EDI/Edifecs Specialist

Our Deloitte AI & Engineering team to transform technology platforms, drive innovation, and help make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and reengineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation.

Work You'll Do

As a Delivery Management Engineer III on the team, you will:

• Manage, enhance, and troubleshoot Edifecs translation maps and guidelines as per HIPAA/organizational needs.
• Support EDI file automation, analyze mapping failures, remediate issues, and ensure SLA compliance.
• Collaborate with business, eligibility, claims, and technical teams to roll out new interfaces, partner onboarding, and compliance upgrades.
• Prepare and maintain technical documentation, test cases, and support procedures.
• Collaborate with business, eligibility, claims, and finance workgroups to translate business requirements into technical EDI solutions.
• Lead or mentor junior EDI/Edifecs analysts.

A successful candidate would possess these skills:

• Ability to work independently and collaborate as part of a team
• Effective written and verbal communication skills
• Meticulous attention to detail and quality of work product
• Ability to build and sustain professional relationships
• Ability to lead projects or workstreams
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment
• Strong interpersonal skills and professional demeanor
• Ability to meet deadlines
• Ability to provide clear guidance to others

The Team

Deloitte's Government & Public Services (GPS) practice - our people, ideas, technology and outcomes - is designed for impact. Serving federal, state, & local government clients as well as public higher education institutions, our team of professionals brings fresh perspective to help clients anticipate disruption, reimagine the possible, and fulfill their mission promise.

Our Industry Solutions clients seek verticalized solutions that transform how they sell products, deliver services, generate growth, and fulfill mission-critical operations. The Industry Solutions offering delivers integrated business expertise with repeatable scaled technology solutions that are specifically engineered for each sector's IndustryAdvantageTM.

The Project Delivery Talent Model is designed for professionals with specialized skills that align to a current client need. Team members focus on delivering services to clients, without additional expectations related to business development or promotion. Their employment is tied to their role on a project, and they are eligible for a benefits package that is competitive for project delivery-focused professionals.

Qualifications

Required :

• Bachelor's degree
• Limited Sponsorship is available
• 5+ years' experience with EDI Editing-Billing & Spec. Billing
• 2+ years' experience with healthcare EDI transaction sets, including but not limited to 270, 271, 837 (I, P, & D), 834, 835, 820, 999.
• 2+ years' experience in EDI/Edifecs specialist in the design, development, and support of enterprise integration solutions, with a strong focus on healthcare and high-volume EDI transactions. The ideal candidate will have hands-on expertise in Edifecs integrations, deep knowledge of EDI X12 and UN/EDIFACT.
• 3+ years' experience with developing and maintaining Unix shell scripts supporting EDI file automation.
• 3+ years' experience with HIPPA and understanding how it bills
• 3+ years' experience with IBM Transformation Extender
• 2+ years of hands-on skills with Edifecs tools, including:
• Edifecs Specbuilder for maps, guidelines, and severity files.
• Updating, managing, and troubleshooting Edifecs profiles, routes, and translation workflows.
• Promotion/deployment of HIPAA code lists, maps, and guideline updates
• 2+ years' experience in EDI/Edifecs specialist in the design, development, and support of enterprise integration solutions, with a strong focus on healthcare and high-volume EDI transactions. The ideal candidate will have hands-on expertise in Edifecs integrations, deep knowledge of EDI X12 and UN/EDIFACT.

Preferred:

• Agile/Scrum project experience and certifications are a plus.
• Familiarity with Java/Unix scripting and automation.
• Experience with the full integration lifecycle: requirements gathering, technical design, mapping, testing, migration, go-live, and production support.