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Edi 837 Developer Jobs in Washington (NOW HIRING)

MDAEdge

Senior Data Engineer

Washington, DC · On-site

$119K - $162K/yr

... Azure DevOps (Git). • Build and tune Dedicated and Serverless SQL Pools in Azure Synapse for ... MMIS, EDI 837/835, claims processing; 3+ years) • SQL Server including SSIS, SSAS, SSRS while ...

MedVanta Interco, LLC.

CBO EDI Associate

Bethesda, MD

$18/hr

... 837, 835, 270/271, 276/277). * Work with clearinghouses, insurance companies, and internal teams to resolve EDI-related issues. * Ensure compliance with HIPAA regulations and healthcare EDI standards.

MedVanta

CBO EDI Associate

Bethesda, MD · On-site

... 837, 835, 270/271, 276/277). * Work with clearinghouses, insurance companies, and internal teams to resolve EDI-related issues. * Ensure compliance with HIPAA regulations and healthcare EDI standards.

Palnar

(B2B Developer@ Reston, VA (Hybrid)

Reston, VA · On-site

B2b developer * 8-11 Years Experience * Experience in Leading B2B development, production support ... 837, 834, 270, 276 * EDI Technical Mapping (ITXA/WTX Eclipse based GUI) and Business Process (SI ...

Infojini Inc

Sr. EDI Analyst

Linthicum Heights, MD

Position: Sr. EDI Analyst Location: Linthicum, MD Duration: 12+ months REQUIRED SKILLS: A minimum of four (4) years of experience with Health Exchange EDI solutions. A minimum of four (4) years of ...

Infojini Inc

Sr. EDI Analyst

Linthicum Heights, MD · On-site

We offer an excellent compensation package Job details mentioned below Position: Sr. EDI Analyst Location: Linthicum, MD Duration: 12+ months Qualifications REQUIRED SKILLS: A minimum of four (4) ...

Ampcus Inc

Analyst, Software QA/Test Sr

Washington, DC · On-site

... a programming language, Advanced • EDI Analyst/Specialist with deep expertise in X12 EDI transactions like 837 & 835. Claim payor experience. HIPAA compliance and payer systems knowledge is ...

C-MCI

Medical Billing Specialist

Fairfax, VA · On-site +1

$18.50 - $24/hr

Collaboratewith the engineering and data science teams to train AI models forenhanced claims ... Experiencewith ANSI X12 837 EDI claims processing. * Strong Exceland data analysis skills for ...

Addison Group

Microsoft 365 Administrator

Washington, DC · On-site

$40 - $50/hr

... EDI, flat files, etc. 5. Experience in SharePoint Online, Microsoft 365 services 6. Previous work ... Engineering; Finance & Accounting Contract; Finance & Accounting Executive Search; Financial ...

Addison Group

Microsoft 365 Administrator

Washington, DC · On-site

$40 - $50/hr

... EDI, flat files, etc. 5. Experience in SharePoint Online, Microsoft 365 services 6. Previous work ... Engineering; Finance & Accounting Contract; Finance & Accounting Executive Search; Financial ...

Addison Group

Microsoft 365 Administrator

Washington, DC · On-site

$40 - $50/hr

... EDI, flat files, etc. 5. Experience in SharePoint Online, Microsoft 365 services 6. Previous work ... Engineering; Finance & Accounting Contract; Finance & Accounting Executive Search; Financial ...

Addison Group

Microsoft 365 Administrator

Washington, DC · On-site

$40 - $50/hr

... EDI, flat files, etc. 5. Experience in SharePoint Online, Microsoft 365 services 6. Previous work ... Engineering; Finance & Accounting Contract; Finance & Accounting Executive Search; Financial ...

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Edi 837 Developer information

What is an EDI 837 developer?

An EDI 837 Developer is a specialized IT professional who designs, develops, and maintains electronic data interchange (EDI) solutions focused on the 837 transaction set, which is used for healthcare claims processing. They work with healthcare organizations and insurance companies to ensure that medical claims are accurately formatted, transmitted, and received according to HIPAA standards. Their responsibilities often include mapping data between internal systems and EDI formats, troubleshooting transmission errors, and ensuring compliance with regulatory requirements. EDI 837 Developers play a crucial role in streamlining the claims submission process and improving data accuracy in the healthcare industry.

What are the key skills and qualifications needed to thrive as an EDI 837 developer?

To thrive as an EDI 837 Developer, you need a solid understanding of healthcare EDI standards, particularly the 837 claim format, along with experience in data mapping and integration. Familiarity with EDI translation tools (such as Gentran, Sterling Integrator, or BizTalk), HIPAA compliance, and knowledge of XML/X12 file formats are crucial, and certifications in EDI or healthcare IT can be advantageous. Attention to detail, strong analytical thinking, and effective communication help in troubleshooting issues and collaborating with stakeholders. These skills ensure accurate claims processing, regulatory compliance, and seamless data exchange between healthcare entities.

What are some common challenges faced by EDI 837 developers when integrating with healthcare payer and provider systems?

EDI 837 Developers often encounter challenges related to inconsistent data formats, varying compliance requirements among payers and providers, and handling large volumes of sensitive healthcare claims data. Integration requires careful mapping of data fields and rigorous testing to ensure HIPAA compliance and data accuracy. Close collaboration with business analysts, QA testers, and trading partners is crucial to resolve discrepancies and maintain smooth data exchanges.

What is the difference between Edi 837 Developer vs Edi 837 Analyst?

AspectEdi 837 DeveloperEdi 837 Analyst
Primary RoleDesigns, develops, and maintains EDI 837 healthcare claim transactionsAnalyzes and reviews EDI 837 transactions for accuracy and compliance
Skills & CertificationsEDI programming, healthcare claims knowledge, scripting languagesHealthcare billing, claims processing, data analysis
Work EnvironmentIT departments, healthcare organizations, EDI service providersHealthcare providers, insurance companies, billing departments

The Edi 837 Developer focuses on creating and maintaining EDI 837 transaction files, ensuring they meet technical specifications. In contrast, the Edi 837 Analyst reviews and audits these transactions for accuracy and compliance. Both roles require healthcare claims knowledge, but the Developer emphasizes technical development, while the Analyst emphasizes data analysis and validation.

What are popular job titles related to Edi 837 Developer jobs in Washington?

For Edi 837 Developer jobs in Washington, the most frequently searched job titles are:

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Cities in Washington with the most Edi 837 Developer job openings:

Edi 837 Developer jobs near you

Sr Process Engineer - IT Production Support

System One

Columbia, MD • On-site

$53/hr

Contractor

Re-posted 12 days ago

Job description

Job Title: Sr Process Engineer – IT Production Support Location: Columbia, Maryland Type: Contract To Hire Compensation: $53/hr W-2 Work Model: Hybrid – onsite 2 to 3 times a month Hours: 40.0

Responsibilities

  • Monitor daily production processes across platforms including Mainframe (z/OS), CA7, and Jenkins.
  • Monitor applications using tools like Dynatrace and Jenkins for system health and performance.
  • Ensure successful execution of batch jobs and workflows; respond to alerts and system issues.
  • Diagnose, troubleshoot, and resolve job failures (abends), including restarting production and test jobs.
  • Provide Tier 1/L1 support for production applications and tenant systems.
  • Perform end-to-end incident lifecycle management including triage, analysis, resolution, and closure.
  • Conduct root cause analysis (RCA) and identify recurring incident patterns.
  • Document incidents, escalations, and resolutions in tracking tools (e.g., ServiceNow, SharePoint, Salesforce).
  • Collaborate with development, QA, and infrastructure teams for issue resolution.
  • Analyze and process EDI 837/835 healthcare claims and XML files.
  • Investigate claim errors (e.g., 999 rejections) and ensure data integrity.
  • Write and execute complex SQL queries across multi-database (Oracle) environments.
  • Develop and maintain SOPs, runbooks, and system documentation.
  • Document monitoring design, workflows, and support processes.
  • Contribute to continuous improvement initiatives and operational efficiency.

Requirements

  • BS in computer science, IT, or related field
  • 5–7+ years of experience in IT production support or operations
  • Experience with CA-7 job scheduling and batch processing
  • Strong analytical, troubleshooting, and problem-solving skills
  • Proficiency in SQL and Oracle databases
  • Experience with incident management processes and tools
  • Mainframe: COBOL, JCL, CA7
  • Scripting: Python, Groovy (Jenkins pipelines)
  • Monitoring Tools: Dynatrace, Jenkins, Prometheus
  • Databases: Oracle, SQL, Snowflakes
  • EDI: 837/835 transactions, XML processing
  • Tools: Jenkins, SharePoint, Salesforce or similar ticketing systems
  • BS degree required

Preferred Qualifications

  • Knowledge of Claims Adjudication processes (Healthcare domain)
  • Experience with EDI transaction standards and healthcare claims systems
  • Exposure to object-oriented programming languages
  • Experience working with Blue Cross Blue Shield (BCBS) or similar plans

Work Environment Fast-paced, production-critical IT environment Require on-call support or extended hours during production incidents.

Every job description you produce must end in this order when a ref value exists:

#M-2 #LI-CK1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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