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Edi 837 Developer Jobs in Washington (NOW HIRING)

ICONMA

EDI Production Support Specialist

Columbia, MD · On-site

$17.50 - $23.50/hr

Analyze and process EDI 837/835 healthcare claims and XML files * Investigate claim errors (e.g ... Exposure to object-oriented programming languages * Experience working with Blue Cross Blue Shield ...

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 ...

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 ...

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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 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 the key skills and qualifications needed to thrive as an EDI 837 Developer, and why are they important?

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.
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Edi 837 Developer jobs near you

EDI Production Support Specialist

ICONMA

Columbia, MD • On-site

$17.50 - $23.50/hr

Other

This job post has expired today. Applications are no longer accepted.

Job description

Our client, a Health Insurance company, is looking for an EDI Production Support Specialist to work a hybrid schedule based out of their Columbia, MD location.
 
Responsibilities
Production Monitoring & Support

  • 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.

Incident Management & Issue Resolution
  • 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

Data Analysis & EDI Processing
  • 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

Documentation & Continuous Improvement
  • Develop and maintain SOPs, runbooks, and system documentation
  • Document monitoring design, workflows, and support processes
  • Contribute to continuous improvement initiatives and operational efficiency
 
Requirements
  • Bachelor’s degree in computer science, IT, or related field (or equivalent experience)
  • 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

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

 
Why Should You Apply?
  • Excellent growth and advancement opportunities
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About ICONMA

Sourced by ZipRecruiter

ICONMA is an established and stable organization building lasting relationships with clients and consultants. We are unique in our ability to provide a full spectrum of Staffing Services and Solutions including: Staff Augmentation (Contract, Contract-to-Hire, Direct Hire), Bulk Buy Staff Augmentation, Offshore Staff Augmentation, Payroll Services and Consulting (Project Delivery, SOW). At ICONMA, our goal is to become a one-stop destination for our customers' staffing and outsourcing needs. Our vision is to be a preeminent provider of innovative business solutions, leveraging key technologies to improve our customers' competitiveness, growth, and profitability. ICONMA focuses on a culture that fosters collaboration and team work. We recognize that employees are the foundation of any company, and we encourage our employees to be leaders while providing continuous training and growth opportunities. ICONMA encourages hard work, determination and dedication in a professional environment. ICONMA promotes a healthy work-life balance, and understands this is a key component to our employee's and company's success.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Troy, MI, US

Year founded

2000

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