EDI Developer jobs in United States
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Western Growers ยท 2 days ago

EDI Developer

Western Growers Health provides employer-sponsored health benefit plans for the agriculture industry. The EDI Developer will design, develop, and maintain EDI solutions to ensure seamless data exchange between internal systems and external partners, while ensuring compliance with healthcare standards.

FinanceService Industry

Responsibilities

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
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
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

Qualification

EDI developmentPilotFish integrationEDI standardsProgramming languagesCommunication protocolsDatabase technologiesData mappingHIPAA complianceTroubleshootingAnalytical skills

Required

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

Benefits

Rich benefits package that includes profit-sharing

Company

Western Growers

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Provides services and programs to its members in the Arizona and California fresh produce industry.

Funding

Current Stage
Growth Stage

Leadership Team

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Steve Mangapit
Chief Operating Officer
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Elaine Dyer
Project Coordinator and Assistant to the CIO
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Company data provided by crunchbase