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EDI Support Specialist

Love RajUnited StatesSENIORPosted 11d ago
Edifecs SuiteTriZetto HIPAA GatewayBizTalk ServerSQL ServerOracleUnix/LinuxSFTPbatch processingAPI integrationsXML/XSDJSONHL7FHIRServiceNowMuleSoftBoomiGroovyJavaScriptPowerShellShell Scripting
About the Role We are seeking an experienced EDI Support Specialist with strong healthcare payer domain expertise to provide L2/L3 production support for enterprise EDI platforms integrated with the Facets ecosystem. Key Responsibilities • Provide L2/L3 support for EDI platforms supporting claims, membership, enrollment, billing, provider, and payment functions • Monitor, troubleshoot, and resolve EDI transaction failures, rejections, reconciliation issues, and file transmission errors • Support Edifecs, TriZetto HIPAA Gateway, BizTalk Server, and Facets-integrated environments • Perform root-cause analysis (RCA), incident resolution, and transaction performance improvements • Support trading partner onboarding, certification, testing, and production releases • Coordinate with business users, vendors, and external trading partners to resolve operational issues • Support production monitoring, batch processing, and file transfer workflows Requirements • 8+ years of experience in IT • 5+ years of experience in healthcare payer and EDI • 3+ years of experience with Edifecs / TriZetto HIPAA Gateway • Experience with EDI Platforms: Edifecs Suite, TriZetto HIPAA Gateway, BizTalk Server • Healthcare Payer experience with Facets and payer EDI operations • Database skills: SQL Server, Oracle • Systems & Integration: Unix/Linux, SFTP, batch processing, API integrations • Data Formats: XML/XSD, JSON • Production Support: L2/L3 support, incident management, RCA, transaction monitoring • HIPAA X12 Transaction Experience: 834, 837, 835, 270/271, 276/277, 278, 820, TA1, 999, and 277CA acknowledgements

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