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Deloitte · 2 days ago

EDI/Edifecs Specialist

Mechanicsburg, PA

Full-time

Hybrid

Senior Level

5+ years exp

Deloitte's AI & Engineering team is focused on transforming technology platforms and driving innovation. As a Senior Solutions Specialist, you will manage Edifecs translation maps, support EDI file automation, and collaborate with various teams to implement EDI solutions.

AccountingConsultingFinancial ServicesLegalProfessional ServicesRisk Management

Growth Opportunities

No H1B

Responsibilities

Manage, enhance, and troubleshoot Edifecs translation maps and guidelines as per HIPAA/organizational needs

Support EDI file automation, analyze mapping failures, remediate issues, and ensure SLA compliance

Collaborate with business, eligibility, claims, and technical teams to roll out new interfaces, partner onboarding, and compliance upgrades

Prepare and maintain technical documentation, test cases, and support procedures

Collaborate with business, eligibility, claims, and finance workgroups to translate business requirements into technical EDI solutions

Lead or mentor junior EDI/Edifecs analysts

Qualification

EDI/Edifecs expertiseHealthcare EDI transactionsUnix shell scriptingIBM Transformation ExtenderEdifecs tools proficiencyHIPAA compliance knowledgeAgile/Scrum experienceJava familiarity

Required

Bachelor's degree

Must be legally authorized to work in the United States without the need for employer sponsorship, now or at any time in the future

5+ years' experience with EDI Editing-Billing & Spec. Billing

2+ years' experience with healthcare EDI transaction sets, including but not limited to 270, 271, 837 (I, P, & D), 834, 835, 820, 999

2+ years' experience in EDI/Edifecs specialist in the design, development, and support of enterprise integration solutions, with a strong focus on healthcare and high-volume EDI transactions. The ideal candidate will have hands-on expertise in Edifecs integrations, deep knowledge of EDI X12 and UN/EDIFACT

3+ years' experience with developing and maintaining Unix shell scripts supporting EDI file automation

3+ years' experience with HIPPA and understanding how it bills

3+ years' experience with IBM Transformation Extender

2+ years of hands-on skills with Edifecs tools, including: Edifecs Specbuilder for maps, guidelines, and severity files. Updating, managing, and troubleshooting Edifecs profiles, routes, and translation workflows. Promotion/deployment of HIPAA code lists, maps, and guideline updates

Preferred

Agile/Scrum project experience and certifications are a plus

Familiarity with Java/Unix scripting and automation

Experience with the full integration lifecycle: requirements gathering, technical design, mapping, testing, migration, go-live, and production support