Job Description
**Role: EDI Consultant**
**Job Location: Remote**
**Duration: 12+ months**
**Visa Type:- Only USC/GC/H1B**
We are seeking a skilled
**Integration Developer**
with strong
**Electronic Data Interchange (EDI)**
expertise and a solid understanding of
**healthcare domain standards**
to design, develop,
and maintain integration solutions.
This role will focus on implementing, testing, and supporting EDI transactions, ensuring compliance with HIPAA and healthcare industry standards.
**Key Responsibilities**
· Design, develop, and maintain integration solutions for healthcare data exchange using EDI standards (e.g., X12, HL7).
· Implement, configure, and support EDI transactions such as 837 (claims), 835 (remittance), 270/271 (eligibility), 276/277 (claim status).
· Work with healthcare partners, payers, and providers to troubleshoot and resolve integration
issues.
· Develop mapping, translation, and transformation processes between internal systems and external partners.
· Ensure compliance with HIPAA, security protocols, and industry data exchange requirements.
· Collaborate with business analysts, QA teams, and project managers to gather requirements and deliver high-quality integration solutions.
· Monitor integration processes and proactively identify performance or data issues.
· Maintain detailed technical documentation and provide training or knowledge transfer to internal teams.
**Required Skills & Qualifications**
· Bachelor’s degree in Computer Science, Information Technology, or related field (or equivalent experience).
· 5+ years of experience in integration development, with a strong focus on EDI in the healthcare
industry.
· Proficiency in healthcare EDI standards (HIPAA X12, HL7).
· Handson experience with integration tools (e.g., MuleSoft, Dell Boomi, Cloverleaf, IBM Sterling
integrator, BizTalk, or similar).
· Strong knowledge of healthcare processes including claims, eligibility, payments, and prior
authorizations.
· Solid understanding of XML, JSON, SQL, REST, and SOAP-based web services.
· Strong troubleshooting and problem-solving skills.
· Excellent communication and collaboration abilities.
**Preferred Qualifications**
· Experience with cloud-based integration platforms (e.g., Azure Logic Apps, AWS Step
· Functions, or GCP integrations).
· Knowledge of FHIR (Fast Healthcare Interoperability Resources) standards.
· Previous work with payer or provider systems.
· Familiarity with agile development methodologies.
**Thanks & Regards,**
**Alok Kumar**
|
**TALENDICA**
**Sr. Technical Recruiter**
**44 Saratoga Lane, Monroe Township, NJ 08831**