Design, develop, configure, document, test, and debug new and existing EDI systems and applications.
Support and maintain EDIFECS-based healthcare clearinghouse platforms.
Perform CAQH CORE validation and compliance activities.
Configure and validate firewall rules.
Apply recurring ECL releases (quarterly and annual) across multiple environments.
Translate business requirements into system definitions and technical solutions.
Create detailed technical specifications based on conceptual designs and stated requirements.
Participate in the full Software Development Life Cycle (SDLC) aligned with CMMI Level 3 practices.
Analyze system configuration and end-to-end transactional mappings to identify and resolve issues.
Maintain configuration and version control using Azure DevOps.
Support and maintain ETL platforms across multiple Medicaid state implementations.
Review and respond to critical and non-critical system alerts.
Configure and map ANSI X12N 5010 transaction sets.
Participate in CMMI audits and quality reviews.
Ensure compliance with organizational policies, security standards, and regulatory requirements.

Requirements

7+ years of total work experience
Bachelor’s degree in computer science, Information Systems, Engineering, or a related field (or equivalent professional experience)
Demonstrated experience with EDIFECS in a healthcare EDI environment
Strong knowledge of ANSI X12N 5010 transaction sets
Experience working with Linux, relational databases, reporting tools, and ETL platforms
Experience using Azure DevOps for configuration and version control
Working knowledge of CAQH CORE certification requirements
Familiarity with CMMI standard practices
Strong analytical, troubleshooting, and problem-solving skills

Benefits

health insurance coverage
voluntary dental and vision programs
life and disability insurance
retirement savings plan
paid holidays
paid time off (PTO) or vacation and/or sick time

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

EDI systemsEDIFECSANSI X12N 5010ETL platformsLinuxrelational databasesconfiguration managementtroubleshootingproblem-solvingsoftware development life cycle (SDLC)

Soft Skills

analytical skillscommunication skillscollaborationattention to detailadaptabilitycritical thinkingtime managementorganizational skillsleadershipquality assurance

Certifications

Bachelor’s degree in computer scienceBachelor’s degree in Information SystemsBachelor’s degree in EngineeringCAQH CORE certification