高级EDI开发工程师
Senior EDI Developer
高级EDI开发人员
职位概述
我们正在寻找一名高级EDI开发人员，作为技术负责人，支持医疗保健EDI环境中的多州医疗补助实施。该职位需要在EDIFECS及相关技术方面有深厚的专业知识，包括Linux、数据库、报表工具和ETL平台。
高级EDI开发人员将设计、配置、支持和增强基于COTS的医疗保健解决方案，同时确保符合行业标准，如CAQH CORE和CMMI实践。该职位在较少监督的情况下运作，并与跨职能利益相关者紧密合作，以交付安全、可扩展且高质量的EDI解决方案。
主要职责
- 设计、开发、配置、文档编写、测试和调试新的和现有的EDI系统和应用程序。
- 支持和维护基于EDIFECS的医疗保健清算平台。
- 执行CAQH CORE验证和合规活动。
- 配置和验证防火墙规则。
- 在多个环境中应用定期的ECL发布（季度和年度）。
- 将业务需求转化为系统定义和技术解决方案。
- 根据概念设计和明确需求创建详细的技术规范。
- 参与与CMMI三级实践一致的完整软件开发生命周期（SDLC）。
- 分析系统配置和端到端事务映射，以识别和解决问题。
- 使用Azure DevOps维护配置和版本控制。
- 支持多个医疗补助州实施中的ETL平台。
- 审阅并响应关键和非关键系统警报。
- 配置和映射ANSI X12N 5010交易集。
- 参与CMMI审计和质量评审。
- 确保符合组织政策、安全标准和监管要求。
- 所需资格
- 7年以上总工作经验
- 计算机科学、信息系统、工程或相关领域的学士学位（或同等专业经验）。
- 在医疗保健EDI环境中具有EDIFECS的实际经验。
- 对ANSI X12N 5010交易集有深入了解。
- 具备使用Linux、关系型数据库、报表工具和ETL平台的经验。
- 具备使用Azure DevOps进行配置和版本控制的经验。
- 了解CAQH CORE认证要求。
- 熟悉CMMI标准实践。
- 强大的分析能力，
查看英文原文
Senior EDI Developer
Role Summary
We are seeking a Senior EDI Developer to serve as a lead technical contributor supporting multi-state Medicaid implementations within a healthcare EDI environment. This role requires deep expertise in EDIFECS and related technologies including Linux, databases, reporting tools, and ETL platforms.
The Senior EDI Developer will design, configure, support, and enhance COTS-based healthcare solutions while ensuring compliance with industry standards such as CAQH CORE and CMMI practices. This role operates with minimal supervision and collaborates closely with cross-functional stakeholders to deliver secure, scalable, and high-quality EDI solutions.
Key Responsibilities
- 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.
Required Qualifications
- 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.
Preferred Qualifications
- Experience supporting multi-state Medicaid implementations.
- Experience in healthcare clearinghouse environments.
- Experience supporting version upgrades and production releases.
- Familiarity with firewall rule configuration and validation.
Core Competencies
- Advanced EDI configuration and mapping expertise.
- Strong understanding of software architecture and implementation methodologies.
- Ability to analyse system gaps and recommend improvements.
- Experience collaborating with business and technical stakeholders.
- Commitment to quality, compliance, and continuous improvement.
Leadership & Impact
- Contributes to project planning and execution.
- Influences outcomes through technical expertise.
- Supports team effectiveness by sharing knowledge and best practices.
- Impacts service delivery through high-quality technical solutions.
Pay Transparency Laws in some locations require disclosure of compensation and/or benefits-related information. For this position, actual salaries will vary and may be above or below the range based on various factors including but not limited to location, experience, and performance. In addition to base pay, this position, based on business need, may be eligible for a bonus or incentive. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time. The estimated salary range for this role is $96,250 - $125,000
Originally posted on Himalayas