Edifecs Developer

Key Responsibilities 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 such as XEngine, SpecBuilder, Transaction Management, and Smart Trading Partner Management (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 testing activities including unit, integration, regression, and user acceptance testing. Ensure compliance with HIPAA regulations and healthcare industry standards. Develop technical documentation, design documents, and support procedures. Required Qualifications 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. Preferred Qualifications Experience working with Medicare, Medicaid, and Commercial Health Plans. Knowledge of FHIR APIs and modern healthcare interoperability standards. Experience with cloud platforms such as Azure or AWS. Healthcare payer or managed care industry experience. Edifecs certification preferred. Technical Skills Edifecs XEngine SpecBuilder STPM Transaction Management X12 EDI HIPAA Transactions XML/XSLT SQL Java REST/SOAP APIs Healthcare Claims Processing Eligibility & Enrollment Systems Salary Range Now, a little about us … At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care. And at the very core of this vital work is our incredibly talented people. People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare. Perks and benefits Top talent deserves top rewards. We’ve carefully…