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Edi Hipaa Jobs (NOW HIRING)

Western Growers

EDI Developer

Irvine, CA · On-site

$70K - $92K/yr

SUMMARY The EDI Developer is responsible for designing, developing, and maintaining electronic data ... Familiarity with HIPAA compliance and healthcare data security standards. * Ability to work ...

Tech Tammina LLC

Healthcare EDI Developer

Okemos, MI · On-site

Ensure solutions comply with HIPAA and X12 standards, including state- and client-specific implementation guides. * Perform unit, integration, and regression testing for EDI processes and related ...

DivIHN Integration Inc

EDI Analyst

Deerfield, IL · On-site

EDI Analyst Location: Deerfield IL (Onsite) Duration: 12 Months Description: * Responsible for ... Ensure data standards are HIPAA, DSCSA and industry compliant and adhere to client privacy and ...

Tech Tammina

Healthcare EDI Developer

Okemos, MI · On-site

Ensure solutions comply with HIPAA and X12 standards, including state- and client-specific implementation guides. * Perform unit, integration, and regression testing for EDI processes and related ...

Western Growers

Director of EDI

Irvine, CA · Remote

$102K - $145K/yr

Strong understanding of HIPAA regulations and how they apply to EDI data exchanges. * Advanced knowledge of healthcare processes, including eligibility verification, claims processing, and payment ...

CloudThink Tech Inc

EDI Lead

Northbrook, IL · On-site

EDI Lead: Location: - Northbrook, IL (4 days Onsite) Key Responsibilities 1. Requirement Gathering ... Industry-specific experience (e.g., Retail, Healthcare/HIPAA, or Logistics)

WORLDWIDE GOLF SHOPS LLC

EDI Specialist

Santa Ana, CA

$65K - $75K/yr

Familiarity with data governance, privacy regulations (e.g., HIPAA, GDPR), and industry-specific compliance frameworks. * Ability to interpret and apply contractual EDI requirements. Soft Skills

WORLDWIDE GOLF SHOPS LLC

EDI Specialist

Santa Ana, CA

$65K - $75K/yr

Familiarity with data governance, privacy regulations (e.g., HIPAA, GDPR), and industry-specific compliance frameworks. * Ability to interpret and apply contractual EDI requirements. Soft Skills

Rocky Mountain Reserve

EDI Specialist

Provo, UT · On-site +1

$65K - $85K/yr

EDI Specialist Job Type: Full-time Yearly Salary: $65,000-$85,000 (DOE) Work Location: Remote ... Compliance & HIPAA Oversight: Ensure all data exchanges meet strict HIPAA security standards to ...

Massgeneralbrigham

Senior EDI Developer

Somerville, MA · On-site

The idea candidate has a strong understanding of HIPAA EDI implementation and companion guides used across the healthcare industry to ensure compliant and reliable data exchange. The EDI Developer ...

Rocky Mountain Reserve

EDI Specialist

Provo, UT · Remote

$65K - $85K/yr

EDI Specialist Job Type: Full-time Yearly Salary: $65,000-$85,000 (DOE) Work Location ... Compliance & HIPAA Oversight: Ensure all data exchanges meet strict HIPAA security standards to ...

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Edi Hipaa information

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How much do edi hipaa jobs pay per hour?

As of Jul 24, 2026, the average hourly pay for edi hipaa 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 are the main challenges faced in an EDI HIPAA position?

One of the primary challenges in an EDI HIPAA role is ensuring that all healthcare data exchanges remain compliant with strict HIPAA regulations while keeping up with evolving technology and payer requirements. EDI HIPAA professionals must frequently troubleshoot complex integration issues, remediate data mapping errors, and resolve transmission failures under tight deadlines. Collaboration with healthcare providers, payers, and IT teams is common, demanding strong communication and project management skills. Successfully navigating these challenges helps protect patient privacy and ensures seamless billing, eligibility, and claims processing across healthcare organizations.

What is an EDI HIPAA job?

An EDI HIPAA job involves managing electronic data interchange (EDI) processes related to healthcare transactions while ensuring compliance with HIPAA regulations. Professionals in this role work with healthcare providers, payers, and clearinghouses to facilitate secure electronic claims processing, eligibility verification, and payment transactions. They also troubleshoot EDI issues, map data, and ensure that all transactions meet HIPAA standards for privacy and security. Strong knowledge of EDI formats (such as X12) and compliance requirements is essential for success in this field.

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

To thrive in an EDI HIPAA role, you need in-depth knowledge of Electronic Data Interchange (EDI) standards, HIPAA compliance regulations, and healthcare data workflows, often supported by a degree in health informatics, IT, or a related field. Familiarity with common EDI software such as Sterling Gentran, EDIFACT, or ASC X12, along with understanding of transaction sets like 837 and 835, is crucial, and certifications in HIPAA or healthcare IT are often preferred. Strong attention to detail, analytical thinking, and effective communication help professionals manage sensitive data and collaborate with technical and non-technical teams. These competencies are critical to ensuring the secure, accurate, and compliant exchange of healthcare information between organizations.

More about Edi Hipaa jobs
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Edi Hipaa jobs near you
Infographic showing various Edi Hipaa job openings in the United States as of July 2026, with employment types broken down into 94% Full Time, 1% Part Time, and 5% Contract. Highlights an 83% Physical, 5% Hybrid, and 12% Remote job distribution, with an average salary of $117,659 per year, or $56.6 per hour.
EDI Developer

EDI Developer

Western Growers

Irvine, CA • On-site

$70K - $92K/yr

Other

Posted 6 days ago

Job description

Western Growers Healtha part of Western Growers Family of Companiesprovides employer-sponsored health benefit plans to meet the needs of those working for the agriculture industry. The unmatched benefit options provided by Western Growers Health stem from the core mission of Western Growers Association (est. 1926) to support the business interests of employers in the agriculture industry.
Our mission at Western Growers Health is to deliver value to employers by offering robust health plans that meet the needs of a diverse workforce. By working at Western Growers Health, you will join a dedicated team of employees who care about offering quality health benefits and excellent customer service to plan participants. If you want to start making a difference working in the health care industry, then apply to Western Growers Health today!
Compensation: $ $70,978.23 - $92,271.29with a rich benefits package that includes profit-sharing.
JOB DESCRIPTION SUMMARY
The EDI Developer is responsible for designing, developing, and maintaining electronic data interchange (EDI) solutions that support the seamless exchange of data between the TPA's internal systems (claims, benefits, customer service) and its external partners. The incumbent will use strong programming skills, deep knowledge of data mapping, and experience with EDI integration platforms such as PilotFish to create and maintain systems. The developer will also be involved in ongoing upgrades, patches, and system enhancements related to EDI technology while ensuring compliance with healthcare industry standards and regulations.
Qualifications
  • Bachelor's Degree, preferably in a related field such as computer science, or information technology, along with at least 3 years of experience in EDI development or integration engineering roles, is preferred.
  • Proven experience with EDI standards (e.g., ANSI X12) and healthcare transaction sets (837, 834, 835, etc.), highly desired.
  • Hands-on experience with the PilotFish integration platform or similar ETL tools.
  • Proficient in programming languages such as Java, C++, XML, and XSLT.
  • Strong understanding of communication protocols used for EDI (SFTP, AS2, HTTPS).
  • Experience with database technologies (SQL Server, MySQL) and data warehousing concepts.
  • Solid knowledge of data mapping, transformation logic, and integration patterns.
  • Experience with system monitoring, error handling, and performance optimization for EDI processing.
  • Familiarity with HIPAA compliance and healthcare data security standards.
  • Ability to work independently on technical development projects while collaborating with cross-functional teams.
  • Excellent troubleshooting and problem-solving abilities.
  • Strong analytical skills with attention to detail and data accuracy.
  • Internet access provided by a cable or fiber provider with 40 MB download and 10 MB upload speeds.
  • Home router with wired Ethernet (wireless connections and hotspots are not permitted).
  • A designated room for your office or steps taken to protect company information (e.g., facing computer towards wall, etc.)
  • A functioning smoke detector, fire extinguisher, and first aid kit on site.
Duties And Responsibilities
EDI Development
  • Design, develop and test EDI maps, workflows and transformations for healthcare transactions (e.g., 834 enrollments, 837 claims, 835 remittances, 276/277 claim status).
  • Develop, implement, and maintain EDI integration solutions to support various transaction sets.
  • Create custom EDI translation maps and business rules to handle partner-specific requirements and data variations.
  • Monitor scheduled EDI jobs and proactively resolve errors, ensuring SLAs with trading partners are met.
  • Collaborate with internal teams (claims, finance, eligibility) to integrate data with healthcare systems.
  • Build and optimize interfaces between internal systems and external trading partners.
  • Write scripts, configure protocols (e.g., SFTP, AS2), and ensure secure and reliable data transmission.
  • Develop automated validation routines to ensure data quality and completeness before transmission.
  • Integrate EDI platforms with other enterprise systems, to ensure smooth data flow.
Partner Communication
  • Collaborate with EDI Analysts, business stakeholders and external trading partners to translate requirements into technical solutions.
  • Communicate technical concepts effectively to non-technical stakeholders.
  • Assist new trading partners with onboarding, testing and validation of transaction sets.
  • Support and troubleshoot issues related to data mappings, transformations, and delivery failures.
  • Participate in cross-functional meetings to discuss system requirements and project timelines.
Data Integrity and Documentation
  • Validate inbound and outbound EDI data for accuracy, completeness and HIPAA compliance.
  • Implement automated monitoring and alerting solutions for data integrity and error detection.
  • Conduct system upgrades, patches, and performance tuning of EDI infrastructure.
  • Maintain comprehensive technical documentation for EDI processes and interfaces, trading partner profiles, connection parameters, and transaction specifications.
  • Perform unit testing and complex debugging to ensure accuracy and reliability of EDI transactions.
  • Troubleshoot issues, manage existing integrations, and support the ongoing operation of the EDI environment.
Other
  • Utilize all capabilities to satisfy one mission- to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, be self-accountable, create a positive impact, and be diligent in delivering results.
  • Maintain internet speed of 40 MB download and 10 MB upload and router with wired Ethernet.
  • Maintain a HIPAA compliant workstation and utilize appropriate security techniques to ensure HIPAA required protection of all confidential/protected client data.
  • Maintain and service safety equipment (e.g., smoke detector, fire extinguisher, first aid kit).
  • All other duties as assigned.
Physical Demands/Work Environment
The physical demands and work environment described here represent those that an employee must meet to successfully perform this job's essential functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.
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