EDI Developer

Western Growers Health─ a part of Western Growers Family of Companies─provides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry. Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today! Compensation: $70,978.23 - $92,271.29 with a rich benefits package that includes profit‑sharing. JOB DESCRIPTION SUMMARY The EDI Developer is responsible for designing, developing, and maintaining electronic data interchange (EDI) solutions that support the seamless exchange of data between the TPA’s internal systems (claims, benefits, customer service) and its external partners. The incumbent will use strong programming skills, deep knowledge of data mapping, and experience with EDI integration platforms such as PilotFish to create and maintain systems. The developer will also be involved in ongoing upgrades, patches, and system enhancements related to EDI technology while ensuring compliance with healthcare industry standards and regulations. Qualifications Bachelor's Degree, preferably in a related field such as computer science, or information technology, along with at least 3 years of experience in EDI development or integration engineering roles, is preferred. Proven experience with EDI standards (e.g., ANSI X12) and healthcare transaction sets (837, 834, 835, etc.), highly desired. Hands‑on experience with the PilotFish integration platform or similar ETL tools. Proficient in programming languages such as Java, C++, XML, and XSLT. Strong understanding of communication protocols used for EDI (SFTP, AS2, Experience with database technologies (SQL Server, MySQL) and data warehousing concepts. Solid knowledge of data mapping, transformation logic, and integration patterns. Experience with system monitoring, error handling, and performance optimization for EDI processing. Familiarity with HIPAA compliance and healthcare data security standards. Ability to work independently on technical development projects while collaborating with cross‑functional teams. Excellent troubleshooting and problem‑solving abilities. Strong analytical skills with attention to detail and data accuracy. Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds. Home router with wired Ethernet (wireless connections and hotspots are not permitted). A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.). A functioning smoke detector, fire extinguisher, and first aid kit on site. Duties And Responsibilities EDI Development Design, develop and test EDI maps, workflows and transformations for healthcare transactions (e.g., 834 enrollments, 837 claims, 835 remittances, 276/277 claim status). Develop, implement, and maintain EDI integration solutions to support various transaction sets. Create custom EDI translation maps and business rules to handle partner‑specific requirements and data variations. Monitor scheduled EDI jobs and proactively resolve errors, ensuring SLAs with trading partners are met. Collaborate with internal teams (claims, finance, eligibility) to integrate data with healthcare systems. Build and optimize interfaces between internal systems and external trading partners. Write scripts, configure protocols (e.g., SFTP, AS2), and ensure secure and reliable data transmission. Develop automated validation routines to ensure data quality and completeness before transmission. Integrate EDI platforms with other enterprise systems, to ensure smooth data flow. Partner Communication Collaborate with EDI Analysts, business stakeholders and external trading partners to translate requirements into technical solutions. Communicate technical concepts effectively to non‑technical stakeholders. #J-18808-Ljbffr