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