Senior Edifecs Analyst - Healthcare EDI & Core Admin Platform

Posted 8 days ago

tranzealAurora (IL)

Health Informatics Specialists Computer Systems Design Services

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About the role

Senior Edifecs Analyst – Healthcare EDI & Core Admin Platform

Location: Onshore USA - Remote

Experience: 8–12 years

Tech Stack: Edifecs (SpecBuilder, XEngine, Transaction/EDI Gateway, Encounter Management), J2EE, MongoDB, PostgreSQL, Oracle, X12 EDI (270/271, 834, 835/837, 275, 276/277), AI-Assisted Development

Role Overview: We are looking for a Senior Edifecs Analyst to build, configure, and support the EDI integration layer of our large healthcare core administration platform. This is an execution-focused, hands-on role: you will implement trading partner configurations, transaction maps, and validation rules under the direction of the onsite Lead Edifecs Analyst, and provide day-to-day production support for high-volume EDI transaction processing.

Key Responsibilities:

Build, configure, and maintain Edifecs trading partner configurations, transaction maps, and validation rules for X12 transactions (270/271, 834, 835/837, 275, 276/277)
Develop and customize J2EE-based components to extend Edifecs functionality and support integration with the core administration platform
Implement and maintain data models and queries across MongoDB, PostgreSQL, and Oracle databases supporting EDI processing
Execute unit, integration, and end-to-end testing of Edifecs configurations and EDI transaction flows
Provide day-to-day production support for EDI transaction processing, including troubleshooting, debugging, and resolving transaction failures and rejections
Support onboarding of new trading partners, including testing and certification of EDI transaction exchanges
Document Edifecs configurations, mapping specifications, and support runbooks
Collaborate with the onsite lead and client stakeholders on requirements clarification and design validation
Participate in code/configuration reviews and follow established Edifecs and EDI development standards
Support broader platform modernization initiatives by providing EDI/Edifecs subject matter expertise as needed

Required Qualifications:

Bachelor's degree in Computer Science, Engineering, or a related field
8–12 years of experience in healthcare EDI/integration engineering, with strong, hands-on experience in the Edifecs product suite (e.g., SpecBuilder, XEngine, Transaction/EDI Gateway)
Strong, hands-on experience with J2EE for customizing and extending Edifecs and related integration components
Strong, hands-on experience with MongoDB, PostgreSQL, and Oracle databases supporting EDI/integration platforms
Strong working knowledge of core HIPAA X12 EDI transactions: 270/271, 834, 835/837, 275, and 276/277
Experience building, testing, and supporting production EDI transaction flows in a health plan/payer environment
Strong debugging and production-support skills for high-volume EDI transaction processing
Good written and verbal communication skills for collaborating with onsite leads and client stakeholdersAI Knowledge & AI-Assisted Development (Required)
Daily, practical use of AI coding/assistant tools to accelerate Edifecs map/transformation development, J2EE code, and test-case creation
Able to critically review and validate AI-generated code, maps, and configurations for correctness before deployment
Understanding of secure and compliant AI tool usage, including never entering PHI, member data, or other sensitive information into prompts or external AI tools
Able to identify where AI-driven automation can improve day-to-day EDI development, testing, or support efficiency

Preferred Qualifications:

Experience with health plan/payer core administration systems (e.g., Facets, QNXT, HealthRules)
Exposure to CAQH CORE operating rules
Experience with mainframe or cloud-based integration patterns supporting EDI processing
Relevant certifications: Edifecs product certifications

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