EDI Tester- Facets & Payer
Envision Technology Solutions
Domain Experience (If any) – Healthcare Payer / Facets Skill 1 – Functional Testing / Quality Engineering, with 10+ years of experience Skill 2 – Testing Program / Managed Services Leadership, 5+ years Skill 3 – Facets Healthcare System, 5+ years Skill 4 – Healthcare Payer Domain: Claims, Enrollment, Membership, Billing & Provider Skill 5 – Prior Authorization, Care Management & EDI Transactions Skill 6 – Functional Discovery, Testing Assessments, Transition Planning & Testing Operating Models Skill 7 – Workforce Planning, Organizational Design & Stakeholder Management Skill 8 – Jira, qTest & Azure DevOps Required Experience 10+ years of experience in Functional Testing or Quality Engineering. 5+ years leading testing programs or managed services engagements. 5+ years of experience with the Facets healthcare system. Experience in discovery, due diligence, transition assessments, and testing operating model evaluations. Claims Membership Provider Prior Authorization Care Management EDI Transactions Proven experience in workforce planning, organizational design, and stakeholder management. Familiarity with Jira, qTest, Azure DevOps, and modern Quality Engineering practices. Preferred Experience Healthcare Payer managed services transformations. TCoE establishment and maturity assessments. #J-18808-Ljbffr Envision Technology Solutions
- ...Managed Services Leadership, 5+ years \n • Skill 3 – Facets Healthcare System, 5+ years \n • Skill 4 – Healthcare Payer Domain: Claims, Enrollment, Membership, Billing &... ...Skill 5 – Prior Authorization, Care Management & EDI Transactions \n • Skill 6 – Functional...EDI
- ...Quality Engineering leader to drive testing programs for Healthcare Payer initiatives. You will lead discovery, due diligence, transition assessments and establish testing operating models for Facets, Claims, Enrollment, Membership, Billing and Provider domains. Responsibilities...EDI
- ...Shift Details : Domain Experience (If any) – Healthcare Payer / Facets Onsite Requirement – Must be onsite in Seattle, WA Number... ...Billing, Provider, Prior Authorization, Care Management, and EDI. ~ Experience in testing assessments, transition planning, workforce...EDIShift work
- ...programs. 5+ years of experience with the Facets healthcare system. Experience managing... ...validation. Strong experience with Healthcare Payer platforms and processes, including:... ...Care Management Prior Authorization EDI Transactions Experience working with distributed...EDIShift work
- ...partners and communities. Visit us at . You Are: An experienced Epic Payer Platform Lead who has personally configured or led configuration... ...1 scope Familiarity with Epic integration standards (FHIR R4, EDI X12, CDA/CCDA) as applied to EPP data exchange Travel may be required...EDIFull timeWork experience placementLive inWork at officeLocal area
- ...operations, transition management, and healthcare payer platforms. This role will lead the... ...Healthcare payer domain experience, including: ~ Facets platform ~ Claims processing and... ...~ Billing and provider management ~ EDI transactions: 834, 835, and 837 ~ Working...EDIFull time
- ...Position: Senior EDI Support Specialist with Healthcare Payer, Facets Location: Seattle, WA (Day 1 On-Site) Long Term Experience: 8+ Years IT | 5+ Years Healthcare Payer & EDI | 3+ Years Edifecs/TriZetto HIPAA Gateway Mandatory Skills Healthcare Payer...EDI
$50 - $55 per hour
...leading large-scale E2E testing programs and 5+ years of Facets experience within the Healthcare Payer domain. Key Responsibilities: Lead end-to-end (E2... ..., Billing, Care Management, Prior Authorization, and EDI Transactions. ~ Experience working with distributed onshore...EDITemporary workLocal areaShift work- ...Ensure effective testing for healthcare payer processes, including claims, enrollment, billing... ...Healthcare Payer domain experience; Facets platform experience is preferred. ~ Experience... ..., billing, provider management, and EDI transactions (834, 835, 837). ~ Working...EDIFull time
- ...Shift Details : \n Domain Experience (If any) – Healthcare Payer / Facets \n Onsite Requirement – Must be onsite in Seattle, WA \n... ...Billing, Provider, Prior Authorization, Care Management, and EDI. \n ~ Experience in testing assessments, transition planning...EDIShift work
- .... \n \n \n Preferred Experience \n \n Healthcare Payer domain expertise. \n Managed Services transition experience... ...Management / QE Transformation \n Healthcare Payer & Facets \n EDI 834/835/837, Claims, Enrollment, Billing & Provider Management...EDI
- ...Position: Senior EDI Support Specialist with Healthcare Payer, Facets Location: Seattle, WA (Day 1 On-Site) Long Term Increase your chances of an interview by reading the following overview of this role before making an application. Experience: 8+ Years...EDI
- ...We are looking for an experienced Senior EDI Developer with strong hands-on expertise in the Healthcare Payer domain, Facets Claims, HIPAA X12 transactions, Edifecs, and TriZetto HIPAA Gateway . The ideal candidate will have extensive experience designing, developing...EDIFull timeWork experience placement
- Senior EDI Developer (Healthcare Payer | Facets Ecosystem) Location - Seattle, WA-Onsite Mandatory Skills Healthcare Payer Domain 5+ Years EDI Development 5+ Years Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years TriZetto HIPAA Gateway 3+ Years...EDI
$55 - $60 per hour
...teams. ~ Strong stakeholder management and executive communication skills. ~ Experience with Healthcare Payer platforms and processes, including Facets, EDI transactions (834, 835, 837), Claims, Enrollment, Billing, and Provider Management. ~ Working knowledge of...EDITemporary workLocal areaFlexible hours$65.83 - $103.93 per hour
...aspects of billing follow-up, denial management, reporting and reimbursement recovery, including patient accounting, third-party payer billing, and EDI billing experience. Salary Range by Location: AK: Anchorage: Min: $65.83, Max: $103.93 **AK: Kodiak, Seward,...EDIMinimum wageLocal areaRemote workShift work- ...engagements. 5 years of experience with the Facets healthcare system. Experience in... ...operating model evaluations. Strong Healthcare Payer domain expertise including: Claims... ...Prior Authorization Care Management EDI Transactions Proven experience in workforce...EDIFull time
$105.4k - $207.8k
...capabilities in each client's environment, powering provider and payer performance improvement across financial, clinical, and operational... ...standards (e.g., claims, remittances, EMR data, HL7, FHIR, X12 EDI), with the ability to reason through data quality and business contextComfort...EDILocal area- A respected consulting firm is seeking an EDI Consultant to analyze and implement electronic data interchange processes. The role involves collaborating with various stakeholders, troubleshooting issues, and providing technical expertise in EDI. Ideal candidates will have...EDIRemote job
- ...Customer Fulfillment Specialist to manage orders and invoices using the company's order management system. The role will evolve to include EDI-driven process automation and close collaboration with Fulfillment and CFO teams. The position emphasizes exceptional customer...EDIRemote job
$40 - $45 per hour
...services leadership within the Healthcare Payer domain. This role involves leading functional... ...while leveraging deep expertise in the Facets Healthcare System. Key Responsibilities... ...Prior Authorization, Care Management, and EDI Transactions. ~ Proven experience in workforce...EDITemporary workLocal area- ...product, and tech teams to deliver scalable, battle-tested solutions. Responsibilities include end-to-end delivery, deep-dive troubleshooting of WMS/TMS, API, and EDI flows, and building reusable integration patterns for across-enterprise use. #J-18808-Ljbffr Amazon.com LLCEDI
- Globenet Consulting Corp in Portland, OR is seeking an experienced EDI & Supplier Enablement Coordinator to support a large-scale supplier integration environment within a supply chain digitalization team. The role requires hands-on EDI and API integration expertise, supplier...EDIFlexible hours
- ...RAN Network Engineer – Feature Tester Bellevue, WA Long Term Contract Job Description: We are the Products and Services Readiness team within North America. We lead testing and introduction of new Radio technology for North American telecom operators....Long term contract
- ...customer service requests, manage workflow for the line of business, and serve as a leading resource in at least one specialty area such as EDI, health plan repricing, or HPR. Our team champions patient-focused care and professional development. #J-18808-Ljbffr ProvidenceEDIFull time
- ...responding to customer service requests and guiding workflow within a major line of business. It also requires expertise in areas such as EDI, health plan repricing, or HPR. The position emphasizes teamwork, patient-centered care culture, and the opportunity to contribute to...EDI
- Amazon.com Services LLC is seeking a Tech Integrations Manager for Global Logistics to lead the design and implementation of EDI, API, and XML integrations that connect logistics partners and carriers. You will architect middleware solutions and guide cross-functional teams...EDIOverseas
$185k - $220k
....). Healthcare Data Integration: Work with APIs, HL7, FHIR, X12/EDI, and other healthcare data standards to connect with platforms like... ..., HL7, FHIR, X12/EDI, RCM, EMR data models. Familiarity with payer/provider workflows, claims, and clinical documentation. AI/Next‑...EDIFull timeH1b- ...accuracy, and system optimizations to improve order accuracy and customer experience. The position requires a Bachelor's degree and at least 3 years in high-volume account management, with experience in EDI, ERP systems, and BI tools. #J-18808-Ljbffr Outdoor Research, LLCEDI
- ...external claims for capitated populations and handle complex adjustments, supporting workflow and acting as a go-to expert in areas like EDI, health plan repricing, or HPR. The position requires a Bachelor’s degree or related experience in health care administration and 4+...EDIFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to EDI Tester- Facets & Payer. Be the first to apply!





