Louisville,KY- onsite (Local preferred)
Must Have Technical/Functional Skill
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•  Design, develop, and maintain Edifecs based EDI solutions supporting healthcare transactions in payer, provider, and clearinghouse environments.
•  Build and manage EDI mappings, transactions, and workflows using Edifecs tools and frameworks.
•  Develop, configure, and support HIPAA compliant X12 EDI transactions, ensuring accuracy, reliability, and regulatory adherence.
•  Work hands on with Edifecs implementations, including configuration, customization, deployment, and ongoing support.
•  Perform EDI mapping development and enhancements, ensuring correct transformation between internal systems and external trading partners.
•  Support multiple healthcare EDI transaction types (e.g., claims, eligibility, remittance, enrollment, acknowledgements).
•  Ensure strict compliance with HIPAA, healthcare regulatory standards, and data privacy requirements.
•  Participate in testing activities, including unit testing, integration testing, regression testing, and UAT support.
•  Support EDI migrations, upgrades, trading partner onboarding, and platform transitions.
•  Analyze EDI errors, transaction rejections, and data issues; perform root cause analysis and resolution.
•  Collaborate with business analysts, healthcare SMEs, and integration teams to understand transaction requirements.
•  Support production issues and defect fixes, ensuring timely resolution and minimal business impact.
•  Maintain documentation for mappings, transaction flows, and integration specifications.
•  Work effectively in an Agile delivery model, executing assigned stories and integration tasks.
•  Ensure high delivery quality, accuracy, and reliability for healthcare data exchanges.
Roles & Responsibilities
•  Design and implement EDI mappings and workflows using Edifecs.
•  Develop and support Edifecs implementations for healthcare data exchange.
•  Configure and maintain X12 transactions, ensuring compliance with HIPAA standards.
•  Support healthcare integrations between internal systems, trading partners, and clearinghouses.
•  Perform EDI testing, validation, and troubleshooting across development and test environments.
•  Assist in EDI migrations, upgrades, and onboarding of new trading partners.
•  Analyze transaction failures and processing errors and work with stakeholders to resolve issues.
•  Support regression cycles and release activities related to EDI deliverables.
•  Collaborate with QA, business, and integration teams to ensure requirements are met.
•  Participate in Agile ceremonies and provide estimates and status updates.
•  Prepare and maintain technical documentation and mapping specifications.
•  Provide operational and post deployment support for production EDI systems.
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Best Regards,
Navneet Jha
