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Edi Healthcare Jobs (NOW HIRING)

A minimum of four (4) years of experience in analyzing/testing Healthcare/Marketplace EDI Applications. A minimum of two (2) years of experience working with SQL databases/queries. Strong analytical ...

... support to healthcare providers who interact with IDOH's CSHCS system o Assist in onboarding new providers o Assist in onboarding new clearinghouses • Ability to work independently with less ...

New

A minimum of four (4) years of experience in analyzing/testing Healthcare/Marketplace EDI Applications. A minimum of two (2) years of experience working with SQL databases/queries. Strong analytical ...

The primary responsibilities of the EDI Manager include leading the strategy, design ... Experience in healthcare/pharmacy and familiarity with HIPAA/HITRUST requirements is a plus.

Job Summary Mass General Brigham Health Plan is an exciting place to be within the healthcare ... The EDI Developer must have handson software development experience and demonstrate the ability to ...

Duties will include working on a variety of client implementations and developing C# and SQL code for healthcare EDI processes. This is in maintenance and enhancement of existing applications as well ...

Minimum three years of Managed Health Care background preferred. Exposure and understanding of utilization of analytical development concepts and methodologies. Minimum 1-2 years experience with EDI ...

This role operates at the intersection of healthcare technology, data operations, and Agile ... Serve as the primary coordinator for EDI production issues, triaging incoming defects and ...

EDI Developer

Rancho Santa Margarita, CA · On-site +1

$90K - $140K/yr

EDI Developer Applied Medical is a new generation medical device company with a proven business ... the healthcare field. Our unique business model, combined with our dedication to delivering the ...

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Edi Healthcare information

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How much do edi healthcare jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for edi healthcare in the United States is $56.57, according to ZipRecruiter salary data. Most workers in this role earn between $48.08 and $65.38 per hour, depending on experience, location, and employer.

What is an EDI Healthcare job?

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.

What are the typical daily responsibilities for someone working in an EDI Healthcare role?

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.

What are the key skills and qualifications needed to thrive in the Edi Healthcare position, and why are they important?

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.

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EDI Developer

Other

Posted 5 days ago


Job description

We are seeking a Senior EDI Developer to maintain, support, and advance a critical healthcare insurance claims processing system. In this role, you will manage the end-to-end lifecycle of healthcare claims-from provider ingestion and database loading to pricing adjudication and outbound messaging response generation.

You will collaborate closely with project managers, software developers, and business analysts while acting as a critical Subject Matter Expert (SME) during a major system modernization.

Job Details

  • Work Arrangement: Hybrid (3 days onsite, 2 days remote)
  • Work Location: Indianapolis, IN
  • Interview Process: Initial interview via MS Teams; final interview via Teams or in-person
  • Opportunity Type: Contract-to-hire potential (Candidates must be eligible for full-time hire without requiring visa sponsorship)

Core Responsibilities

  • System Modernization: Serve as the EDI Subject Matter Expert (SME) to guide the development team as the core legacy claims system is rewritten in .NET.
  • Data Exchange & Integration: Ensure accurate, secure file exchanges with external trading partners and rapidly resolve data transmission conflicts.
  • Support & Onboarding: Provide helpdesk-level troubleshooting for EDI transactions, assist with onboarding new healthcare providers, and manage clearinghouse integrations.
  • Documentation: Review, update, and author technical specifications and business requirements for completely undocumented claims processes.

Profile Requirements

Required Expertise:

  • EDI File Formats: 5+ years of hands-on experience handling 837 (Claims), 835 (Remittance Advice), and 210 (Invoice) transactions.
  • Database Knowledge: 5+ years of solid SQL and database experience for mapping and validating claims data.
  • Compliance: Robust understanding of HIPAA regulations and data privacy standards.
  • Education: Bachelor's Degree in Computer Science, IT, or a related technical field.

Highly Desired (Strong Pluses):

  • Healthcare Industry Experience: Deep understanding of medical billing, insurance claims workflows, and adjudication standards.
  • IBM WebSphere Transformation Extender (WTX): Practical mapping or development experience with WTX.

Stellar Professionals logo

About Stellar Professionals

Sourced by ZipRecruiter

Welcome to Stellar Professionals, an Information-Technology Consulting & Staffing Firm that helps businesses like yours achieve unique goals. Stellar Professionals was founded with a single mission: to be the most successful, creative, and ground-breaking consulting agency in Staffing Industry. We approach each of our clients with fresh eyes to develop customized, unique strategies. Our expert professionals will partner with your business to deliver tailor-made practical solutions to assist you with Direct Client Acquisitions in the Public & Commercial Sector through winning proposals and business development means. Also, we assist you in serving your clients with quality resources, fast. Since 2005, we’ve supported numerous clients - and we’re confident we’re the right Information-Technology Consulting Firm for you.

Industry

Recruiting and staffing services

Company size

11 - 50 Employees

Headquarters location

Lewes, DE, US

Year founded

2019

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