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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Edifecs application development and healthcare EDI interfaces, with a strong focus on HIPAA compliance and transaction processing. Proficient in troubleshooting, technical documentation, and collaboration with cross-functional teams to enhance EDI workflows.
Highest-signal resume keywords
Edifecs Development ExperienceHIPAA EDI Transactions KnowledgeEdifecs XEngine ProficiencyXML and SQL ExperienceCloud Platforms Familiarity
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Edifecs DevelopmentHIPAA Transaction ProcessingXEngine ConfigurationSpecBuilder ConfigurationXMLX12 EDISQLJavaWeb ServicesFHIR APIs
Soft Skills
Analytical SkillsProblem-Solving SkillsCommunication Skills
Tools & Technologies
Edifecs ModulesAzureAWS
Certifications & Qualifications
Edifecs Certification
Industry Keywords
Healthcare EDIHealthcare Payer EnvironmentMedicareMedicaidCommercial Health PlansHealthcare Interoperability Standards
Tech Stack
Tools & technologiesAWSAzureCloudJavaSQL
About the role
Key responsibilities & impact- Design, develop, configure, and maintain Edifecs applications and healthcare EDI interfaces
- Develop and support HIPAA transaction processing, including 834, 835, 837, 270/271, 276/277, and 278 transactions
- Configure and maintain Edifecs modules including XEngine, SpecBuilder, Transaction Management, and STPM
- Analyze business requirements and translate them into technical solutions
- Create mapping specifications and validation rules for inbound and outbound healthcare transactions
- Troubleshoot production issues, perform root cause analysis, and resolve data integration problems
- Collaborate with business analysts, product owners, vendors, and operations teams to improve EDI workflows
- Support unit, integration, regression, and user acceptance testing
- Ensure compliance with HIPAA regulations and healthcare industry standards
- Develop technical documentation, design documents, and support procedures
Requirements
What you’ll need- Bachelor's degree in Computer Science, Information Systems, Healthcare Informatics, or related field
- 3+ years of Edifecs development experience in a healthcare payer environment
- Strong experience with Edifecs XEngine, SpecBuilder, Translator, and STPM
- Knowledge of HIPAA EDI transactions (834, 835, 837, 270/271, 276/277, 278)
- Experience with XML, X12 EDI, SQL, Java, and Web Services
- Familiarity with healthcare claims, enrollment, provider, and eligibility processes
- Experience troubleshooting production support issues and implementing fixes
- Strong analytical, problem-solving, and communication skills
- Experience working with Medicare, Medicaid, and Commercial Health Plans preferred
- Knowledge of FHIR APIs and modern healthcare interoperability standards preferred
- Experience with cloud platforms such as Azure or AWS preferred
- Healthcare payer or managed care industry experience preferred
- Edifecs certification preferred
Benefits
Comp & perks- Multiple health and dental plans with nationally recognized networks
- Vision benefits
- Total wellness program
- Employee assistance program for you and your family
- Competitive wages
- Retirement savings plans
- Company-paid disability and life insurance
- Pre-tax savings opportunities (HSA and/or FSA)
- Professional development offerings
- Opportunities for remote work
- Generous paid-time-off program
- Flexible scheduling to accommodate vacations, illness, life events, and unexpected circumstances