Senior EDI Developer
Indianapolis, IN · On-site
Indianapolis, IN USA Duration: 6 months The Indiana Department of Health (IDOH) is seeking an experienced EDI Expert to support and enhance its healthcare claims processing system (ACAPS). The ...
Indianapolis, IN · On-site
Indianapolis, IN USA Duration: 6 months The Indiana Department of Health (IDOH) is seeking an experienced EDI Expert to support and enhance its healthcare claims processing system (ACAPS). The ...
Indianapolis, IN · On-site
Indianapolis, IN USA Duration: 6 months The Indiana Department of Health (IDOH) is seeking an experienced EDI Expert to support and enhance its healthcare claims processing system (ACAPS). The ...
Indianapolis, IN · On-site
Phone + In-Person 🕒 Experience Required: 10+ Years 🏥 Healthcare Industry Experience Required The Indiana Department of Health (IDOH) is seeking an experienced Senior EDI Developer/EDI Expert to ...
Indianapolis, IN · On-site
Phone + In-Person 🕒 Experience Required: 10+ Years 🏥 Healthcare Industry Experience Required The Indiana Department of Health (IDOH) is seeking an experienced Senior EDI Developer/EDI Expert to ...
Raleigh, NC · On-site
The candidate should also demonstrate strong healthcare domain knowledge related to claims ... Configure and manage EDI mappings for 837, 277CA, 834, 835, TA1, 999, 820, and NCPDP D.0 ...
Quick apply
Raleigh, NC · On-site
The candidate should also demonstrate strong healthcare domain knowledge related to claims ... Configure and manage EDI mappings for 837, 277CA, 834, 835, TA1, 999, 820, and NCPDP D.0 ...
$45/hr
Citius Tech Title : Healthcare BA - 880267 Location : Remote Rate : $45/Hour on C2C What is it for ... Skills: - Mandatory skills • Medicaid, EDI, Business Analysis
$45/hr
Citius Tech Title : Healthcare BA - 880267 Location : Remote Rate : $45/Hour on C2C What is it for ... Skills: - Mandatory skills • Medicaid, EDI, Business Analysis
Grand Rapids, MI · Hybrid
Bachelor's Degree * 2 years of relevant experience in the healthcare industry * 2 years of relevant ... Name EDI - PH Managed Benefits Employment Type Full time Shift Day (United States of America ...
Grand Rapids, MI · Hybrid
Bachelor's Degree * 2 years of relevant experience in the healthcare industry * 2 years of relevant ... Name EDI - PH Managed Benefits Employment Type Full time Shift Day (United States of America ...
Manhattan, NY · On-site
$85K - $95K/yr
By ensuring reliable transmission and processing of key healthcare transactions-including claims, eligibility, claim status, authorizations, and remittance-the EDI Analyst plays a critical role in ...
Manhattan, NY · On-site
$85K - $95K/yr
By ensuring reliable transmission and processing of key healthcare transactions-including claims, eligibility, claim status, authorizations, and remittance-the EDI Analyst plays a critical role in ...
Manhattan, NY · Remote
$85K - $95K/yr
By ensuring reliable transmission and processing of key healthcare transactions--including claims, eligibility, claim status, authorizations, and remittance--the EDI Analyst plays a critical role in ...
Manhattan, NY · Remote
$85K - $95K/yr
By ensuring reliable transmission and processing of key healthcare transactions--including claims, eligibility, claim status, authorizations, and remittance--the EDI Analyst plays a critical role in ...
Irvine, CA · Remote
$102K - $145K/yr
By working at Western Growers Health, you will join a dedicated team of employees who care about ... SUMMARY The Director of Electronic Data Interchange (EDI) is responsible for overseeing and ...
Irvine, CA · Remote
$102K - $145K/yr
By working at Western Growers Health, you will join a dedicated team of employees who care about ... SUMMARY The Director of Electronic Data Interchange (EDI) is responsible for overseeing and ...
The EDI Expert will manage the full lifecycle of healthcare claims as they move through intake, database processing, adjudication, and outbound response generation. The role involves working closely ...
The EDI Expert will manage the full lifecycle of healthcare claims as they move through intake, database processing, adjudication, and outbound response generation. The role involves working closely ...
Indianapolis, IN · On-site
The selected candidate will be responsible for maintaining the complete lifecycle of healthcare claims processing, including EDI transaction management, claims adjudication, provider communications ...
Indianapolis, IN · On-site
The selected candidate will be responsible for maintaining the complete lifecycle of healthcare claims processing, including EDI transaction management, claims adjudication, provider communications ...
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a ... The EDI Developer must have handson software development experience and demonstrate the ability to ...
Mass General Brigham Health Plan is an exciting place to be within the healthcare industry. As a ... The EDI Developer must have handson software development experience and demonstrate the ability to ...
Santa Clara, CA · Remote
$100K - $130K/yr
... healthcare-specific mapping standards. • Build and support EDI workflows using Edifecs (XEngine, SpecBuilder, Transaction Manager) to ensure scalable and compliant transaction processing. • ...
Santa Clara, CA · Remote
$100K - $130K/yr
... healthcare-specific mapping standards. • Build and support EDI workflows using Edifecs (XEngine, SpecBuilder, Transaction Manager) to ensure scalable and compliant transaction processing. • ...
Irvine, CA · On-site +1
Familiarity with IT applications for healthcare operations/service. Exceptional communication ... Strong experience with EDI software/tools and platforms; understanding of data flow and integration ...
Irvine, CA · On-site +1
Familiarity with IT applications for healthcare operations/service. Exceptional communication ... Strong experience with EDI software/tools and platforms; understanding of data flow and integration ...
Manhattan, NY · On-site
$125K - $130K/yr
The successful candidate must have strong SQL programming skills, EDI Analytical skills, communication skills, and healthcare experience with knowledge in membership, provider, and claims data. Scope ...
Manhattan, NY · On-site
$125K - $130K/yr
The successful candidate must have strong SQL programming skills, EDI Analytical skills, communication skills, and healthcare experience with knowledge in membership, provider, and claims data. Scope ...
Qualifications Required Skills: 1) Healthcare EDI, (not commercial ecommerce EDI i.e. EDI purchase orders, bill of lading, etc) 2) Knowledgeable in X12 837 and NCPDP formats Additional Information ...
Qualifications Required Skills: 1) Healthcare EDI, (not commercial ecommerce EDI i.e. EDI purchase orders, bill of lading, etc) 2) Knowledgeable in X12 837 and NCPDP formats Additional Information ...
Strong understanding of healthcare claims processing - Claims, Provider, Eligibility Experience ... EDI partners to resolve transmission problems.
Strong understanding of healthcare claims processing - Claims, Provider, Eligibility Experience ... EDI partners to resolve transmission problems.
Raleigh, NC · On-site
... healthcare electronic data interchange applications • Responds to inquiries regarding EDI issues with encounter claims and trading partner activities • Management of catalog of EDI document types ...
Raleigh, NC · On-site
... healthcare electronic data interchange applications • Responds to inquiries regarding EDI issues with encounter claims and trading partner activities • Management of catalog of EDI document types ...
Irvine, CA · On-site
Familiarity with IT applications for healthcare operations/service. • Exceptional communication ... full-cycle implementation of EDI transactions, including mapping, data analysis, and ...
Irvine, CA · On-site
Familiarity with IT applications for healthcare operations/service. • Exceptional communication ... full-cycle implementation of EDI transactions, including mapping, data analysis, and ...
Grants Pass, OR · Remote
$75K - $100K/yr
It also moves the national health care model forward for the country, as we're continually on the ... Experience with EDI mapping tools These would be considered assets: * Healthcare EDI or HL7 ...
Quick apply
Grants Pass, OR · Remote
$75K - $100K/yr
It also moves the national health care model forward for the country, as we're continually on the ... Experience with EDI mapping tools These would be considered assets: * Healthcare EDI or HL7 ...
Manhattan, NY · Remote
$125K - $130K/yr
The successful candidate must have strong SQL programming skills, EDI Analytical skills, communication skills, and healthcare experience with knowledge in membership, provider, and claims data. Scope ...
Manhattan, NY · Remote
$125K - $130K/yr
The successful candidate must have strong SQL programming skills, EDI Analytical skills, communication skills, and healthcare experience with knowledge in membership, provider, and claims data. Scope ...
$14.42 - $21.04
4% of jobs
$21.04 - $27.67
5% of jobs
$27.67 - $34.29
0% of jobs
$34.29 - $40.91
5% of jobs
$40.91 - $47.53
5% of jobs
$49.10 is the 25th percentile. Wages below this are outliers.
$47.53 - $54.15
21% of jobs
The median wage is $56.40 / hr.
$54.15 - $60.77
26% of jobs
$63.77 is the 75th percentile. Wages above this are outliers.
$60.77 - $67.40
17% of jobs
$67.40 - $74.02
7% of jobs
$74.02 - $80.64
1% of jobs
$80.64 - $87.26
7% of jobs
$14
$56
$87
An EDI Healthcare job involves managing electronic data interchange (EDI) systems to securely exchange healthcare information between providers, insurers, and other stakeholders. Professionals in this role ensure compliance with HIPAA regulations, troubleshoot EDI transactions, and optimize data workflows for billing, claims processing, and patient records. Strong knowledge of healthcare EDI standards, such as X12 and HIPAA-compliant transactions, is essential.
On a daily basis, EDI Healthcare professionals are responsible for managing and troubleshooting electronic data interchange transactions between healthcare providers, payers, and clearinghouses. They monitor data file transmissions, resolve errors or rejections, and ensure compliance with regulatory standards like HIPAA. Additionally, they often collaborate with IT teams, business analysts, and healthcare staff to implement EDI solutions or updates. This role requires a proactive approach to identifying process improvements and maintaining the integrity and security of sensitive healthcare data.
To excel in an EDI Healthcare role, you need a solid understanding of healthcare data exchange, HIPAA regulations, and experience with EDI transaction sets such as 837, 835, and 270/271, often supported by a degree in healthcare administration, information technology, or a related field. Familiarity with EDI translation software, clearinghouse platforms, and relevant certifications like Certified Electronic Health Records Specialist (CEHRS) are highly valued. Strong analytical thinking, attention to detail, and effective communication skills help EDI professionals collaborate with both technical teams and healthcare providers. These competencies are crucial for ensuring seamless, secure, and compliant data exchange in the healthcare ecosystem.

Other
Posted 5 days ago
Job Title: EDI Developer / EDI Expert
Location: Indianapolis, IN USA
Duration: 6 months
Job Description:
The Indiana Department of Health (IDOH) is seeking an experienced EDI Expert to support and enhance its healthcare claims processing system (ACAPS). The selected candidate will be responsible for maintaining EDI transaction processing, healthcare claims adjudication workflows, provider integrations, and supporting modernization efforts as the ACAPS system is rewritten in .NET.
Required Qualifications:
Bachelor''s Degree in Computer Science or related field with IT experience
5+ years of database experience (SQL preferred)
5+ years of experience working with EDI transactions and file formats including:
835 (Healthcare Claim Payment/Advice)
837 (Healthcare Claim Submission)
210 (Motor Carrier Freight Details and Invoice)
Strong understanding of HIPAA regulations and healthcare data compliance
Experience troubleshooting complex EDI processing and transmission issues
Excellent verbal and written communication skills
Preferred Qualifications:
Healthcare industry experience
IBM WebSphere Transformation Extender (WTX) experience
Healthcare claims processing experience
Database and SQL development/support experience
Key Responsibilities:
Maintain and support healthcare EDI transaction processing
Review, update, and create documentation for claims processing workflows
Serve as Subject Matter Expert (SME) for EDI and claims processing during system modernization efforts
Collaborate with project managers, developers, business analysts, and business stakeholders
Develop technical specifications from business requirements
Test new and existing applications and integrations
Monitor and resolve EDI transmission and file exchange issues with external trading partners
Provide support for healthcare providers and clearinghouses
Assist with onboarding new providers and clearinghouse partners
Support claims adjudication and pricing workflows
Work independently while coordinating with internal and external stakeholders
Technical Environment:
EDI Transactions (835, 837, 210)
HIPAA Compliance
SQL / Database Systems
Healthcare Claims Processing
IBM WebSphere (WTX) Preferred
.NET Modernization Environment
Note: Local candidates only. Sponsorship is not available for this position.
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It services
51 - 200 Employees
Torrance, CA, US
2012