
• MuleSoft
• Oracle
• PowerShell
• SQL
• Unix
• XML

More:

BrickRed Systems is a global technology consulting and workforce solutions company serving digital, engineering, marketing, analytics, finance, operations, and business transformation needs. We emphasize innovation, scalability, and client success, and foster continuous learning, collaboration, and excellence across high-impact global initiatives. This senior role focuses on EDI integrations in a Facets-based healthcare payer environment, particularly claims processing and related workflows.

last updated 42 week of 2026