Senior EDI Developer

Conduent

Senior EDI Developer leading technical contributions for multi-state Medicaid implementations. Designing and enhancing healthcare EDI solutions while ensuring compliance with industry standards.

Posted 7/28/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $96,250 - $125,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in EDI system design, development, and compliance within healthcare environments, with a strong focus on ANSI X12N 5010 transaction sets and CAQH CORE certification requirements. Proficient in utilizing Azure DevOps for configuration management and maintaining ETL platforms across Medicaid implementations.

Highest-signal resume keywords

EDIFECS ExperienceANSI X12N 5010 KnowledgeAzure DevOps ProficiencyCAQH CORE ComplianceCMMI Standard Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

EDI System DevelopmentSystem ConfigurationETL PlatformsSoftware Development Life Cycle (SDLC)Firewall ConfigurationTechnical Specification CreationAnalytical Problem-SolvingTransaction MappingVersion ControlCompliance Activities

Soft Skills

Analytical SkillsTroubleshooting SkillsProblem-Solving Skills

Tools & Technologies

Azure DevOpsLinuxRelational DatabasesReporting Tools

Industry Keywords

Healthcare EDICMMI Level 3CAQH CORE CertificationANSI X12N 5010

Tech Stack

Tools & technologies

AzureETLLinuxSDLC

About the role

Key responsibilities & impact

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

What you’ll need

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

Comp & perks

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