Job Title:Senior EDI Developer (Healthcare Payer | Facets Ecosystem)
Location: Seattle, Washington (Onsite) 
Duration: 2+ Months

Mandatory Skills

• Healthcare Payer Domain 5+ Years
• EDI Development 5+ Years
• Edifecs Suite (XEngine, SpecBuilder, TPM, Validation & Compliance) 3+ Years
• TriZetto HIPAA Gateway 3+ Years
• Facets Required
• HIPAA X12 Transactions Strong Hands-on Experience
• Trading Partner Integrations Required
• EDI Mapping & Validation Required
• SQL Server or Oracle Required
• Unix/Linux Required
• SFTP & Batch Processing Required
• API Integrations Required

Experience:

• 8+ Years IT
• 5+ Years Healthcare Payer & EDI
• 3+ Years Edifecs/TriZetto HIPAA Gateway

Summary:

• Seeking a Senior EDI Developer with strong Healthcare Payer experience to design, develop, and optimize HIPAA X12 integrations within a Facets-based ecosystem.
• The role requires hands-on expertise in Edifecs/TriZetto HIPAA Gateway, EDI mapping, trading partner integrations, and high-volume transaction processing across Claims, Membership, Enrolment, Provider and Payment domains.

Responsibilities:

• Design, develop, and optimize EDI solutions using Edifecs, TriZetto HIPAA Gateway, BizTalk, or equivalent platforms.
• Develop EDI mappings, validations, routing logic, and trading partner integrations.
• Implement and support HIPAA X12 transactions across Claims, Membership, Enrolment, Provider, and Payment domains.
• Perform EDI map optimization and support high-volume transaction processing.
• Support trading partner onboarding, testing, certification, and production deployments.
• Collaborate with Facets and business teams to deliver EDI enhancements and integrations.

Required Skills: 

• Edifecs Suite (XEngine, SpecBuilder, Trading Partner Management, Validation & Compliance)
• TriZetto HIPAA Gateway
• BizTalk Server Facets SQL Server/Oracle Unix/Linux SFTP
• Batch Processing
• API Integrations XML/XSD
• JSON

Required Experience:

• Hands-on development and optimization of: 834, 837 (Professional/Institutional/Dental)
• 835 270/271, 276/277, 278, 820 TA1, 999, and 277CA acknowledgements

Nice to Have:

• HL7/FHIR
• MuleSoft
• Boomi
• Groovy
• JavaScript
• PowerShell
• Shell Scripting
• Blues experience

 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $45.00/hr - $50.00/hr.